WellBe Senior Medical · 14 hours ago
Program Manager, Quality Initiatives
WellBe Senior Medical is a physician-led team focused on geriatric care for underserved Medicare Advantage patients. The Program Manager for Quality Initiatives will support leadership in achieving clinical and quality results, leading quality initiatives, and developing performance improvement plans.
HealthcareHealth CareHome Health CareMedical
Responsibilities
Assist in the development of local program strategy and lead execution of projects that ensure alignment with enterprise-wide quality / STARS goals and performance improvement
Assist in the development of training curriculum and work to deploy necessary program and change management concepts to ensure Quality / STAR results become “a way of life” and that all constituents have the right tools / resources to track and improve performance
Lead projects and workgroups to improve Quality / STAR results locally and across the organization
Ensure local leadership alignment and outcomes are consistent with enterprise-wide program goals
Lead regional meetings, provide actionable report/information to local team, provides feedback on identify gaps and initiate course corrections to ensure improved results year-over-year
Actively monitor project risks/issues, escalate in a timely manner, and drive teams to expected performance
Conduct record reviews to identify clinical quality and documentation issues
Submit supplemental data to health plans and monitor encounter/claims/other data reports to maintain data integrity, minimize data gaps, and implement data collection strategies that optimize data acquisition, integration, and reporting
Build strong partnerships with WellBe’s cross-functional teams including Clinical, Operations, Analytics/Reporting, IT, Compliance, Coding, and Network to develop programs that deliver measurable, actionable solutions
Other tasks needed to accomplish team’s objectives/goals
Qualification
Required
BS/BA in relevant program, or equivalent work experience
3-5 years of relevant work within Quality/STARs or any combination of education and experience, which would provide an equivalent background
Strong background/experience with Medicare STARS, HEDIS, CAHPS, HOS programs
Healthcare experience is required
Experience in start-up or fast paced dynamic environment
Ability to multi-task and manage competing priorities
Demonstrated success managing complex projects or multiple smaller projects encompassing Quality, Clinical Operations, and other areas impacting Quality/Stars Performance
Ability to manage large volumes of data, analyze data, identify data gaps and develop reporting for performance management
Must be able to work in a matrix environment
Ability to build strong multidisciplinary cross-functional teams and influence others
Must have the ability to motivate others, prioritize multiple tasks, and maintain positive interpersonal working relationships
Excellent written and verbal communication skills are required. Must be able to communicate effectively with all levels of the organization, including ability to present in front of large audience and lead meetings
Excellent understanding and proficiency with Microsoft Office
Preferred
Graduate degree preferred
Company
WellBe Senior Medical
WellBe Senior Medical offers physicians, nurses, clinicians along with home care services.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
CVS Health Ventures
2024-01-07Series Unknown
Recent News
2025-08-22
2025-07-08
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