Sr. Manager, Quality & Delegation

Responsibilities

• THE DAY TO DAY
• Oversee Complex Care Management (CCM) audit program to ensure timely monthly completion and alignment with Strive quality standards (including completion of audits).
• Serve as clinical lead on delegation audits and NCQA CM and PHP accreditation chart readiness (including file preparation, mock audits, gap closure, ongoing monitoring and compliance).
• Synthesize qualitative audit insights and quality performance data to inform enterprise CCM performance strategy, guiding clinical leadership in advancing care delivery effectiveness, documentation integrity, and alignment with evidence-based standards.
• Monitor CCM program changes to ensure alignment with NCQA and Strive standards.
• Provide subject matter expertise and support to clinical managers on the use of Clinical and Quality policies, tools and reports and in the implementation of Quality recommendations for improvement.
• Oversee routine NCQA and ad-hoc quality audit activities to ensure compliance with Strive, payor, and NCQA standards, drive timely audit execution, and promote consistent audit determinations through interrater reliability reviews and coaching.
• Partner with Quality Improvement and analytics leadership to design, implement, and continuously enhance clinical audit content, tools, and supporting policies to advance audit program performance.
• Actively cross-train on NCQA and other clinical contractual requirements of Strive Health,demonstrating flexibility to meet client/consumer needs.
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events.

Requirements

• High school diploma or GED equivalent.
• 9+ years' experience in Quality Improvement, Quality Management, or combined related education, experience, or certification.
• 2+ years NCQA accreditation experience.
• Efficient and reliable transportation, including an active driver's license, allowing for travel across an assigned region to meet business needs.
• Ability to travel and be on-site to meet business needs.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency
• Active, unrestricted RN license.
• Proficiency in Microsoft Office, Adobe Acrobat and internet/web navigation.
• Care Management Certification.
• Knowledge of the organization of medical records, medical terminology, and disease process.
• ABOUT YOU
• Strong clinical assessment and critical thinking skills.
• Ability to work in a team environment.
• Excellent verbal and written communication skills.
• Flexibility and strong organizational skills.
• Annual Base Salary Range: $108,500 - $136,000
• Final compensation will be determined based on

Benefits

Additional Information

How You'll Make An Impact At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday. If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive! Benefits & Perks Hybrid-Remote Flexibility - Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources. Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves. Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. To learn more about our offerings, click here .

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