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Program Manager - Quality Programs
Program Manager - Quality Programs-March 2024
Boston
Mar 28, 2026
About Program Manager - Quality Programs

  Why This Role is Important to Us:

  The Quality Programs Project Manager plays a key project management role on the Quality Programs Team, assisting with enterprise-wide accreditation, regulatory and other Quality Programs activities implemented across Commonwealth Care Alliance (CCA). This role directs and oversees CCA's enterprise-wide efforts to ensure that the CCA Quality Programs meet or exceed the requirements of federal and state regulators, as well as external accreditation organizations. This role manages large scale projects which span several domains of the health plan's operations through collaboration with staff across the organization in tracking, monitoring, reporting and documenting activities, reports and other tasks pertinent to key corporate initiatives. Under the supervision of the VP, Quality Programs, the successful candidate will possess strong project management, writing, communication and negotiation skills.

  What You'll Be Doing:

  Under the direction of the VP, Quality Programs principal areas of responsibility include, but may not be limited to:

  Manages quality-related State reporting requirements for all markets and products

  Manages quality-related Federal reporting requirements for all markets and products

  Assists in the development of Quality input and data to RFP, RFI and RFR requests

  Develop and update project planning and tracking tools to gauge progress toward goal attainment

  Maintain documentation for leadership to support scope, justification of growth and report on progress

  Collaborate with Team Leads in the tracking of progress towards the completion of their assigned tasks

  Ensure cross-coordination of Team Leads and staff toward gap closure

  Assign and track deliverables end-dates

  Assist in the upload of documentation to NCQA IRT system

  Vendor support when appropriate

  What We're Looking For:

  Required Education:

  Bachelor's Degree or equivalent experienceDesired Education:

  Master's Degree preferred

  PMP Certification

  Required Experience:

  3 years of project experience in a health care and/or managed care organizationDesired Experience:

  Managing Regulatory and/or Accreditation projectsKnowledge, Skills & Abilities:

  Possess strong project management methodologies

  Aptitude for project and data reporting

  Strong interpersonal skills and proven team management

  Ability to support the facilitation of project meetings and drive decision-making

  Ability to prepare and present materials to senior level executives

  Possess strong written and oral communication and active listening skills

  Possess strong problem-solving skills

  Proven ability to work independently in a remote setting

  EEO is The Law

  Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

  Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

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