Clinical Quality Program Manager, One Medical Senior Health

About the role

The Clinical Quality Program Manager supports clinical quality improvement, prevention and screening initiatives, disease management programs and outcomes optimization across the healthcare enterprise. The role partners with clinical, operational and technology teams to drive evidence-based practices, improve population health outcomes and advance data-driven care transformation. It sits within the Amazon One Medical Senior Health Quality Improvement team.

Key responsibilities

• Lead clinical quality improvement across preventive care, screening compliance and chronic disease management, monitor quality metrics and outcomes, identify care gaps and support value-based care and population health initiatives.
• Improve preventive screening rates and early detection by developing workflows and outreach strategies, and support care gap closure.
• Partner with disease management programs and care teams to improve chronic disease outcomes, help build disease management pathways and evaluate program effectiveness.
• Use clinical data, dashboards, registries and reporting tools to turn data into insights, and work with informatics teams on quality reporting, decision support and digital health initiatives.
• Advise clinical leaders and operational teams, facilitate quality improvement workgroups and support readiness for regulatory, accreditation and quality program requirements.

Required profile

• Bachelor's degree in healthcare, nursing, public health, health administration, science or a related field.
• 3+ years of experience in healthcare quality, population health, clinical operations, disease management or performance improvement.
• Knowledge of HEDIS quality measures and of preventive care guidelines and healthcare performance metrics.
• Experience driving improvement of HEDIS quality measures for at least 6 months.

Required skills

• Experience with clinical data analysis, reporting tools and quality improvement methodologies.
• Knowledge of the 1Life EMR system (preferred).
• Preferred: clinical licensure or certification (RN, PharmD, PA, MPH, etc.), experience with CMS Stars, value-based care or population health programs, eCQM data submission, MIPS, and certifications such as Lean, Six Sigma, CPHQ or PMP.

What we offer

• Salary range of $68,700 to $92,700 depending on location, plus sign-on payments and restricted stock units.
• Health insurance, 401(k) matching, paid time off and parental leave.