Care Management Performance Optimization Specialist

Alliance Health

. Aggregate, validate, and/or finalize daily, weekly, monthly, quarterly, and annual Care Management KPI reports .

Posted 11/6/2026full-timeMorrisville • North Carolina • United StatesJunior💰 $61,439 - $78,335 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Care Management operations, data analysis, and quality improvement practices, with a strong focus on KPI reporting and compliance readiness. Proficient in utilizing data analytics tools and methodologies to enhance operational workflows and support strategic initiatives.

Highest-signal resume keywords

Data AnalysisKPI ReportingQuality ImprovementProject CoordinationLean Six Sigma

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ValidationData InterpretationOperational ReportingWorkflow DevelopmentHealthcare Performance Measures

Soft Skills

Verbal CommunicationWritten CommunicationPrioritizationCollaborationProblem Solving

Tools & Technologies

Microsoft OfficeSharePointData Analytics ToolsServiceNow (SNOW)Jiva

Industry Keywords

Care ManagementQuality AssuranceAccreditation ReadinessModel of CareEQR

Tech Stack

Tools & technologies

ServiceNow

About the role

Key responsibilities & impact

Aggregate, validate, and/or finalize daily, weekly, monthly, quarterly, and annual Care Management KPI reports
Perform quality assurance activities to ensure reported data accurately reflects Care Management work and supports performance reporting obligations
Collaborate with Care Management Data Analyst teams and report owners to resolve data issues, confirm definitions, and support timely report completion
Provide analytical, strategic, and prioritization support for operational workstreams, projects, and initiatives
Support External Quality Review and NCQA readiness
Support implementation and tracking of the Model of Care across Clinical Teams
Review SNOW ticket trends, support mitigation planning, and develop strategies to address repeated concerns
Identify operational issues, trends, and concerns and assist in developing processes or workflows to address them
Track and coordinate with Quality Management on FUH measures and related performance improvement activities
Apply Lean Six Sigma or similar process improvement methodologies
Attend and track Care Management-related state calls and support follow-up actions
Monitor anticipated state and federal changes and assist with proactive transition planning
Support compliance requests, audit readiness, and documentation needs
Support oversight and management of the Care Management SharePoint site
Coordinate migration of materials from shared drives and SharePoint into Jiva or the Care Management SharePoint site as appropriate
Promote standardized documentation and information sharing across Care Management teams
Collaborate with CET to identify training and education opportunities
Prepare information, summaries, and report-outs for leadership and cross-departmental initiatives
Perform other duties assigned by the Manager CMPO or Sr. Director CMPO

Requirements

What you’ll need

Bachelor’s degree in Nursing, Healthcare Administration, Human Services, Public Health, Business Administration, Data Analytics, or related field from an accredited college/university and three (3) years of experience in health care operations, care management, population health, quality improvement, project coordination, reporting, or data analysis; OR Master’s degree in Human Services, Healthcare Administration, Public Health, Business Administration, Data Analytics, or related field from an accredited college/university and one (1) year of relevant experience
Strong analytical, data validation, and data interpretation skills
Experience developing, coordinating, or quality-assuring operational reports, KPI reports, dashboards, or leadership report-outs
Strong verbal and written communication skills, including ability to prepare summaries and present information to leadership and cross-functional stakeholders
Project coordination, prioritization, workflow development, and issue tracking skills
Knowledge of care management operations, healthcare performance measures, regulatory expectations, accreditation readiness, and quality improvement practices
Use of Microsoft Office products, SharePoint, data analytics/reporting tools, and care management or ticketing systems
Preferred: Experience with Care Management reporting, KPI development, SharePoint, Jiva, ServiceNow (SNOW) ticketing, EQR, NCQA, state reporting, Model of Care implementation, Lean Six Sigma or equivalent, or healthcare performance improvement
Must reside in North Carolina and be willing to travel to the Morrisville, NC home office for onsite team meetings as needed
Required driver license

Benefits

Comp & perks

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility