Quality Programs Manager

LTHC

. Manage complex quality programs and projects using a holistic, end-to-end approach to accreditation, regulatory compliance, member experience and health plan performance .

Posted 11/4/2026full-timeRochester • New York • United StatesMid-LevelSenior💰 $79,068 - $142,322 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex quality programs and projects with a focus on accreditation, regulatory compliance, and health plan performance. Proven ability to lead cross-functional teams, optimize operational efficiencies, and communicate effectively with stakeholders at all levels.

Highest-signal resume keywords

Project ManagementQuality ImprovementRegulatory ComplianceLeadership SkillsVendor Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality MeasurementStatistical ConceptsSurvey DesignBusiness Process DevelopmentProgram PlanningOperational OptimizationChange ManagementData AnalysisProgram EvaluationAccreditation Standards

Soft Skills

Strong Communication SkillsCoaching SkillsFacilitation SkillsProblem SolvingTeam Building

Tools & Technologies

Project Management ToolsDashboardsReporting ProceduresQuality ToolsEnterprise Applications

Certifications & Qualifications

PMI/PMP Certification

Industry Keywords

HealthcareHealth InsuranceNCQACMSIHIAHRQNQFNYSDOH Reporting Requirements

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Manage complex quality programs and projects using a holistic, end-to-end approach to accreditation, regulatory compliance, member experience and health plan performance
Serve as primary contact for internal and external stakeholders on program matters
Provide leadership and direction to ensure program submissions meet specifications and deadlines and monitor results
Manage measures, outcomes, operational optimization, efficiencies, multiple projects, business strategy changes and priorities
Assess organizational compliance with program standards through day-to-day operations
Plan, schedule, monitor and report program activities
Create and present trending reports to executive management throughout the program cycle
Develop program plans, monitor progress and ensure deadlines are met
Oversee high-visibility projects, including scope management, problem identification, solution development, implementation and outcome evaluation
Develop and maintain progress reports and dashboards with Quality Measurement to assess intervention impact, evidence compliance and track program status
Participate in committees and work groups; prepare reports, data and materials for presentations
Act as program and quality subject matter expert and promote awareness of program importance, quality ratings and corporate goals
Build collaborative relationships with project managers, divisional leads and cross-functional stakeholders
Manage vendor, auditor and regulator relationships, including calls, site visits, audits, consultants and staff preparation
Coordinate collection and submission of evidence and assess compliance
Oversee development, contracting, implementation and compliance of delegation/vendor agreements
Provide governance and oversight to program team rooms, artifacts and schedules
Organize and facilitate program reviews and meetings
Direct and coordinate matrixed teams implementing interrelated projects from contract/proposal initiation through final operational stage
Monitor program economics, including costs, budgets, staffing, resources and risks
Formulate contingency plans for schedule, staffing, funding and work requirement changes
Control program requirements, scope and change management issues
Facilitate management communication on critical path issues, risks and mitigation
Select appropriate tools to estimate and plan team work and produce work plans
Establish metrics for program criteria and monitor results
Conduct competitive intelligence and evaluate best practices and emerging technologies for implementation
Maintain knowledge of project management techniques and regulatory/accreditation requirements; attend relevant training and conferences
Provide training, education, assistance, coaching and mentoring to staff and stakeholders involved in quality improvement and accreditation
Coach cross-functional teams to complete activities, meet schedules and resolve technical or operational issues
Monitor quality of performance and deliverables within scope
Foster continuous improvement, efficiency, productivity and cost reduction
Advance a culture of excellence rooted in CX guiding principles
Ensure confidentiality and member privacy in accordance with New York State laws and corporate policies
Support the Lifetime Healthcare Companies’ mission, values and Code of Conduct
Perform other functions as assigned by management

Requirements

What you’ll need

Bachelor’s degree in Nursing, Business or Healthcare Administration, Analytics, Project Management or related fields with a minimum of 5 years of related work experience
In lieu of degree, a minimum of 11 years of related work experience
Minimum of 3 years of project management
PMI/PMP certification preferred
Applied knowledge of quality improvement, accreditation and regulatory compliance
Demonstrated leadership skills, quality principles, proficiency in problem solving and quality tools/techniques
Knowledge of basic statistical concepts and survey design skills preferred
Demonstrated skills in forming and fostering high performance, cross-functional teams
Strong communication skills required, verbally and in writing, internally and externally and across the organization
Strong coaching and facilitation skills to drive improvement and matrix ownership and change
Strong understanding and application of vendor management skills
Very strong analytical and business process development skills
Demonstrated success in working in a fast-paced environment
Demonstrated competence in staff leadership and project leadership tasks
In-depth knowledge of application delivery, management structures and reporting procedures
Demonstrated experience in integrating enterprise applications
Demonstrated experience managing teams executing under multi-phased and multi-deployment project schedules
Demonstrated experience communicating with senior management through informal discussions, written reports, scheduled meetings and executive-level presentations
Knowledge and experience working in the healthcare, health insurance or similar industry
Knowledge of federal, state and accreditation standards including NCQA, CMS, IHI, AHRQ, NQF and NYSDOH Reporting Requirements
Current and thorough understanding of federal and state regulations for all lines of business as it relates to job responsibilities preferred
Ability to travel across the health plan service regions as needed
Ability to work while sitting and/or standing at a workstation, viewing a computer and using a keyboard, mouse and/or phone for three or more hours at a time
Ability to lift, carry, push or pull 15 pounds or less
Manual dexterity including fine finger motion
Ability to hear, understand and speak clearly while using a phone, with or without a headset
Regular and reliable attendance is expected and required

Benefits

Comp & perks

Participation in group health and/or dental insurance
Retirement plan
Wellness program
Paid time away from work
Paid holidays
Opportunity for remote work, decided on a case-by-case basis
Ability to work in a home office for continuous periods of time for business continuity