Summary

As a Quality Manager at HMS, you will be part of an innovative product company with a mission to serve the healthcare needs of our communities. You will oversee and guide your team to deliver superior service and achieve account goals and outcomes. You manage the performance and engagement of your staff and vendor resources, optimize processes, and maintain the highest quality standards. Your work directly supports the Account Delivery Manager (ADM), Regional Leader, and internal business partners in achieving or exceeding contractual obligations and company goals and objectives.

Your role in our mission

HMS empowers you through innovative technologies and solutions to deliver better health and human services outcomes. When joining HMS, you will:

• Maintain and improve a robust quality audit program.
• Oversee the day-to-day operations of quality assurance, compliance management, and audit.
• Provide transparent client communications around contractor operations and contractual performance.
• Influence and partner to develop teams and individuals who contribute and support executing day-to-day delivery operations.
• Establish and effectively lead routines regularly and utilize tools and reporting to drive team performance; train and provide ongoing coaching to ensure employee engagement while maintaining client satisfaction.
• Effectively cultivate relationships with account leaders and business partners to proactively identify and enact opportunities to improve the delivery of operational products, services, and capabilities.
• Collaborate with employees and operational leaders to achieve Client Service Level Agreements (SLAs) and drive accountability and efficiency by adopting standard operating procedures.
• Identify and manage existing and emerging risks from business activities and implement mitigation strategies to improve performance.
• Effectively Strong data analysis skills.

What we're looking for

• Minimum of five (5) years of experience with implementing and managing quality control programs; and a minimum of five (5) years of experience leading and influencing large scopes of work in a highly matrixed environment.
• Exceptional written and oral communication and interpersonal skills.
• Demonstrated strategic initiative specifically with operating policies and procedures and work process improvements in operations.
• Working knowledge of two or more healthcare business domains, such as Authorized Services, Customer Service Centers, Mailroom Operations, Pharmacy Services, or Provider Enrollment.
• Expertise in data analytics and statistical methodologies, with a strong ability to interpret complex data sets and generate actionable insights. Ensures alignment with industry standards and best practices to support data-driven decision-making

What you should expect in this role

• Hybrid role with ability to work in the Anchorage, AK office preferred, with the possibility of working remotely from another state for the right candidate.
• The person will need to work Alaska Standard Time (AKST) hours.
• For positions assigned to WFH, reliable high-speed internet connection is required.

*“This posting is intended for pipelining. We will accept applications on an ongoing basis.”

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