Senior Quality Practice Manager - WI Based Work from Home

Description

Join our award winning culture as we support members in Wisconsin!

Position Summary:

The Senior Quality Practice Manager (SQPM) leads the integration, implementation, and oversight of Lakeland Care’s Quality Management Program in alignment with the organization’s mission and the Department of Health Services (DHS) Family Care contract requirements. In addition, this role oversees the Best Practice team, which is responsible for identifying improvements to practice, training to competencies, and overall response to quality findings.

The SQPM works cross-functionally with other Program Operations Managers, including Provider Relations, and Care Management. teams to support excellence in service delivery, compliance, performance improvement, and member outcomes. This position supports and directs all Family Care quality initiatives, while continuously assessing new opportunities to improve health outcomes for the membership.

This position directs quality assurance and performance improvement initiatives, manages risk and incident tracking, and ensures that organizational policies reflect quality standards and contractual obligations. The SQPM will also support continuous learning, training, and coaching across teams to ensure a strong quality culture and sustained compliance. The SQPM ensures that tools, trainings, resources, and workflows reflect contractual expectations and current best practices, enabling staff to deliver consistent, person-centered care and accurate documentation.

Essential Competencies:

Accountability

• Provide day-to-day leadership and management that mirrors the adopted mission, vision, and values of Lakeland Care. 
• Solve problems with an outcome-based, solution-focused approach.
• Ensure policies related to safety and risk are appropriately developed, implemented and upheld throughout the organization. 
• Support Annual Quality Review activities conducted on behalf of the DHS. 
• Direct External Quality Review (EQR) preparation, documentation, and response strategies.
• Support the risk management process through the development of tools, evidence-based practices and policies to analyze, report and manage risk.
• Assists the Provider and CM Support Director in achieving strategic business and quality improvement goals.

Critical Thinking

• Translate DHS requirements and audit findings into actionable operational improvement
• Understand quality data analysis and interpretation. Share data in a meaningful way within the organization. 
• Identify barriers and address problems cooperatively as they occur. 
• Develop, monitor, and implement activities related to the annual Quality Management Plan. This includes updates to Senior Leadership on organizational progress.
• Assess Care Management practices for consistency and fidelity to Lakeland Care’s practice model, elevating opportunities for system-wide standardization and improvement.

Commitment to Excellence

• Handle high workloads, competing demands, vague assignments, interruptions, and distractions with poise and ease.
• Lead in the development, communication, and implementation of effective strategies and processes.
• Collaborate on the development of preventive and proactive tools and training that support service quality and member health outcomes

Interpersonal Awareness

• Demonstrate maturity and professionalism under pressure; handle sensitive situations with confidentiality and fairness.
• Guide others through change with empathy and clarity, reinforcing Lakeland Care’s values.
• Respect other opinions and concerns and value diversity in thought and action.
• Demonstrate honesty and transparency in all interactions and be authentically open to feedback.
• Foster a learning environment that encourages growth and reflective practice.

Relationship Building

• Demonstrate an ability to influence others through positive reinforcement, teamwork, and content knowledge.
• Motivate and lead a high-performance team. 
• Guide project teams and execute work plans for strategic process redesign and performance.
• Provide leadership and guidance to Quality Division and ensure performance standards are met.
• Participate in strategic planning and development of operational plans for the Quality Division. Collaborate with leaders to develop vision and strategic plans to support business objectives and ensure productivity and services enhancements opportunities are identified, created, and implemented.
• Able to plan through strategic thinking and engage team members in this process.