Principal - Care Delivery and Quality Improvement

Overview

Job Summary

The Principal is responsible for providing expertise and advice to help organizations improve their business performance in terms of operations, profitability, management, structure, and strategy; develops and maintains client relationships; and is responsible for achieving firm expectations for effective client services (i.e., project direction, project management, and work product quality). The Principal also mentors junior staff, contributes to HMA’s strategic objectives, meets internal administrative expectations, accepts accountability, and contributes to HMA’s culture.

 

Specific Responsibilities

• Serve as a strategic advisor to clients on quality improvement, HEDIS performance, and value-based care initiatives
• Lead and oversee projects supporting quality strategy development, measurement, and reporting for health plans and provider organizations
• Ability to assist clients with HEDIS planning, submission, and improvement activities, ensuring accuracy, timeliness, and alignment with regulatory standards
• Guide implementation of quality strategies, performance improvement projects (PIPs), and population health initiatives in coordination with internal and client teams
• Ability to apply quality experience to support clients across the health care sector, including CMS, State Medicaid Agencies, health plans, hospitals, ambulatory care providers, technology vendors, and associations
• Represent HMA’s Quality practice in cross-sector engagements and business development opportunities, leveraging subject matter expertise to grow client partnerships

 

Preferred Expertise and Knowledge

• Deep understanding of healthcare quality programs including HEDIS, and CAHPS
• Experience leading organizational quality improvement and reporting functions at the health plan or provider level
• Demonstrated success in managing or auditing HEDIS processes and performance data
• Background in nursing, public health, or related clinical discipline with expertise in quality improvement, population health, data analysis, and project management
• Ability to translate quality data into actionable insights and business strategies

 

Responsibilities

Work Performed and Job Requirements

• Business development
  • Performs business development activities to expand funded work from existing clients or new clients.
  • Develops and maintains a pipeline of future work that demonstrates a likelihood of achieving business development requirements in future periods.
  • Both lead and participate in proposal development and submission.
• Client management
  • Meets with client to understand requirements.
  • Gathers and organizes information about the issue to be solved or the procedure to be improved.
  • Analyzes data to identify and understand issues to be addressed.
  • Presents findings to clients.
  • Provides advice, implementation plans, and/or suggestions for improvement according to project objectives.
  • Evaluates the client’s needs as warranted and adjusts as appropriate.
  • Ensures that all deliverables are high quality.
• Project management
  • Serves as subject matter expert on projects.
  • Undertakes internal and external short-term or long-term projects to address identified issues and needs.
  • Develop and document tools, analysis, frameworks, tracking tools, road maps, dashboards, and other approaches to manage a variety of large and small projects
• Leadership
  • Leads and manages teams, provides feedback and development, and advances internal initiatives.
  • Serves as a mentor for other staff members, as requested.
• Performance metrics
  • Ensures performance meets or exceeds HMA expectations in the following areas:
    • Business development
    • Billable hour target attainment
    • Manages to budget/project caps established at the outset or assists in negotiating additional fees
    • Meets quality and operational standards
    • Completes and submits timesheets, expense reports, revenue forecasts, and other internal reports when due
    • Participates in and completes all HMA training and development requirements in a timely manner
    • Participates in internal activities related to business strategies, forecasts, adoption of new technologies/platforms/approaches, and other process improvements.
• All other duties as assigned. 

Qualifications

Education/Training

Minimum of a bachelor’s degree in health policy, business management, public health, or a related discipli