Strive Health

Sr. Manager, Quality & Delegation

Denver, CO · Senior

Sponsorship not specifiedDetected 22 days ago

PHPLeadership

About the role

How You'll Make An Impact At Strive Health, patients come first.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives.
You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.

Serve as clinical lead on delegation audits and NCQA CM and PHP accreditation chart readiness (including file preparation, mock audits, gap closure, ongoing monitoring and compliance).
Provide subject matter expertise and support to clinical managers on the use of Clinical and Quality policies, tools and reports and in the implementation of Quality recommendations for improvement.
Oversee routine NCQA and ad-hoc quality audit activities to ensure compliance with Strive, payor, and NCQA standards, drive timely audit execution, and promote consistent audit determinations through interrater reliability reviews and coaching.
Partner with Quality Improvement and analytics leadership to design, implement, and continuously enhance clinical audit content, tools, and supporting policies to advance audit program performance.
Manager, Quality and Delegation serves as a quality liaison to support care management teams in monitoring NCQA performance through the clinical audit process and ensuring compliance with care delivery and documentation requirements.

Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events.

Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
Actively cross-train on NCQA and other clinical contractual requirements of Strive Health,demonstrating flexibility to meet client/consumer needs.
We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.

This listing is sourced directly from Strive Health's careers page and normalized into a canonical job model.