Healthcare Performance & Quality Improvement Manager in Newtown Square, PA at Quest Diagnostics

Date Posted: 6/2/2022

Job Snapshot

Job Description

We Provide Solutions.  Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It’s about providing clarity and hope.

In Sales you will work for the world leader in the industry, with a career where you can expand your skills and knowledge. You’ll have a role where you can act with professionalism, you can inspire colleagues, and you can care about the work we do and the people we serve.

At Quest, our Sales Teams are often the public face of our organization. As a result we make every effort to support and develop their skills. Working across a strong customer base, you’ll find you have the flexibility and autonomy to structure your days while having the confidence that comes from promoting a well-recognized and trusted brand. With lots of opportunities for repeat business and referrals, we also offer outstanding support, plus great pay and benefits.

Position Overview:

The Healthcare Performance and Quality Improvement Manager provides education on Medicare’s Quality Payment Program and specifically the Medicare Access and CHIP Reauthorization Act (MACRA) / Merit-based Incentive Payment System (MIPS) track to internal and external audiences.   By leveraging expertise on the value of MACRA/MIPS, the Manager supports the field sales organization to achieve lab revenue growth.

This is a remote role with field visits to accounts. The ideal candidate will live on the East Coast. 

Duties and Responsibilities:

Provide leadership and assist clients with meeting the required measures for the regulatory programs

Organize and facilitate meetings/education sessions, including the creation of agendas and preparation of materials, and program collateral for internal and external audiences.

Provide on-site and remote support to assist eligible clinicians, as they transition to MACRA/MIPS Assist in the development and dissemination of MACRA/MIPS marketing and educational materials.

Identify areas where providers are not meeting the requirements for the program and make recommendations for changes in order to meet the measures

Review client reports to assess compliance with the specific measures for the regulatory programs

Train clients and internal staff on existing programs and any changes to regulatory programs

Educate clients on self-reporting requirements as well establishing contact with our 3rd party vendor partner as appropriate

Develop trusted relationships by demonstrating a deep understanding of MIPS requirements and client’s business needs and expectations.  Develop a consultative and advisory relationship with key customers

Keep abreast of industry news affecting client’s performance & quality improvement efforts.

Ensure total compliance with all company policies and government regulations.  Maintains required documentation.

Manage other projects/responsibilities as assigned by Manager.

Job Requirements:

Education & Certification:

Bachelor's degree in education, marketing, or health care related field is required.

Desired Certifications:  Certified Meaningful Use Health Professional (CMUP), Certified PQRS, Health Professional (CPHP), Certified Meaningful Use Administrator (CMUA)

Knowledge & Experience:

Five years’ experience in a professional environment.  Outside/field sales experience preferably in the healthcare industry.

Broad understanding of the laboratory business and its services

In depth understanding of Meaningful Use, MACRA, MIPS, PCMH and other regulatory programs

Experience with health care quality improvement and working with quality metrics for the physician office care setting is highly preferred.

Prior medical billing/coding or medical assistant experience a plus

Software Experience: EHR, CRM, Microsoft Office Suite required.  Experience with EMR is a strong plus.


Excellent interpersonal, customer service, listening and communication skills, including the ability to communicate complex issues clearly and concisely. 

Ability to work in a team environment and collaborate with both internal and external customers.

Proven ability to use basic selling skills and techniques.

Demonstrated ability to manage a high volume of clients at any given time.

Excellent time management, project management, problem solving and organizational skills.

Positive and proactive approach to dynamic environments.

Willingness to perform other duties as assigned with a positive attitude.

Demonstrate integrity and a commitment to values of Quest Diagnostics

 Additional Consideration:

50%+ travel within region required

Equal Employment Opportunity/Affirmative Action Employer