Principal - Care Delivery and Quality Improvement

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

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. 

Education/Training

Minimum of a bachelor’s degree in health policy, business management, public health, or a related discipline is required. Equivalent work experience in lieu of a bachelor’s degree, although not desired, may be determined as acceptable. A Master’s degree in a related discipline is strongly preferred.

Experience

Minimum of 15 years of progressively increasing prior leadership or management experience in work involving publicly funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, and/or evaluation.

Knowledge, Skills and Abilities

• Strong project management skills.
• Solid time management skills.
• Excellent internal and excellent professional networking skills.
• Excellent attention to detail.
• Excellent critical thinking skills.
• Exceptional oral and written communication skills.
• Superior interpersonal skills, including leadership, contribution to culture, and acceptance of accountability
• Ability to multi-task and adhere to strict deadlines.
• Capable of handling confidential information in a discrete manner.
• Ability to work extended hours when deadlines are approaching.
• Demonstrated thought leadership and deep expertise in more than one critical healthcare area.
• Maintains approach to stay current in trends in areas of subject matter expertise.

Core Competencies

Job Level Competencies

• Resource Allocation: Identifies resource gaps and escalates needs appropriately. Optimizes team resources to support delivery and budget adherence. Anticipates long-term resource needs and aligns allocation with business growth.
• Results Orientation: Tracks team progress and follows through on key deliverables. Holds team accountable for achieving defined goals and quality standards.  Leads teams to exceed performance expectations through continuous improvement and accountability
• Strategic Execution: Translates strategic direction into clear team objectives. Aligns functional initiatives with organizational strategy and ensures timely execution.  Drives strategic priorities through cross-functional leadership and accountability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)