Manager, Senior Health Clinical Quality , Medicare Population Health Programs

Senior • On-site

$114,500 - $189,300/yr

San Francisco, CA

DESCRIPTION

We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for Clinical Quality, this role will be responsible for clinical quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in healthcare outcomes through data-driven strategies and team leadership.

Key job responsibilities
Quality Strategy & Program Leadership:
- Lead initiatives to improve the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other national quality metrics.
- Design and implement national quality improvement strategies that enhance health outcomes, patient satisfaction, and performance on value-based care contracts.
- Guide cross-functional teams in the execution of quality collaboratives and improvement initiatives in partnership with senior leaders.
Performance Monitoring & Reporting
- Monitor, analyze, and interpret quality performance metrics to generate actionable insights and drive continuous improvement.
- Develop and maintain dashboards, and reporting systems that track performance across key clinical and operational measures.
- Participate in weekly and monthly business reviews related to quality and Senior Health program performance; contribute to other business reviews as needed.
Stakeholder Collaboration & Communication
- Partner closely with clinical and operational stakeholders to drive alignment and achieve quality goals.
- Collaborate with internal teams across clinical operations, analytics, product, and finance to ensure integrated, data-driven decision-making.
- Work with product teams to translate quality priorities into system configurations, workflows, and reporting tools.
Payor & External Engagement
- Serve as a key liaison with payer partners; lead discussions to ensure performance meets contractual quality and regulatory requirements.
- Represent One Medical in payer Quality Committees; support payer-facing medical leaders with preparation and strategy to achieve shared goals.
- Regularly engage with payer and internal quality leaders to align on core quality measures and develop workflows to support measurement and improvement.
Regulatory Compliance & Vendor Management
- Ensure full compliance with CMS regulations, quality reporting standards, and related documentation requirements.
- Manage performance on Value-Based Contracts and ACO programs, including oversight of related vendor relationships that support measurement and patient outreach.

About the team
You’ll work closely with a matrixed group of stakeholders and will directly lead a team of coordinators to support the work. Your role will involve working with peers and leaders across the business to support the Seniors team’s goals and the overall quality objectives for Amazon One Medical. You’ll thrive here if you’re passionate about supporting patients, driving outcomes, and bringing energy and creativity to a challenging but rewarding environment.

BASIC QUALIFICATIONS

- 5+ years of working cross functionally with tech and non-tech teams experience
- 5+ years of team management experience
- 5+ years of cross functional project delivery experience
- 5+ years of program or project management experience
- Experience defining program requirements and using data and metrics to determine improvements
- 10+ years progressive professional experience in healthcare
- 5+ years in quality improvement and experience working with payers and healthcare organizations, Medicare Advantage Stars and/or ACO quality programs
- 3+ years experience in leading, managing and developing QI teams
- Strong understanding of CMS and HEDIS quality measures and reporting requirements

PREFERRED QUALIFICATIONS

- Experience managing, analyzing and communicating results to senior leadership
- Experience in use of structured improvement methods such as Lean and Six Sigma and change management
- Experience in use of population health tools and methods for engaging individuals and closing care gaps
- Strong interpersonal and communication skills with a high level of comfort in engaging with senior leadership and medical leaders
- Clinical degree/preparation preferred

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $114,500/year in our lowest geographic market up to $189,300/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit https://www.aboutamazon.com/workplace/employee-benefits. This position will remain posted until filled. Applicants should apply via our internal or external career site.

Amazon

Amazon.com, Inc. founded in 1994 by Jeff Bezos in the cozy confines of his Seattle garage, Amazon.com, Inc. quickly evolved from a humble online bookstore to a colossal e-commerce powerhouse. Today, it offers an extensive range of products from DVDs and electronics to furniture and groceries. With a global footprint that spans continents—from Canada and the UK to Japan and Brazil—Amazon's presence is truly international. The company has not only diversified into various domains, including acquiring Twitch in 2014 and venturing into the film industry in 2015, but also introduced initiatives like the brand registry program to safeguard intellectual property. Despite the hurdles of labor relations and competitive practices, Amazon remains a dominant force in the global e-commerce landscape.