Responsible for HEDIS related health care quality projects and initiatives
Assimilating information and data integration to develop quality improvement and management activities aligned with company strategies
Builds strong business relationships, both internally and externally
Serves as a resource and subject matter expert (SME) on HEDIS, regulatory HEDIS quality measures
Coordinates health care quality projects and initiatives through data, design, development, and implementation
Develops documentation templates and systems to support QM projects and initiatives
Coordinates with cross functional workgroups to design and implement QI initiatives
Educates and consults with unit business managers on quality improvement methods

Requirements

7-10 years relevant work experience
Clinical and/or managed care experience in the healthcare industry or quality management
5+ years HEDIS data management experience
5+ years Project Management Experience / Regulatory Reporting
5+ years QSI = Converged Analytics experience (or other HEDIS engine software management experience)
5+ years navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)
CPHQ, Six Sigma, or PMP preferred but not required

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

HEDISdata managementquality improvementproject managementregulatory reportingQSIConverged Analyticsdata integrationdocumentation developmentquality management

Soft Skills

business relationship buildingconsultationeducationcross-functional coordinationcommunication

Certifications

CPHQSix SigmaPMP