Manager Clinical Quality Data Governance

Job Summary

Providing strategic and operational leadership, the full-time Manager Clinical Quality Data Governance will oversee HEDIS clinical data validation and governance, ensuring compliance and data integrity while working in a hybrid model of remote and office-based activities.

Key responsibilities:

• Leads governance and oversight of HEDIS clinical supplemental data sources and validation processes
• Oversees clinical data validation, abstraction, and quality assurance activities while monitoring productivity and quality metrics
• Supervises and develops Clinical Quality Specialists, managing hiring, performance evaluations, and fostering a culture of continuous improvement

Required qualifications:

• Bachelor's degree in Nursing, Public Health, Health Administration, Healthcare Management, Health Informatics, or a related field
• Five years of experience in healthcare quality, HEDIS operations, clinical data validation, or quality improvement
• Two years of supervisory or leadership experience
• Strong knowledge of NCQA HEDIS, supplemental data standards, and regulatory reporting requirements
• Experience with EMRs, healthcare databases, and reporting tools