Medicare Quality Improvement Manager

Job Summary

To support performance improvement across Medicare Quality Measures, the full-time remote Medicare Quality Improvement Manager will build enterprise-wide processes and strategies while overseeing quality improvement activities and regulatory reporting.

Key responsibilities

• Lead strategic initiatives focused on Medicare Stars and quality rating programs while driving execution and performance improvement
• Oversee quality improvement activities to meet regulatory requirements and conduct quality reviews with internal stakeholders
• Collaborate cross-functionally to identify process gaps and drive improvements in quality measures for Medicare members

Required qualifications

• Bachelor's Degree in healthcare, business administration, or a related field; Master's degree preferred
• Minimum of five years of managed care experience and three years in quality improvement related to HEDIS and/or Pharmacy Quality measures
• Experience in Medicare, Medicaid, and Marketplace quality improvement preferred
• Two years of supervisory or management experience preferred