North Carolina Licensed HEDIS Manager

Job Summary

A company is looking for a HEDIS Manager (Remote) to oversee the execution of HEDIS and CAHPS cycles, ensuring compliance with regulatory standards and improving quality performance measures.

Key Responsibilities

• Lead the planning, implementation, and management of HEDIS/CAHPS projects, including data collection and reporting
• Collaborate with cross-functional teams and stakeholders to improve member outcomes and manage vendor relationships
• Educate provider networks on documentation standards and oversee training for staff and abstractors on NCQA specifications

Required Qualifications, Training, and Education

• Bachelor's degree in a healthcare-related field (e.g., Public Health, Nursing, Business Administration)
• Minimum of five years of experience in HEDIS data implementation and management
• Knowledge of HEDIS, CAHPS, coding, and medical terminology
• Solid facilitation skills with experience in managing cross-functional teams
• Preferred licensure includes an active North Carolina clinical license in a relevant field