Quality Improvement Manager

Job Summary

A company is looking for a Quality Improvement Manager - Medicare STARS & HEDIS.

Key Responsibilities

• Oversee data compilation, review, and analysis for Quality Management programs, ensuring accuracy and compliance
• Act as the primary liaison between vendors and the enterprise, managing technical solutions for NCQA accreditation and CMS Star programs
• Lead and develop staff by providing training, coaching, and performance management to ensure regulatory compliance and service excellence

Required Qualifications

• Bachelor's degree preferred or relevant work experience instead of a degree
• 4 years of experience in data reporting
• Must have SAS and/or SQL experience
• Must have Medicare STARS/CMS Regulatory experience
• 1 year of supervisory experience