Quality Improvement Manager

Job Summary

To support the organization's quality and regulatory goals, the full-time remote Quality Improvement Manager will oversee HEDIS Operations and Quality Improvement initiatives, ensuring compliance, driving performance improvement, and managing vendor relationships.

Key responsibilities:

• Oversee quality improvement activities and staff to enhance clinical quality performance measures
• Analyze data to develop and implement intervention strategies aimed at improving health outcomes
• Coordinate and manage the medical record management process for HEDIS reporting and ensure audit readiness

Required qualifications:

• Bachelor's degree in healthcare, business, or a related field, or equivalent experience
• 4+ years of experience in quality improvement data and outcome analysis in healthcare
• Experience with HEDIS and NCQA accreditation standards preferred
• Proven ability to lead operational projects and collaborate across clinical and quality teams
• Certified Professional in Healthcare Quality (CPHQ) preferred