Registered Nurse Quality Consultant

Job Summary

Serving as the strategic quality advisor for a portfolio of Value-Based Care organizations, the full-time Lead VBC Quality Consultant will analyze performance, develop quality improvement strategies, and partner with provider organizations to enhance Medicare Stars, HEDIS, and CAHPS outcomes in a remote capacity.

Key responsibilities

• Manage a portfolio of approximately 8-10 VBC organizations, acting as the primary national quality contact for assigned accounts
• Establish quality priorities and develop partner-specific strategies, monitoring execution and intervening when necessary
• Analyze healthcare performance data to identify opportunities for improvement and translate findings into actionable initiatives

Required qualifications

• Bachelor's Degree in Nursing, Public Health, Healthcare Administration, Business Administration, or related field, or equivalent relevant experience
• 5+ years of experience in Medicare quality improvement, Medicare Stars, HEDIS, or population health
• Strong knowledge of CMS Medicare Stars and NCQA HEDIS specifications
• Experience in analyzing clinical data analytics and using tools like Excel and Power BI to drive change
• Current or prior RN, LPN/LVN, PA, PharmD, or other relevant clinical licensure is preferred