Job ID: JOB_ID_8445
Job Summary:
We are seeking a highly experienced Senior Manager of Quality to lead our clinical quality measurement and reporting initiatives. This remote role requires a deep understanding of healthcare quality metrics, data analytics, and interoperability standards. The ideal candidate will have a proven track record in managing quality programs, leading teams, and driving process improvements within a healthcare setting.
Key Responsibilities:
- Manage and oversee HEDIS programs and supplemental data collection initiatives.
- Ensure compliance with NCQA, CMS, and state Medicaid reporting requirements.
- Develop and implement strategies for acquiring clinical data from various sources, including EMRs, labs, and HIEs.
- Leverage knowledge of interoperability standards (HL7, FHIR, CCD, APIs) for efficient healthcare data exchange.
- Lead and mentor a team responsible for clinical quality measurement and data acquisition.
- Manage project timelines, program evaluation, and team facilitation.
- Implement digital tools, automation, and data abstraction processes to improve data capture and reporting.
- Collaborate with analytics, operations, and provider teams to enhance data quality and completeness.
- Engage with stakeholders to navigate competing priorities and influence outcomes.
Required Education:
- Bachelor’s Degree in Healthcare, Data Analytics, Business Administration, or related fields.
Preferred Education:
- Bachelor’s Degree in Nursing.
Required Experience:
- 7 years of experience working with clinical quality measurement and reporting (e.g., HEDIS, eCQM) in a clinic, hospital, or Health Plan setting.
- 5 years of experience in HEDIS administration and supplemental data collection strategies.
- 5 years of progressive leadership experience.
- 5 years of experience with project management, program evaluation, and team facilitation.
- 3 years of knowledge of interoperability standards such as HL7, FHIR, CCD, and APIs for healthcare data exchange.
Skills Matrix Questions:
- HEDIS & Clinical Quality Expertise: Describe your experience managing HEDIS programs and supplemental data collection initiatives. How have you ensured compliance with NCQA, CMS, or state Medicaid reporting requirements?
- Data Acquisition & Interoperability: What strategies have you used to acquire clinical data from EMRs, labs, HIEs, or other sources? Can you explain your familiarity with interoperability standards like HL7, FHIR, CCD, or APIs for healthcare data exchange?
- Leadership & Team Management: Tell me about a time you led a team responsible for clinical quality measurement or data acquisition. How did you mentor staff, manage performance, and ensure team goals were met?
- Process Improvement & Technology Enablement: Have you implemented digital tools, automation, or data abstraction processes to improve clinical data capture or HEDIS reporting? Can you give examples of results achieved?
- Cross-Functional Collaboration & Stakeholder Engagement: Describe a project where you worked closely with analytics, operations, or provider teams to improve data quality or completeness. How did you navigate competing priorities and influence stakeholders?
Special Requirements
Visa constraints: Not specified. Screening steps: Skills Matrix Questions provided. Interview modes: Not specified. Domain restrictions: Healthcare quality measurement and reporting.
Compensation & Location
Salary: $75 – $95 per year (Estimated)
Location: Remote
Recruiter / Company – Contact Information
Email: ruiter.surya.rci@gmail.com
Recruiter Notice:
To remove this job posting, please send an email from
ruiter.surya.rci@gmail.com with the subject:
DELETE_JOB_ID_8445