11 дней назад
Sr. Associate, Quality Operations (Healthcare)
64 000 - 82 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Sr. Associate, Quality Operations (HEDIS/Stars): Driving healthcare quality performance through payor partnerships, vendor operations, centralized market support, and performance improvement initiatives with an accent on HEDIS/Stars compliance, quality data analysis, and contractual standards. Focus on coordinating audits and quality requests, improving operational workflows, and translating performance metrics into actionable reporting for market and clinical teams.
Location: USA
Salary: $64,000–$82,000 annual
Company
operates in the healthcare sector and supports quality performance across payor, market, and clinical teams.
What you will do
- Serve as a quality subject-matter expert for HEDIS and Stars specifications.
- Lead quality meetings with payor partners and coordinate responses to requests, audits, and quality inquiries.
- Manage external vendor operations, performance, deliverables, and contractual expectations.
- Provide centralized quality support and education to market and clinical teams.
- Analyze quality metrics and develop actionable reporting for performance improvement.
- Support new workflows, pilot market-level initiatives, and roll out quality strategies.
Requirements
- Bachelor’s degree.
- 3+ years of experience with HEDIS/Stars and broader quality improvement, quality management, or population health management.
- 3+ years of experience with Medicare, ACA, Marketplace, and/or Medicaid lines of business.
- Experience managing health plan or vendor relationships, including contractual and SLA oversight.
- Ability to analyze quality data and create actionable reporting using Excel, SQL, or similar tools.
- Experience designing, piloting, or improving operational workflows in a healthcare quality setting.
Nice to have
- CPHQ or equivalent certification.
Culture & Benefits
- Full-time employment.
- Health insurance and life insurance.
- Retirement benefits and participation in the company’s equity program.
- Paid vacation and sick leave.
- Equal opportunity employment.
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