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Posted Feb 14, 2026

Manager, Quality Improvement – HEDIS

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Job Description: • Oversee and manage the functions of the quality improvement program • Provide support to staff and communicate with departments for daily quality improvement functions • Review and analyze reports, records, and directives • Confer with staff to obtain data such as new projects and problems encountered • Verify data for government program requirements and ensure compliance • Prepare reports for management on work function activities • Evaluate current procedures and develop improved procedures • Collaborate with appropriate departments for complaints and appeals resolution • Monitor and analyze costs and participate in budget preparation Requirements: • Bachelor’s degree in related field or equivalent experience • 3+ years clinical, quality management or healthcare related experience • 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care • Current state registered nursing license preferred • Certification in quality improvement, risk management, or another parallel field is a plus • Certified Professional in Healthcare or other licensed clinical experience preferred Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules