Manager, Quality Improvement Data Analysis – Medicare STARS

Quality Improvement Manager – Medicare STARS & HEDIS

HealthCare Support is seeking a Quality Improvement Manager – Medicare STARS & HEDIS to fill an opening with a growing Managed Care Organization in New Jersey!

Daily Responsibilities for Quality Improvement Manager – Medicare STARS & HEDIS :

• Oversee data compilation, review, and analysis for Quality Management programs, including HEDIS and Medicare Star, ensuring accuracy and compliance.
• Act as the primary liaison between vendors and the enterprise, managing technical solutions for NCQA accreditation and CMS Star programs.
• Lead and develop staff by providing training, coaching, and performance management to ensure regulatory compliance and service excellence.
• Monitor data validity and integrity, identifying technical issues and implementing process improvements to enhance quality reporting and compliance
• 100% Remote

Required Qualifications for Quality Improvement Manager – Medicare STARS & HEDIS :

• Bachelor’s degree preferred or relevant work experience instead of a degree
• 4 years of experience in data reporting
• Must have SAS and/or SQL experience
• Must have Medicare STARS/CMS Regulatory experience
• Experience with NCQA and HEDIS
• Requires experience with effective/skillful project execution
• 1 year of supervisory experience     
• SAS certification preferred

Benefits for Quality Improvement Manager – Medicare STARS & HEDIS :

• Medical, dental, and vision plans
• 401K with 3% company match (fully vested after 3 years)
  • The company will contribute an additional 4% to an employee’s Savings and Investment Plan
• Tuition Reimbursement
• 19 Days of PTO for directors and above (Starting Jan. 1st) | PTO is pro-rated depending on when they start in the year
• 12 paid holidays

Pay Details:

• $108,000 – $140,000 annually + up to 10% potential bonus

Interested in being considered?

If you are interested in applying to this position, email a copy of your resume to Melanie Williams at melanie.williams@healthcaresupport.com with the job title and location, and she will reach out.

Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

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