Manager Clinical Quality (hedis)

Elevance Health

Nashville, TN, United States
Hybrid
Hedis reporting management
Ncqa accreditation oversight
Clinical quality program management
CareBridge Health is part of Elevance Health, dedicated to enabling individuals to maximize health and quality of life through home and community-based services

Job Summary

  • CareBridge Health is part of Elevance Health, dedicated to enabling individuals to maximize health and quality of life through home and community-based services.
  • The Manager Clinical Quality is responsible for managing day-to-day activities of clinical quality programs, including HEDIS reporting and NCQA accreditation, while fostering collaboration through a hybrid work model.
  • Elevance Health offers market-competitive total rewards including merit increases, paid holidays, paid time off, bonuses, medical and dental benefits, 401(k) match, and wellness programs.

Matching Summary

CareBridge Health is part of Elevance Health, dedicated to enabling individuals to maximize health and quality of life through home and community-based services.

Skills & Requirements

Must-have

  • HEDIS reporting management
  • NCQA accreditation oversight
  • clinical quality program management
  • hybrid work environment
  • healthcare audits coordination
  • clinical data collection and validation

Nice-to-have

  • bilingual skills
  • program development experience
  • strong interpersonal communication
  • problem-solving skills
  • facilitation skills
  • analytical skills

Key Requirements

  • BS in nursing or healthcare related field
  • minimum 3 years managed care experience
  • minimum 2 years supervisory experience
  • certification or license in specialty field
  • 3+ years clinical quality (HEDIS/Stars) experience
  • 3+ years patient-facing experience

Work Rights

Not specified

Tailored Resume

Cover Letter