Manager, Quality - HEDIS (HYBRID)
Vacancy has expired
Owings Mills, MD
|Employer:|| CareFirst BlueCross BlueShield|
|Job Type:||Full Time|
Resp & Qualifications|
The HEDIS Quality Manager is responsible to plan, organize, direct, control, and lead the assigned business unit responsible for HEDIS medical record review processes, year-round supplemental data abstractions, and client reporting across all lines of businesses including Medicare Advantage, Medicaid, Federal Employee program, Commercial and ACA Exchange populations. This role manages a team responsible in defining, measuring, analyzing, and evaluating HEDIS quality improvement, while prioritizing, developing, and operationalizing innovative programs and interventions to address the opportunities discovered through their analysis. Creates complex quality measurement collections and identifies opportunities and implement quality improvement interventions.
This position manages people.
Education Level: Bachelor's Degree in business administration, health policy, health services research, public health, economics, mathematics, computer science, or a related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Department: Accreditation & Medical Program
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship