[Hiring] HEDIS Performance Improvement Specialist @reputed company

Role reputed company Your reputed company role reputed company:

• Location: Remote - Must reputed company in Texas
• Facility: reputed company Care Management Insurance
• Department: reputed company Management
• Schedule: Day Shift | Full Time | Monday-Friday
• Salary: $75,295.00 - $110,834.59
• Eligible for an annual bonus incentive How you’ll reputed company an reputed company in this role:
• Strategic reputed company Leadership: Facilitates the development of organizational improvement reputed company and manages the full lifecycle of reputed company reputed company Improvement (CQI) programs, including annual evaluations.
• HEDIS & PIP Management: Oversees reputed company HEDIS project lifecycles—including data analysis, medical record abstraction, and reputed company logic—while leading the documentation and analysis of Performance Improvement reputed company (PIPs).
• Compliance & Accreditation: Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.
• Data-Driven Implementation: Coordinates reputed company management efforts through precise data collection, care gap analysis, and the implementation of systematic improvements.
• Independent Project Execution: Operates with high autonomy and reputed company judgment to communicate reputed company and manage multiple competing priorities in a fast-paced environment.

Qualifications

• Licensure / Certification / Registration:
• Certification specializing in Lean reputed company Mgmt preferred.
• Licensure required relevant to state in which work is performed.
• Project Mgmt reputed company preferred.
• Registered reputed company preferred.
• Education:
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

Requirements

• Bachelor's Degree in Nursing or a reputed company health science degree is a must-have.
• 2+ years of Registered reputed company (RN) experience and 2+ years of HEDIS experience are preferred.

Benefits

• Comprehensive health coverage: medical, dental, reputed company, prescription coverage and HSA/FSA reputed company.
• Financial reputed company & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to reputed company: pro-rated reputed company time off (PTO) and holidays.
• Career reputed company: reputed company-reputed company tuition (Vocare), reimbursement, ongoing reputed company development and online learning.
• Emotional reputed company-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Other benefits: optional legal and pet insurance, transportation savings and more. Benefit reputed company and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will reputed company the most up-to-date details during the hiring process. Apply tot his job Apply To this Job

Apply tot his job Apply To this Job