CMS Star Quality Improvement Lead (Remote)

CenterWell; Oregon; Hybrid; USD 59,000 - 80,000; Full time

Job summary

CenterWell Senior Primary Care seeks a Quality Improvement Professional to support clinicians and operations in improving CMS Star measures, patient safety, and patient experience. This remote role may require local travel to centers and IPA offices.

You will lead data-driven improvement efforts, train teams, and present performance insights to stakeholders, reporting to the Associate Director of Quality Improvement.

Qualifications

• Experience with CMS Stars measures (HEDIS, CAHPS/HOS) and knowledge of measure specifications.
• 2+ years' experience working with CMS Stars measures.
• Direct patient care, front office or provider relations experience in healthcare.
• Experience providing training 1:1 or in a group setting.
• Experience with Microsoft Office Suite.
• Must reside in the Houston area and be willing to travel locally.

Responsibilities

• Outreach to patients with medication reminders.
• Medical record review, retrieval, and submissions to health plans to support HEDIS gap closure.
• Distribute time-sensitive data to promote action on clinical teams and operations (Excel moderate-to-advanced skills).
• Review HEDIS data/gap reports to identify opportunities for improvement and gap closure.
• Lead efforts to identify opportunities for improvement, workflow deficiencies and barriers.
• Develop and implement strategies to achieve annual Stars goals within market and centers.
• Provide support to provider/practice needs guiding the quality improvement strategy.
• Manage workloads such as distribution of medication adherence reports to PCP.
• Train/educate teams 1:1 or in a setting with multiple team members.
• Present Stars performance information during meetings; create PowerPoint presentations.
• Collaborate with partners to implement workflows to improve HEDIS outcomes and patient safety.
• Support quality project events such as eye screenings and bone density.

Skills

Healthcare Stars measures (HEDIS, CAH/

Education

Bachelor's Degree

Tools

Microsoft Office Suite

Job description

CenterWell Senior Primary Care seeks a Quality Improvement Professional to support clinicians and operations in improving CMS Star measures, patient safety, and patient experience. This remote role may require local travel to centers and IPA offices.

You will lead data-driven improvement efforts, train teams, and present performance insights to stakeholders, reporting to the Associate Director of Quality Improvement.