Healthcare Quality Improvement Lead — HEDIS & Data

Astiva Health; San Jose (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Astiva Health in San Jose, CA seeks a quality improvement professional to coordinate HEDIS data reporting with IPA/MSO delegates and identify opportunities for improvement. The role requires collaboration across departments to implement service and care delivery improvements.

Responsible for audits to ensure data accuracy, trend analyses for provider education, and attending health plan meetings as requested. Strong Excel/Data analysis and communication skills are essential.

Qualifications

• Bachelor’s degree or equivalent preferred with 3+ years experience in healthcare quality.
• Strong data analysis skills and experience with HEDIS measures.
• Proven ability to communicate findings and present to diverse audiences.
• Detail oriented with problem-solving skills and data accuracy focus.

Responsibilities

• Coordinate and partner with IPA/MSO delegates for HEDIS data reporting.
• Identify gaps and opportunities for improvement.
• Collaborate with internal departments to review and implement projects and interventions.
• Assist with audits and reviews to ensure data accuracy and validity.
• Review and summarize data with trend analysis for provider education.
• Attend health plan meetings as requested by leadership.
• Stay updated on HEDIS and risk adjustment specs and trends.
• Regular and consistent attendance
• Other duties as assigned

Skills

Data analysis

Excel

Quality improvement

Communication

Presentation skills

Interpersonal skills

Independent worker

Collaborative working

Education

Bachelor’s degree preferred

Job description

Astiva Health in San Jose, CA seeks a quality improvement professional to coordinate HEDIS data reporting with IPA/MSO delegates and identify opportunities for improvement. The role requires collaboration across departments to implement service and care delivery improvements.

Responsible for audits to ensure data accuracy, trend analyses for provider education, and attending health plan meetings as requested. Strong Excel/Data analysis and communication skills are essential.