Hybrid Clinical Quality Program Lead (HEDIS & Improvement)

The Elevance Health Companies, Inc.; Indianapolis (IN); Hybrid; USD 86,000 - 129,000; Full time

Benefits offered by this job

Hybrid work environment

Competitive benefits

Job summary

Elevance Health in Columbus, OH is seeking a Clinical Quality Program Manager. This hybrid, in-office 1–2 days per week role requires a clinical license or certification and leads quality initiatives to improve member care.

The position reports to the Clinical Quality domain within Elevance Health. Responsibilities include driving quality plans, performing root cause analyses, ensuring compliant reporting, and guiding cross-functional teams to implement improvements.

Qualifications

• BS in health administration, nursing, or a related clinical field.
• Current, unrestricted license related to medical/behavioral health or CPHQ certification.
• HEDIS knowledge and experience preferred.
• Experience interpreting healthcare quality data to identify trends and improvement opportunities.

Responsibilities

• Participates in quality strategy activities and leads quality improvement initiatives.
• Leads root cause analyses to address HEDIS performance gaps.
• Ensures sound study methodology and appropriate reporting.
• Develops performance improvement plans and oversees quality improvement activities.

Job description

Elevance Health in Columbus, OH is seeking a Clinical Quality Program Manager. This hybrid, in-office 1–2 days per week role requires a clinical license or certification and leads quality initiatives to improve member care.

The position reports to the Clinical Quality domain within Elevance Health. Responsibilities include driving quality plans, performing root cause analyses, ensuring compliant reporting, and guiding cross-functional teams to implement improvements.