Nurse Quality & Process Improvement Lead

University Health; Seguin (TX); On-site; USD 85,000 - 115,000; Full time

Job summary

University Health in Seguin, TX is seeking a seasoned quality management professional to ensure NCQA and HEDIS compliance across the organization. You will coordinate with Community First Health Plans and multiple departments to monitor and improve data accuracy and reporting.

The role entails oversight of data collection systems, development of monitoring procedures, and potential leadership of process improvement initiatives to meet state and federal standards and deliver high-quality care.

Qualifications

• Bachelor's degree in nursing or clinical informatics required; advanced degrees preferred.
• 5+ years of healthcare experience required.
• Experience in data analysis and quality improvement reports preferred.
• Working knowledge of continuous process improvement principles and coding products preferred.

Responsibilities

• Coordinate with Community First Health Plans to meet NCQA/HEDIS requirements.
• Monitor quality metrics and benchmark against state/federal standards.
• Oversee data collection systems and reconcile data for accuracy.
• Lead process improvement initiatives when appropriate.

Skills

Data analysis

Communication skills

Interpersonal skills

Process improvement

Education

Bachelor's degree in nursing

Clinical informatics

Health care related field

Tools

Microsoft Office

Excel

Outlook

Word

Job description

University Health in Seguin, TX is seeking a seasoned quality management professional to ensure NCQA and HEDIS compliance across the organization. You will coordinate with Community First Health Plans and multiple departments to monitor and improve data accuracy and reporting.

The role entails oversight of data collection systems, development of monitoring procedures, and potential leadership of process improvement initiatives to meet state and federal standards and deliver high-quality care.