Quality Improvement Administrator - HEDIS & NCQA Lead

McLaren Health Care; Flint (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

McLaren Health Plan in Michigan is seeking a Quality Administrator to lead the quality program and ensure compliance with NCQA, HEDIS, and CAHPS requirements. The role focuses on coordinating performance improvement initiatives and reporting to quality committees.

You will work with MIG quality staff, develop interventions, monitor regulatory projects, and support site audits. Full-time position with standard daytime hours, based in Flint, MI.

Qualifications

• Bachelor’s degree in health care, business or related field required.
• Four years of regulated health organization or managed care experience with two years in quality activities (HEDIS/NCQA).
• Prefer Master’s degree and 6+ years in regulated health care with 3+ years in quality.

Responsibilities

• Provide updates to MIG quality staff and committees on recommendations and actions for the QIP.
• Propose targeted actions, aid in developing interventions and coordinate implementation of quality ops.
• Coordinate regulatory responsibilities including HEDIS, CAHPS, NCQA standards and state projects.
• Oversee site audits and other regulatory agency activities as assigned.

Skills

Quality management

HEDIS

NCQA

Regulatory compliance

Stakeholder communication

Education

Bachelor's degree in health care, business or related field

Master's degree (preferred)

Job description

McLaren Health Plan in Michigan is seeking a Quality Administrator to lead the quality program and ensure compliance with NCQA, HEDIS, and CAHPS requirements. The role focuses on coordinating performance improvement initiatives and reporting to quality committees.

You will work with MIG quality staff, develop interventions, monitor regulatory projects, and support site audits. Full-time position with standard daytime hours, based in Flint, MI.