Quality Improvement Program Lead

Colonial Group

Chicago (IL)

On-site

USD 100,000 - 130,000

Full time

14 days+

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Job summary

Colonial Group is seeking a Program Manager, Quality Improvement to drive patient health outcomes by leading process improvement, analytics, and initiative deployment across IS, Operations, and Medical Services.

In this role you will champion CMS/UDS, HEDIS/NCQA and STARS measures, design workflows, collaborate with clinical and operational teams, and guide training programs to strengthen documentation and quality.

Qualifications

Bachelor’s degree in Healthcare Administration, Public Health, Nursing, or related field is required.
Master’s degree is preferred.
3+ years in quality improvement, including HEDIS/CMS measures or analytics.
2+ years in a primary or ambulatory care setting.
Strong project management and analytical skills.
Experience interpreting healthcare quality data.

Responsibilities

Maintain SME in CMS/UDS, HEDIS/NCQA, and STARS quality measures to ensure compliance.
Apply quality improvement methodologies to develop, implement initiatives.
Develop data-driven reports with the reporting team to monitor initiatives.
Design, document, and optimize workflows contributing to quality goals.
Partner with providers and operations to communicate quality needs.
Collaborate to develop training programs supporting documentation and quality.
Lead project planning, stakeholder identification, and milestone tracking.
Support continuous improvement by identifying performance gaps and sustainable solutions.
Perform additional duties to support mission.