Quality Improvement RN: Medicare Star Champion

Harris Health; Houston (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Community Health Choice, an affiliate of Harris Health, seeks a Quality Improvement Stars Clinical RN to support CMS Part C Star ratings and quality initiatives. You will drive data-informed strategies, manage gap closure, and align cross-functional teams to improve outcomes and compliance.

You will track Stars performance, develop provider education materials, and support CAHPS and HEDIS efforts across teams, including analytics and care management.

Qualifications

• Bachelor’s degree in Public Health, Nursing, Healthcare Administration, or related field.
• Active Texas RN license in good standing.
• Master’s degree in Public Health or Healthcare Management preferred.
• Certified Professional in Health Quality (CPHQ) preferred.
• 3–5 years of health plan quality improvement experience; familiarity with CMS D-SNP requirements.

Responsibilities

• Track and support Medicare Advantage Stars performance across domains (HEDIS, CAHPS, HOS, complaints, appeals).
• Collaborate with analytics, care management, and provider relations to deploy targeted improvements.
• Develop and disseminate provider education materials and toolkits; support practice transformation.
• Prepare dashboards, monthly summaries, and intervention tracking tools for audits and reporting.
• Support quality committees and Performance Improvement Projects (PIPs) as needed.

Skills

Data visualization

Communication

Healthcare analytics

Tableau/Power BI

Project coordination

Education

Bachelor's degree in Public Health, Nursing, Healthcare Administration, or related field

Master's degree preferred

CPHQ certification preferred

RN license in Texas

Tools

Excel

Visio

Power BI

Tableau

Job description

Community Health Choice, an affiliate of Harris Health, seeks a Quality Improvement Stars Clinical RN to support CMS Part C Star ratings and quality initiatives. You will drive data-informed strategies, manage gap closure, and align cross-functional teams to improve outcomes and compliance.

You will track Stars performance, develop provider education materials, and support CAHPS and HEDIS efforts across teams, including analytics and care management.