Quality Management Lead (NCQA & HEDIS)

Integrated Resources Inc.; Washington (District of Columbia); On-site; USD 80,000 - 120,000; Full time

Job summary

A leading healthcare organization is seeking a Manager of Quality Management to oversee the compliance and quality initiatives within the plan. This role involves direct supervision of staff, compliance with NCQA standards, and implementation of quality improvement programs. The successful candidate will have a proven track record in quality management, strong analytical skills, and experience in healthcare leadership.

Qualifications

• 3-5 years of management or leadership responsibilities in Quality Improvement.
• 5-8 years of progressively responsible experience in health care or health plan.
• Thorough knowledge of NCQA and state contract requirements.

Responsibilities

• Oversees quality management team and compliance with regulations.
• Implements continuous quality improvement initiatives.
• Analyzes quality data and collaborates on improvement strategies.

Skills

Organizational

Analytical

Interpersonal

Communication

Education

Bachelor’s Degree or equivalent work experience

Job description

A leading healthcare organization is seeking a Manager of Quality Management to oversee the compliance and quality initiatives within the plan. This role involves direct supervision of staff, compliance with NCQA standards, and implementation of quality improvement programs. The successful candidate will have a proven track record in quality management, strong analytical skills, and experience in healthcare leadership.