Regional Quality Lead: Drive HEDIS & Value-Based Care

CINQCARE; Atlanta (GA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

401(k) with Employer Match

Comprehensive Medical Plan

Dental & Vision Coverage

Employer-Paid Insurance

Generous Paid Time Off

CME Allowance for APPs

Commuter Benefits

Mileage Reimbursement

Job summary

Grace at Home in Atlanta, GA is seeking a Regional Quality Lead to own market-level quality performance across HEDIS, Medicare STARs, ACO, and MSSP programs. You will provide strategic and operational leadership to ensure regulatory compliance, outcomes, and value-based care performance across markets.

You will drive measurable improvements through data-driven decisions while collaborating with clinical leadership, operations, and analytics, reporting to regional and national leadership with

Qualifications

• Bachelor’s degree in public health, nursing, healthcare administration, or related field.
• Master’s degree preferred (MPH/MSN/MHA/MBA) in a related field.
• 7+ years of progressive experience in healthcare quality or value-based care.
• 3+ years leading regional or multi-market quality programs.
• Expertise with HEDIS, Medicare STARs, ACO, MSSP performance.
• Proven track record owning market performance and delivering quality improvements.
• Advanced knowledge of HEDIS, CMS STARs, ACO, MSSP measure specs.
• Proficiency with quality reporting systems, EHRs, and analytics dashboards.
• Strong Excel, PowerPoint, Word skills.
• Strategic thinker with market ownership mindset.
• Exceptional analytical and problem-solving abilities.
• Effective communicator with executive-level presentation skills.
• Ability to influence cross-functional stakeholders and lead change initiatives.

Responsibilities

• Own Market Quality Strategy & Performance across HEDIS, STARs, ACO, MSSP.
• Lead regional quality outcomes and align with payer requirements.
• Develop and execute market-specific quality strategies.
• Establish performance targets and ensure delivery against objectives.
• Analyze quality data to identify gaps and risks; design corrective actions.
• Monitor performance and adjust strategies for continuous improvement.
• Partner with clinical leadership, care management, operations, analytics.
• Translate regulatory requirements into actionable workflows.
• Align quality initiatives with value-based contracting and financial goals.
• Prepare and present performance reports to regional and national leadership.

Skills

Strategic thinker

Executive communication

Analytical skills

Problem-solving

Leadership

Education

Bachelor's degree in public health, nursing, healthcare administration, or related field

Master's degree (MPH, MSN, MHA, MBA) preferred

Tools

EHR systems

Analytics dashboards

Quality reporting tools

Microsoft Office

Job description

Grace at Home in Atlanta, GA is seeking a Regional Quality Lead to own market-level quality performance across HEDIS, Medicare STARs, ACO, and MSSP programs. You will provide strategic and operational leadership to ensure regulatory compliance, outcomes, and value-based care performance across markets.

You will drive measurable improvements through data-driven decisions while collaborating with clinical leadership, operations, and analytics, reporting to regional and national leadership with