RN Quality Improvement Lead: NCQA & HEDIS Expert

MedStar Health; Columbia (MD); Presencial; USD 89.000 - 148.000; Jornada completa

Descripción de la vacante

MedStar Health is seeking a Quality Improvement professional to monitor provider processes and outcomes, direct studies, and ensure NCQA/compliance across Federal/State regulations. The role emphasizes data-driven assessment, HEDIS familiarity, and Excel proficiency in reporting outcomes.

The ideal candidate will have a BSN, RN licensure in MD or DC, 3–4 years of healthcare experience with quality improvement, and the ability to collaborate with multidisciplinary teams while maintaining thorough

Formación

• Bachelor's degree in healthcare field (BSN) preferred.
• 3–4 years healthcare experience required.
• CPHQ certification is preferred.
• Current RN license in MD or DC upon hire.
• Strong written and verbal communication; proficient in common computer software.

Responsabilidades

• Actively participates in the development and completion of the annual QI Plans and QI Appraisals.
• Attends and contributes content to monthly Quality Improvement staff meetings and maintains minutes.
• Contributes to member/provider newsletters and website content as needed.
• Ensures compliance with NCQA, federal/state regulations and accreditation standards.
• Participates in HEDIS activities and audits; leads peer audits and data reporting.
• Collaborates to develop QI standards and corrective action plans; supports audit processes.
• Investigates quality of care events and reports findings to QOC and QI committees.

Conocimientos

Verbal communication

Written communication

Computer proficiency

Prioritization

Independent work

Educación

Bachelor's degree in healthcare field (BSN) preferred

Descripción del empleo

MedStar Health is seeking a Quality Improvement professional to monitor provider processes and outcomes, direct studies, and ensure NCQA/compliance across Federal/State regulations. The role emphasizes data-driven assessment, HEDIS familiarity, and Excel proficiency in reporting outcomes.

The ideal candidate will have a BSN, RN licensure in MD or DC, 3–4 years of healthcare experience with quality improvement, and the ability to collaborate with multidisciplinary teams while maintaining thorough