Senior Quality Improvement Program Lead (Medi-Cal)

HITEC; Long Beach (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

HITEC is seeking a Program Manager, Senior, Quality Improvement to design, develop, and manage quality initiatives for the Medi-Cal line of business. The role focuses on driving improvement across HEDIS, MCAS, CAHPS, NCQA ratings, and related quality measures.

The hybrid field-based position serves the Los Angeles area, with in-office days and clinic visits; candidates should have healthcare quality experience, strong project management skills, and the ability to collaborate with internal teams,

Qualifications

• Bachelor’s degree or equivalent with 4 years of relevant experience.
• Minimum 5 years of healthcare experience in Quality Improvement/Quality Management.
• 3 years experience with IPAs, medical groups, FQHCs, or Medi-Cal providers.
• Experience in project or program management.
• Knowledge of HEDIS and accrediting bodies (e.g., NCQA, DHCS) desired.
• Proficiency with Cozeva application highly desired.
• Tableau for quality reporting preferred.
• Experience reviewing medical records for service compliance and missed opportunities preferred.
• Experience in CA delegated model or integrated clinical delivery systems preferred.

Responsibilities

• Design, develop, and manage quality interventions and analytic insights.
• Collaborate with internal Quality Program Managers, clinical leadership, provider organizations, external vendors, and community-based organizations to execute improvement strategies.
• Support and align current and future QI programs with long-term organization goals.
• Lead and develop high-performing teams and foster continuous learning.

Skills

Quality improvement

Project management

Healthcare industry knowledge

Data analysis

Education

Bachelor's degree or equivalent

Tools

Cozeva

Tableau

Job description

HITEC is seeking a Program Manager, Senior, Quality Improvement to design, develop, and manage quality initiatives for the Medi-Cal line of business. The role focuses on driving improvement across HEDIS, MCAS, CAHPS, NCQA ratings, and related quality measures.

The hybrid field-based position serves the Los Angeles area, with in-office days and clinic visits; candidates should have healthcare quality experience, strong project management skills, and the ability to collaborate with internal teams,