[Hiring] HEDIS Performance Improvement Specialist @Ascension
Role Description
Your future role at a glance:
• Location: Remote - Must reside in Texas
• Facility: Ascension Care Management Insurance
• Department: Quality Management
• Schedule: Day Shift | Full Time | Monday-Friday
• Salary: $75,295.00 - $110,834.59
• Eligible for an annual bonus incentive
How you’ll make an impact in this role:
• Strategic Quality Leadership:
Facilitates the development of organizational improvement ideas and manages the full lifecycle of Continuous Quality Improvement (CQI) programs, including annual evaluations.
• HEDIS & PIP Management:
Oversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, and chase logic—while leading the documentation and analysis of Performance Improvement Projects (PIPs).
• Compliance & Accreditation:
Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.
• Data-Driven Implementation:
Coordinates quality management efforts through precise data collection, care gap analysis, and the implementation of systematic improvements.
• Independent Project Execution:
Operates with high autonomy and sound judgment to communicate clearly and manage multiple competing priorities in a fast-paced environment.
Qualifications
• Licensure / Certification / Registration:
• Certification specializing in Lean Healthcare Mgmt preferred.
• Licensure required relevant to state in which work is performed.
• Project Mgmt Professional preferred.
• Registered Nurse preferred.
• Education:
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Requirements
• Bachelor's Degree in Nursing or a related health science degree is a must-have.
• 2+ years of Registered Nurse (RN) experience and 2+ years of HEDIS experience are preferred.
Benefits
• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options.
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to recharge: pro-rated paid time off (PTO) and holidays.
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning.
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Other benefits: optional legal and pet insurance, transportation savings and more.
Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.
Apply tot his job
Apply To this Job
Your future role at a glance:
• Location: Remote - Must reside in Texas
• Facility: Ascension Care Management Insurance
• Department: Quality Management
• Schedule: Day Shift | Full Time | Monday-Friday
• Salary: $75,295.00 - $110,834.59
• Eligible for an annual bonus incentive
How you’ll make an impact in this role:
• Strategic Quality Leadership:
Facilitates the development of organizational improvement ideas and manages the full lifecycle of Continuous Quality Improvement (CQI) programs, including annual evaluations.
• HEDIS & PIP Management:
Oversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, and chase logic—while leading the documentation and analysis of Performance Improvement Projects (PIPs).
• Compliance & Accreditation:
Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.
• Data-Driven Implementation:
Coordinates quality management efforts through precise data collection, care gap analysis, and the implementation of systematic improvements.
• Independent Project Execution:
Operates with high autonomy and sound judgment to communicate clearly and manage multiple competing priorities in a fast-paced environment.
Qualifications
• Licensure / Certification / Registration:
• Certification specializing in Lean Healthcare Mgmt preferred.
• Licensure required relevant to state in which work is performed.
• Project Mgmt Professional preferred.
• Registered Nurse preferred.
• Education:
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Requirements
• Bachelor's Degree in Nursing or a related health science degree is a must-have.
• 2+ years of Registered Nurse (RN) experience and 2+ years of HEDIS experience are preferred.
Benefits
• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options.
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to recharge: pro-rated paid time off (PTO) and holidays.
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning.
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Other benefits: optional legal and pet insurance, transportation savings and more.
Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.
Apply tot his job
Apply To this Job