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2h ago Curated

Manager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant)

Elevance Health
  • Quality Management
  • Full-time
  • $100,000 – $150,000
  • License: California, Georgia, Illinois, Indiana, Kentucky, Missouri, Nevada, New Hampshire, New York, North Carolina, Ohio, Texas, Virginia, Wisconsin
  • 5+ years

Job description

The Manager Clinical Performance & Quality is responsible for managing clinical quality improvement initiatives, including HEDIS/STARS measures, provider performance, and regulatory compliance. This role involves analyzing data, developing interventions, and collaborating with internal teams and external providers to improve quality outcomes. The position is remote but requires residence in one of the listed states. Requires an active NP or PA license, 5+ years of clinical experience, and 2+ years of management experience. Preferred: experience in quality improvement, HEDIS, or managed care.

Key responsibilities

  • Manage clinical quality improvement programs and initiatives
  • Analyze HEDIS/STARS data to identify improvement opportunities
  • Develop and implement interventions to improve quality measures
  • Collaborate with providers and internal teams to drive performance
  • Ensure compliance with regulatory and accreditation standards

What you bring

  • Active NP or PA license
  • 5+ years clinical experience
  • 2+ years management experience
  • Knowledge of HEDIS/STARS measures
  • Data analysis and project management skills

Tags

RemoteQuality ManagementHEDISNPPA

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