Quality Program Strategist

A company is looking for a Quality Program Strategist II to oversee quality improvement programs and analyze business issues.

Key Responsibilities

Conduct evaluations for HEDIS gap closure and performance assessments

Leverage data analysis to provide strategic recommendations for performance improvements

Develop support resources and tools for HEDIS, CAHPS, and HOS initiatives to enhance member and provider experiences

Required Qualifications

Bachelor's degree in Nursing, Public Health, or a related field; Master's degree preferred

4+ years of clinical experience in managed care or health insurance

2+ years of quality experience preferred

Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker (LCSW) preferred

CPHQ certification preferred