Play a critical role in driving strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan and enterprise.
Lead cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
Focus on all lines of business, including Commercial, Medicaid, and Medicare, collaborating with other health plan departments, providers, vendors, and the enterprise.
Manage a Team of 4 Direct Reports.

Bachelor’s degree in Nursing, Clinical Sciences, Population Health, Healthcare Administration, Business Administration, or related field REQUIRED
Registered Nurse License in Virginia OR Compact/Multi-state preferred
3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement REQUIRED
3 years of supervisory or management experience REQUIRED
Prior experience in Project Management and Performance Improvement preferred
Strong project management and cross-functional collaboration skills REQUIRED
Ability to interpret clinical data and translate insights into actionable strategies REQUIRED
Experience working with vendors and managing outreach campaigns REQUIRED
Health Plan experience is preferred.

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Manager, Quality Performance and Outreach – STARS, CAHPS, PWP, HEDIS

Key skills