[Hiring] HEDIS Performance Improvement Specialist @Ascension

Role Description

Plan, design, implement, and maintain a comprehensive program of continuous quality improvement (CQI). Assists in educating new staff, providers about the quality improvement (QI) systems and requirements.

• Knowledge of quality improvement principles, practices and procedures.
• Oversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, chase logic.
• Thorough knowledge of Performance Improvement Projects (PIPs) and able to apply that knowledge in PIP writing development, update, and analysis of data in PIPs.
• HEDIS experience, planning of the whole HEDIS project from start to end, understanding the process and planning of medical record review and abstraction.
• Must be able to analyze HEDIS data to develop interventions for gaps in care.
• 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.

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 is a must-have.
• 2+ years of Registered Nurse (RN) experience and 2+ years of HEDIS experience.
• Performance Improvement Projects (PIP).
• Must reside in Texas.

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.