National Quality Performance Manager- HEDIS / SQL
Core
National Quality Performance Manager responsible for HEDIS, CAHPS, and SQL-driven quality analytics, data validation, and regulatory reporting to improve healthcare performance.
Role type
Senior IC quality performance manager (healthcare analytics)
Builds
National healthcare quality performance initiatives, data validation pipelines, and regulatory audit-ready reports
Domain
Healthcare quality management, managed care, regulatory compliance
Deliverable
dashboards & analysis
Required skills
HEDIS, CAHPS, SQL, data analysis, project management, regulatory compliance, data validation, stakeholder engagement, quantitative problem-solving
Preferred skills
NCQA, CMS, Medicaid/Medicare knowledge, healthcare data coding (CPT, LOINC, SNOMED), Azure/SQL Server, PMP, Six Sigma
Technologies
SQL, Microsoft Azure, SQL Server, Microsoft Office, Excel
Responsibilities
Develop and manage quality data collection strategies and reporting; monitor quality programs from initiation to delivery; oversee data ingestion and validation; analyze performance data to identify trends and care gaps; support regulatory audit readiness; partner with cross-functional teams to close quality-of-care gaps; create and maintain quality program documentation.
Seniority
Mid-level, hands-on IC
