Quality Improvement Manager
Listed on 2026-10-20
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Healthcare
Healthcare Management, Healthcare Compliance, Health Informatics
The Quality Improvement Manager is responsible for leading and advancing organizational quality performance with a primary focus on HEDIS measures, payer incentive programs, and population health initiatives. This role oversees the identification of quality improvement opportunities, monitors performance across multiple payer programs, develops strategies to improve outcomes, and leads a team responsible for supporting quality and performance initiatives.
The Quality Improvement Manager partners closely with the Director of Population Health and other clinical and operational leaders to develop and implement sustainable quality improvement strategies. This individual serves as the organization’s subject matter expert for quality within the electronic medical record (EMR), ensuring that clinical workflows, documentation, data capture, and EMR functionality effectively support quality performance.
Location: Remote opportunity for Oregon, Washington, and Idaho residents
Key Responsibilities Quality & HEDIS Performance- Lead the organization’s HEDIS performance strategy, including monitoring, analysis, gap identification, and improvement initiatives.
- Track and analyze performance across HEDIS measures and other quality metrics to identify trends, barriers, and opportunities for improvement.
- Develop and implement targeted interventions designed to close care gaps and improve clinical outcomes.
- Monitor progress toward organizational, payer, and provider-level quality goals.
- Ensure quality initiatives are aligned with regulatory requirements, payer expectations, and organizational priorities.
- Translate quality data into actionable insights for clinical and operational teams.
- Lead, manage, and develop a team supporting HEDIS, quality improvement, care gap closure, and payer incentive initiatives.
- Establish clear goals, workflows, priorities, and performance expectations for the quality team.
- Monitor team productivity and effectiveness and identify opportunities to improve processes.
- Serve as the organization’s subject matter expert on quality-related functionality within the EMR.
- Develop deep expertise in how quality measures, care gaps, clinical documentation, workflows, health maintenance, registries, and reporting are represented within the EMR.
- Identify opportunities to optimize EMR workflows and functionality to support quality performance.
- Develop and deliver education and training related to HEDIS measures, quality requirements, payer programs, documentation, and care gap closure.
- Create educational materials, tools, and resources to support ongoing quality improvement.
- Promote organizational awareness and accountability for quality performance.
- Bachelor’s degree in healthcare administration, nursing, public health, health information management, or a related field preferred.
- 3–5+ years of experience in healthcare quality, HEDIS, population health, payer quality programs, or quality improvement.
- Experience managing or supervising a team.
- Strong knowledge of HEDIS measures, quality metrics, care gaps, and payer incentive programs.
- Experience working with EMR systems and quality-related functionality, reporting, registries, and workflows. Experience with Cerner/Oracle Health is highly preferred.
- Strong analytical skills with the ability to interpret quality data and translate findings into actionable improvement strategies.
- Excellent, communication, presentation, and organizational skills.
- Ability to collaborate effectively with clinical providers, operational leaders, IT/EMR teams, analytics teams, and executive leadership.
Praxis Health is a family of medical groups providing high-quality healthcare…
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