Supervisor Quality HEDIS Stars

Job Category
:
Quality

Requisition Number
: SUPER
002844

• Full-Time

Showing 1 location

1001 S 70th St
Suite 105
Lincoln, NE 68510, USA

Overall Purpose

The Supervisor Quality HEDIS Stars is responsible for the day-to-day direction of a team of Regional Quality Coordinators supporting HEDIS and CMS Star Ratings performance across assigned markets and provider groups. This role translates quality strategy set by regional and national leadership into executable workplans, assignments, and daily activity, and holds the team accountable to gap closure, documentation, and data capture targets.

The Supervisor performs routine analytics on measure performance and team productivity, interprets results to identify trends and barriers, and represents regional quality operations in recurring health plan meetings, preparing and presenting performance updates to internal leadership and health plan partners. This position requires a self-starter who operates with limited day-to-day direction and promotes our mission of helping people live healthier lives by ensuring quality initiatives are executed accurately, consistently, and on time.

Work Location & Schedule

This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.

Essential Functions

• Supervise a team of Regional Quality Coordinators, including workload assignment, scheduling, day-to-day direction, and performance coaching.
• Operationalize regional and national quality strategy by converting leadership direction into clear workplans, assignments, and daily team activity.
• Monitor gap closure production and data capture at the coordinator, provider group, and measure level to ensure assigned targets are met on schedule.
• Perform routine analytics in Excel and standard reporting tools, including pivot tables, trending, rate calculations, and productivity tracking.
• Interpret performance results to identify trends, outliers, and barriers, and translate findings into practical next steps for the team.
• Escalate performance risks, data discrepancies, and resource constraints to the Regional Manager of Quality with supporting detail and recommended actions.
• Support HEDIS and CMS Star Ratings improvement by coordinating gap lists, chart chase activity, and supplemental data collection across assigned provider groups.
• Ensure timely and accurate completion of team reports, trackers, and documentation to meet internal and contractual deadlines.
• Serve as the first point of contact for coordinator questions regarding measure specifications, documentation requirements, and workflow.
• Train and onboard new Regional Quality Coordinators and maintain job aids, standard operating procedures, and workflow documentation.
• Coordinate provider office outreach, scheduling support, and follow-up activity to close open care gaps.
• Prepare routine performance summaries and supporting materials for provider meetings and internal leadership reviews.
• Update and maintain recurring PowerPoint performance decks with current results, and present findings, trends, and workplan updates to internal leadership and health plan partners.
• Attend and represent quality in recurring health plan meetings, preparing materials in advance, documenting follow-up items, and completing assigned action items on schedule.
• Partner with market operations, analytics, and health plan liaisons to resolve data discrepancies and missing documentation.
• Monitor team adherence to HIPAA, PHI handling requirements, and internal quality and documentation standards.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Working knowledge of HEDIS, CMS Star Ratings, and NCQA quality measure specifications and…