Program Manager II, Quality Reporting & Data Governance

Job Category
:
Program Management

Requisition Number
: PROGR
002927

• Posted :
  October 22, 2026
• Full-Time
• Remote
• Salary Range : $80,940 USD to $125,460 USD

Showing 1 location

Remote Washington State
Seattle, WA 98101, USA

Who we are

Community Health Plan of Washington is
an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Our commitment is to:

• Strive to a pply an equity lens to all our work.
• Create an equitable work environment.

About the Role

The Program Manager II, Quality Reporting & Data Governance serves as the subject matter expert and strategic partner supporting quality reporting, data governance, quality assurance, quality control, and regulatory reporting activities for Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers (CAHPS), Qualified Health Plan (QHP), and Health Outcomes Survey (HOS), and related quality programs. This role leads governance activities that promote accuracy, integrity, compliance and audit readiness of quality reporting deliverables and regulatory submissions.

This position facilitates quality assurance and quality control processes, identifies operational risks, recommends corrective actions and supports continuous improvement initiatives designed to improve measure performance and adherence to NCQA, CMS, state and organizational quality standards. The Program Manager II develops and manages project plans, facilitates timely and accurate submissions, and removes barriers to execution, and collaborates cross-functionally with various departments to develop sustainable processes that drive quality excellence, successful audit outcomes, and advance organizational strategic goals.

To be successful in this role, you:

• Bachelor’s degree in Business Administration, Health Information Management, Healthcare Administration, Analytics, or other relevant academic field, or an equivalent combination of education and/or highly relevant experience.
• 3+ years’ experience in program management, preferably related to HEDIS, CMS Star, Value Based Payment Programs, Risk Adjustment, or general healthcare (required).
• PMP, Agile Professional, or other formal project management certification (preferred).
• Proficient in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint), including advanced Excel functionality. Experience utilizing SharePoint, Confluence, JIRA, or Smartsheet to support project management, workflow tracking, documentation, issue management, operational planning, and cross-functional collaboration (required).
• Experience in program development, product development, process improvement, and evaluation is strongly preferred.
• Working knowledge of SQL and/or Snowflake data environments, including the ability to query and validate data, support reporting activities, investigate data quality issues, and partner effectively with analytics, engineering and technical teams (preferred).
• Have experience with Community Health Centers (CHC), Federally Qualified Health Centers (FQHC), or other healthcare systems focused on those with low income and/or barriers to equitable healthcare (preferred).

Essential Functions and

Roles and Responsibilities:

• Lead quality assurance and quality control processes supporting HEDIS, Prospective Medical Record Review (PMRR), CAHPS (Medicaid & Medicare), QHP, HOS and related quality measurement programs. Develop, implement and monitor quality controls that ensure data accuracy, regulatory compliance, audit readiness, and operational consistency across…