Sr Program Manager HEDIS at Johns Hopkins
Overview
You will own HEDIS performance improvement across all lines of business at Johns Hopkins Health Plans, driving quality scores for Medicare Stars and Medicaid. You will lead cross-entity committees, partner with data analytics to guide reporting priorities, and use HEDIS and NCQA standards to shape strategy. This role stands out because you will educate leadership on upcoming measure changes and work in a matrixed environment with multiple clinical and operational teams.
What You'll Do8
- 1Drive HEDIS performance improvement initiatives across all JHHP lines of business, targeting higher Star Ratings and NCQA scores.
- 2Lead cross-entity planning and committees to execute quality improvement strategies with departmental leadership.
- 3Partner with data analytics teams to define requirements for HEDIS reporting and self-service dashboard capabilities.
- 4Analyze clinical and operational data to identify priorities and strategies for focused improvement work.
- 5Educate JHHP leadership and staff on proposed NCQA measure changes and coordinate readiness efforts.
- 6Manage program timelines and deliverables for quality projects using project management methodologies.
- 7Collaborate with multiple functional units to integrate quality improvement into daily workflows.
- 8Implement clinical process improvements that align with value-based models and population health goals.
Requirements7
- 15+ years of healthcare or managed care experience required.
- 25 years of experience facilitating projects required.
- 33 years of experience in population health or quality improvement preferred.
- 4Bachelor's degree in health administration, nursing, clinical health, data analytics, or related field required; Master's preferred.
- 5Experience with NCQA and HEDIS measures preferred.
- 6Experience working with multiple clinical and operational functional units preferred.
- 7Training in Principles of Quality Management and Improvement preferred.
Salary Insight
$92 - $148k per year
Location
Required Skills
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