Manager, Quality Improvement

Health Care Service Corporation

. Support population health, quality improvement, and value-based care initiatives .

Posted 11/11/2026full-timeUnited StatesMid-LevelSenior💰 $84,400 - $152,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in population health management, quality improvement, and value-based care initiatives, with a strong focus on improving health outcomes and provider performance through data analysis and strategic implementation. Proficient in HEDIS methodology and Medicare Stars programs, with a proven track record of enhancing preventive care and closing care gaps.

Highest-signal resume keywords

Registered Nurse (RN) LicenseMedicare Stars ExperienceHEDIS ExperienceQuality Improvement ExperienceLeadership Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisQuality ImprovementCare Gap IdentificationProject ManagementMedical Terminology KnowledgeTotal Quality Management (TQM)Continuous Quality Improvement (CQI)EMR/EHR Data UtilizationProvider Performance ImprovementPreventive Care Strategies

Soft Skills

Verbal CommunicationWritten CommunicationFacilitation SkillsCollaborationAnalytical Thinking

Tools & Technologies

Microsoft WindowsDatabase ManagementQuality DashboardsCare Gap ReportsProvider Scorecards

Certifications & Qualifications

Registered Physician Assistant (RPA) License

Industry Keywords

Population HealthValue-Based CareChronic Disease ManagementAccreditation Agency ProgramsHealth Systems Collaboration

Tech Stack

Tools & technologies

RPA

About the role

Key responsibilities & impact

Support population health, quality improvement, and value-based care initiatives
Collaborate closely with provider groups, clinicians, and internal business partners
Provide embedded support to providers
Conduct member outreach
Identify and close care gaps
Educate providers
Improve quality measures
Implement clinical and operational strategies that enhance preventive care and improve health outcomes
Support value-based care objectives
Analyze data and prepare reports
Prepare recommendations and written documentation
Facilitate work groups
Improve provider performance and member outcomes

Requirements

What you’ll need

Registered Nurse (RN) or Registered Physician Assistant (RPA) with current, unrestricted license in the state of operations
2 years’ experience using accreditation agency programs
3 years of medical surgical and/or Quality Improvement and Utilization Review experience
2 years of leadership or supervisory experience
Knowledge of medical terminology and procedures
Experience using Total Quality Management (TQM)/Continuous Quality Improvement (CQI) concepts
Analytical skills to analyze data and prepare reports
Verbal and written communication skills for preparing recommendations and documentation and facilitating work groups
5 years' hands-on Medicare Stars and HEDIS experience with direct accountability for improving quality measures, closing care gaps, increasing Star ratings, and delivering measurable improvements in provider performance and member outcomes
Project management experience and skills
PC experience using Microsoft Windows-based products and database experience
Advanced technical knowledge of HEDIS methodology, measure specifications, numerator/denominator logic, exclusion criteria, care gap identification, and provider performance improvement (preferred)
8 years' hands-on Medicare Stars and HEDIS experience (preferred)
3 years' experience leading quality consultants, practice consultants, provider engagement teams, or population health staff (preferred)
5 years' experience partnering directly with physician practices, medical groups, health systems, ACOs, or clinics (preferred)
Experience managing relationships with multiple providers, physician groups, or practice leaders (preferred)
5 years' experience supporting population health, preventive care, chronic disease management, care management, or value-based care programs (preferred)
Demonstrated success conducting provider and member outreach programs (preferred)
3 years' experience using EMR/EHR data, HEDIS reports, care gap reports, provider scorecards, and quality dashboards (preferred)

Benefits

Comp & perks

Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan
Professional development through curated development plans