Supervisor, Quality Management

Your Role

The Clinical Quality team oversees and is responsible for HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Supervisor will report to the Manager of the HEDIS Outreach Team. In this role, you will be primarily responsible for overseeing HEDIS pursuit activities in collaboration with the Manager and Sr. Manager. In addition, this role is responsible for overseeing member outreach activities for care gap closure as well as overseeing temp staff working in the Long Beach office.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Requires a bachelor's degree in Nursing, Public Health, or other related field
• Requires at least 7 years of prior relevant experience including 3 years of experience operating in a lead role
• Required knowledge of computer applications including Microsoft Word, PowerPoint and Excel, internet knowledge with the ability to complete searches
• Required communication and interpersonal skills
• Must be organized with the ability to keep accurate notes and records
• Required customer service experience
• Required HEDIS process and measure knowledge
• Required ability to lead a team

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.