Ascension · 1 day ago
HEDIS Performance Improvement Specialist
United States
Full-time
Remote
Entry, Mid Level
$75K/yr - $105K/yr
2+ years expAscension is a leading non-profit, faith-based national health system seeking a HEDIS Performance Improvement Specialist. This role focuses on supporting quality improvement programs, coordinating efforts, and analyzing data to enhance healthcare delivery and address care gaps.
CharityHealth CareHospitalNon Profit
Responsibilities
A Performance Improvement Specialist facilitates the development and definition of ideas that will improve the organization. This role supports the DCHP's quality improvement programs and coordinates quality management efforts, including development, implementation, data collection, and analysis
Extensive working knowledge of HEDIS, with proven experience and knowledge of quality improvement principles, practices and procedures.n planning and managing the entire HEDIS project lifecycle
Demonstrated working knowledge of the HEDIS Roadmap completion process
Skilled in HEDIS data analysis to identify and create interventions for care gaps
Knowledgeable in the planning and process of medical record review and abstraction
Knowledge of the chase logic used in medical record review
Plan, design, implement, and maintain a comprehensive program of continuous quality improvement (CQI). Assists in educating new staff, providers about the quality improvement (QI) systems and requirements
Knowledge of quality improvement principles, practices and procedures
Deep understanding of Performance Improvement Projects (PIPs) and proven capability in their development, documentation (writing), maintenance (updates), and data analysis
Analyze medical records and supporting documentation to verify quality of care
Assist in preparing the annual QI evaluation report and plan/program documents
Possess working knowledge of the Uniform Managed Care Manual, Uniform Managed Care Contract, URAC/NCQA standards, and the ability to apply these concepts effectively to daily tasks
Possesses working knowledge of the following quality programs: Alternative Payment Models, Pay for Quality, and Texas Health Steps, with the ability to apply this knowledge to the required implementation, monitoring, and calculations for each
Possesses the maturity, sound judgment, experience, and confidence to practice independently in challenging and diverse situations
Communicate ideas clearly, concisely, and coherently. Apply balanced judgment when evaluating situations and making decisions
Demonstrated ability to remain resourceful and calm while managing multiple competing initiatives, deadlines, and deliverables, particularly during process build-out
Qualification
Required
Must reside in Texas
Extensive working knowledge of HEDIS, with proven experience and knowledge of quality improvement principles, practices and procedures
Demonstrated working knowledge of the HEDIS Roadmap completion process
Skilled in HEDIS data analysis to identify and create interventions for care gaps
Knowledgeable in the planning and process of medical record review and abstraction
Knowledge of the chase logic used in medical record review
Plan, design, implement, and maintain a comprehensive program of continuous quality improvement (CQI). Assists in educating new staff, providers about the quality improvement (QI) systems and requirements
Knowledge of quality improvement principles, practices and procedures
Deep understanding of Performance Improvement Projects (PIPs) and proven capability in their development, documentation (writing), maintenance (updates), and data analysis
Analyze medical records and supporting documentation to verify quality of care
Assist in preparing the annual QI evaluation report and plan/program documents
Possess working knowledge of the Uniform Managed Care Manual, Uniform Managed Care Contract, URAC/NCQA standards, and the ability to apply these concepts effectively to daily tasks
Possesses working knowledge of the following quality programs: Alternative Payment Models, Pay for Quality, and Texas Health Steps, with the ability to apply this knowledge to the required implementation, monitoring, and calculations for each
Possesses the maturity, sound judgment, experience, and confidence to practice independently in challenging and diverse situations
Communicate ideas clearly, concisely, and coherently
Apply balanced judgment when evaluating situations and making decisions
Demonstrated ability to remain resourceful and calm while managing multiple competing initiatives, deadlines, and deliverables, particularly during process build-out
High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required
Preferred
Certification specializing in Lean Healthcare Mgmt
Project Mgmt Professional
Registered Nurse
Registered Nurse credentialed from the Texas Board of Nursing
Bachelor's Degree in nursing or other health science degree
2 years of registered nurse experience
2 years of HEDIS experience
Skilled in building and managing collaborative relationships, and coordinating initiatives across internal teams and outside groups
Strong communication skills for responding effectively to all internal and external inquiries and complaints
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Company
Ascension
Answering God's call to bring health, healing and hope to all.
10001+ employees
H1B Sponsorship
Ascension has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (11)
2024 (7)
2023 (1)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-04-03Acquired
Leadership Team
Eduardo Conrado
President and CEO
Kramer Schmidt
Vice President, Consumer Product Dates Employed
Recent News
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2025-12-29
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2025-10-03
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