Elevance Health · 4 hours ago
HEDIS Quality Program Manager
GA-ATLANTA, 740 W PEACHTREE ST NW
Full-time
Hybrid
Mid Level
4+ years expElevance Health is a health company dedicated to improving lives and communities, and they are seeking a HEDIS Quality Program Manager. This role involves overseeing quality improvement activities and projects for various states, ensuring integration of quality into business processes and leading state-level quality strategy meetings.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process
Works with the clinical intervention team to design studies to identify barriers to medical interventions
Ensures that study methodology is sound and appropriate reporting is in place
Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members
Assures compliance with corporate QI work plans
Assures that all QI activities are relevant to the needs of targeted population
Maintains effective documentation of research programs to meet regulatory and Accreditation Standards
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results
Participates in and provides input to the development of new product designs for major line of business
Oversees the implementation of new initiatives
Leads interactions with regulators or oversight entities
Oversees quality improvement activities for the largest, most complex state programs
Qualification
Required
Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background
Preferred
Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred
Benefits
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
H1B Sponsorship
Elevance Health 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
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
Investor's Business Daily
2026-02-09
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2026-02-06
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