HEDIS Performance Improvement Specialist

Ascension

1d • Remote

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Requirements

• 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.
• Licensure required relevant to state in which work is performed

Nice To Haves

• Certification specializing in Lean Healthcare Mgmt preferred.
• Project Mgmt Professional preferred.
• Registered Nurse preferred.
• Bachelor's Degree in Nursing or a related health science degree is a must-have.
• 2+ years of Registered Nurse (RN) experience and 2+ years of HEDIS experience are preferred.

Responsibilities

• Facilitates the development of organizational improvement ideas and manages the full lifecycle of Continuous Quality Improvement (CQI) programs, including annual evaluations.
• Oversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, and chase logic—while leading the documentation and analysis of Performance Improvement Projects (PIPs).
• Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.
• Coordinates quality management efforts through precise data collection, care gap analysis, and the implementation of systematic improvements.
• Operates with high autonomy and sound judgment to communicate clearly and manage multiple competing priorities in a fast-paced environment.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED