Supervisor Quality HEDIS Stars - Omaha

P3 Health Partners•Omaha, NE

4d•Hybrid

About The Position

The Supervisor Quality HEDIS Stars directs the day-to-day work of Regional Quality Coordinators supporting HEDIS and CMS Star Ratings performance across assigned markets and provider groups. The role turns regional and national quality strategy into executable workplans, assignments, and daily activities, and holds the team accountable for gap closure, documentation, and data capture targets. The Supervisor analyzes measure performance and team productivity, identifies trends and barriers, and represents regional quality operations in recurring health plan meetings by preparing and presenting performance updates to internal leadership and health plan partners. This role requires a self-starter who works with limited day-to-day direction and ensures quality initiatives are executed accurately, consistently, and on time. It offers a hybrid work arrangement, with three days per week in the office, and market travel of up to 20%.

Requirements

Working knowledge of HEDIS, CMS Star Ratings, NCQA quality measure specifications, and gap closure workflows.
Ability to turn leadership direction into workplans, assignments, and measurable team activity.
Intermediate Excel skills, including pivot tables, filtering, sorting, lookup formulas, and basic calculations.
Ability to interpret and explain quality performance reports, including identifying trends, outliers, and gap closure opportunities.
Ability to supervise, coach, and motivate a remote or hybrid team, including balancing workloads and following up on performance.
Proficiency in Microsoft Office Suite, including independently building and updating PowerPoint performance decks, and ability to learn EMR and population health platforms.
Clear written and verbal communication skills for presenting performance information to providers, office staff, internal leadership, and health plan partners.
Strong organizational skills and ability to manage competing priorities and deadlines in a fast-paced environment.
Ability to work independently with limited direction, anticipate needs, take ownership, and follow through on commitments.
At least 2 years of experience in healthcare quality, HEDIS/Stars, care gap closure, provider engagement, or a related healthcare operations role.
At least 1 year of experience in a lead, senior coordinator, or supervisory capacity, or equivalent demonstrated experience directing staff and workflows.
Experience working with quality performance reports, gap lists, or member-level data in Excel.
Experience communicating performance expectations and results to staff, providers, office managers, or external partners.
High school diploma or GED.

Nice To Haves

Experience in managed care, value-based care, or a physician practice setting.
Familiarity with EMR systems, supplemental data collection, or chart abstraction workflows.
Experience participating in health plan, payer, or joint operating meetings.
Associate’s degree in healthcare, business, or a related field, or equivalent relevant work experience.
Bachelor’s degree in a healthcare-related field.
Certified Professional in Healthcare Quality (CPHQ), medical assistant, coding, or similar healthcare-related certification.

Responsibilities

Supervise Regional Quality Coordinators, including workload assignment, scheduling, day-to-day direction, and performance coaching.
Translate regional and national quality strategy into workplans, assignments, and daily team activity.
Monitor gap closure production and data capture at coordinator, provider group, and measure levels to ensure targets are met on schedule.
Perform routine analytics using Excel and standard reporting tools, including pivot tables, trending, rate calculations, and productivity tracking.
Interpret performance results to identify trends, outliers, and barriers, and translate findings into practical next steps.
Escalate performance risks, data discrepancies, and resource constraints to the Regional Manager of Quality with supporting details and recommended actions.
Coordinate gap lists, chart chase activity, and supplemental data collection across assigned provider groups to support HEDIS and CMS Star Ratings improvement.
Ensure team reports, trackers, and documentation are completed accurately and on time to meet internal and contractual deadlines.
Serve as the first point of contact for coordinator questions about measure specifications, documentation requirements, and workflow.
Train and onboard new Regional Quality Coordinators and maintain job aids, standard operating procedures, and workflow documentation.
Coordinate provider office outreach, scheduling support, and follow-up to close open care gaps.
Prepare performance summaries and supporting materials for provider meetings and internal leadership reviews.
Maintain recurring PowerPoint performance decks with current results and present findings, trends, and workplan updates to internal leadership and health plan partners.
Attend recurring health plan meetings, prepare materials, document follow-up items, and complete assigned actions on schedule.
Partner with market operations, analytics, and health plan liaisons to resolve data discrepancies and missing documentation.
Monitor team adherence to HIPAA, PHI handling requirements, and internal quality and documentation standards.
Perform other duties as assigned.