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Clinical Supervisor

4 weeks ago

Anderson, South Carolina, United States Absolute Total Care Full time
Job Title: Clinical Supervisor - HEDIS Program

Are you a healthcare professional looking for a challenging role that aligns with your passion for quality improvement? We are seeking a Clinical Supervisor to join our team at Absolute Total Care, where you will play a critical role in ensuring the accuracy and reporting of HEDIS data.

Key Responsibilities:

  • Coordinate activities, resources, methods, and procedures to achieve improvement in HEDIS measures with business leaders and cross-functional departments
  • Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines
  • Supervise daily activities of staff to promote quality improvement and efficient methods
  • Assist with comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures
  • Coordinate clinical quality metrics and HEDIS processes and results
  • Coordinate cross-functional processes to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
  • Manage and coordinate HEDIS projects, including assignment of nurses, adherence to plan timelines, and vendor oversight for timeliness and quality
  • Ensure compliance for all quality audits and maintain all data and process controls

Requirements:

  • Bachelor's degree in Business Administration or Health Care Administration or equivalent experience
  • 3+ years of quality improvement, HEDIS project management, or healthcare-related experience
  • Working knowledge of NCQA and HEDIS programs

What We Offer:

  • Competitive pay and benefits package
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible work arrangements, including remote, hybrid, field, or office work schedules

About Us:

Absolute Total Care is an equal opportunity employer committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.