# HEDIS Quality Programs, Principal

**Company**: Waymark
**Location**: US - Remote
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $127,000 – $157,000
**Category**: Operations
**Industry**: Healthcare

**Apply**: https://job-boards.greenhouse.io/waymark/jobs/4745748005?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_1fe99c02-bb8

## Description

As the HEDIS Quality Program Principal at Waymark, you will own Waymark's approach to contractual quality performance, including HEDIS and partner-specific quality measures.

You will own the end-to-end operationalization of quality measures and campaigns,from understanding the measure and identifying the opportunity, to designing and deploying high-impact programs, developing workflows, job aids and enablement, coordinating implementation, monitoring execution, and evaluating performance.

Key Responsibilities:

- Own the portfolio of HEDIS contractual quality measures and roadmap across Waymark's partnerships.

- Translate measure specifications and partner requirements into executable programs, including building workflows and scoping and directly managing vendor partners.

- Conduct retrospectives, root cause analyses, and structured improvement cycles to identify execution friction points and accelerate gap closure.

- Collaborate with Care Operations and Learning and Development teams to develop and maintain the job aids, SOPs, training, and enablement needed for care teams to execute campaigns consistently.

- Coordinate supplemental data submissions and reconciliation across payer partners.

- Partner with the Analytics team to define measure logic, dashboards, patient lists, gap reporting, and automated monitoring.

- Serve as a Subject Matter Expert for the Clinical Product Development team to ensure the ideation and requirements for new automation and AI innovations reflect best practices.

- Serve as a Subject Matter Expert for the Business Development team on HEDIS metrics and targets during contract negotiations.

- Stay informed about industry trends and best practices in quality and clinical management and integrate into our operations and product design.

Minimum Qualifications:

- 7+ years of experience in healthcare quality, quality operations, population health, value-based care, managed care, or a related field.

- 5+ years experience with NCQA HEDIS quality measures and performance programs.

- Experience with BI and reporting tools such as Looker, Tableau, Power BI, or equivalent platforms.

- Strong program and project management skills with a proven ability to lead complex, cross-functional initiatives.

Preferred Qualifications:

- Experience with Medicaid managed care.

- Lean Six Sigma or related quality improvement certification.

- Graduate or Advanced Degree (MPH, MHA, MBA).

The expected hiring range for this role is $127,000 – $157,000, depending on relevant experience, skills, and qualifications.

Benefits include stock options, work-from-home stipend, incentive program, medical, vision, and dental coverage, life insurance, paid time off, parental leave, retirement savings, commuter benefits, and professional development stipend.

## Skills

### Required
- HEDIS
- quality measures
- program management
- project management
- BI reporting tools
- population health
- value-based care

### Nice to have
- Medicaid managed care
- Lean Six Sigma
- MPH
- MHA
- MBA

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Source: [Apply at job-boards.greenhouse.io](https://job-boards.greenhouse.io/waymark/jobs/4745748005?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)