UCLA
Senior Project Manager of HEDIS and CMS Stars
UCLA, Los Angeles, California, United States, 90079
Description
UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS (Healthcare Effectiveness Data and Information Set) operations. This role is key to ensuring successful execution of enterprise-wide quality programs and supporting improvements in performance metrics, member outcomes, and regulatory readiness.
Key Responsibilities
Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifecycle
Facilitate the CMS Star Ratings Workgroup to ensure cross-functional alignment and driving initiatives that improve performance metrics, member outcomes, and regulatory readiness.
Develop and manage project plans, timelines, and deliverables
Oversee HEDIS operations, including data submission, audits, and hybrid chart abstraction
Collaborate with clinical, operations, and compliance stakeholders
Facilitate cross-functional workgroups to drive alignment and performance improvement
Support change management, communications, and organizational readiness for new programs
Provide project reporting, data analysis, and presentations for leadership
Salary Range: $95,400 - $208,300/Annually
Qualifications
CMS Star Ratings strategy experience -
REQUIRED
HEDIS (Healthcare Effectiveness Data and Information Set) operations experience -
REQUIRED
Minimum 5-years healthcare administrative and/or project management experience -
REQUIRED
Bachelor’s degree in a related area and/or equivalent experience/training. MPH, MHA, MBA or other related Master’s degree preferred
Project Management Professional (PMP) certification from the Project Management Institute (PMI) preferred
Lean Six Sigma certification and experience preferred
Experience in leading, facilitating, and implementing new programs and/or projects
Organizational change management experience preferred
Strong project management skills with the proven ability to deliver agreed objectives with timeframes, including experience in project outcome reporting utilizing industry standards
Demonstrated skills in data analysis and presentation
Demonstrated skill (intermediate to advanced level) in the use of personal computers and software programs, including but not limited to Microsoft Office applications, database management, and analysis
Organizational skills in priority setting, following through on assigned tasks, and adhering to deadlines
Interpersonal skills to effectively interact with and enhance communication and collaboration with staff, colleagues, administrative personnel
Skill in working with complex organizations to comply with regulatory requirements
Ability to function effectively in an interdisciplinary team that includes physicians, nurses, other healthcare personnel and administrative staff
Ability to define goals in an objectively and measurable fashion
Demonstrated ability in diplomacy, discretion, tact and sound judgment, and the ability to maintain confidentiality
Ability to develop, implement, and evaluate methods and systems to improve efficiency
#J-18808-Ljbffr
Key Responsibilities
Lead end-to-end execution of CMS Star Ratings and HEDIS initiatives and manage the entire project lifecycle
Facilitate the CMS Star Ratings Workgroup to ensure cross-functional alignment and driving initiatives that improve performance metrics, member outcomes, and regulatory readiness.
Develop and manage project plans, timelines, and deliverables
Oversee HEDIS operations, including data submission, audits, and hybrid chart abstraction
Collaborate with clinical, operations, and compliance stakeholders
Facilitate cross-functional workgroups to drive alignment and performance improvement
Support change management, communications, and organizational readiness for new programs
Provide project reporting, data analysis, and presentations for leadership
Salary Range: $95,400 - $208,300/Annually
Qualifications
CMS Star Ratings strategy experience -
REQUIRED
HEDIS (Healthcare Effectiveness Data and Information Set) operations experience -
REQUIRED
Minimum 5-years healthcare administrative and/or project management experience -
REQUIRED
Bachelor’s degree in a related area and/or equivalent experience/training. MPH, MHA, MBA or other related Master’s degree preferred
Project Management Professional (PMP) certification from the Project Management Institute (PMI) preferred
Lean Six Sigma certification and experience preferred
Experience in leading, facilitating, and implementing new programs and/or projects
Organizational change management experience preferred
Strong project management skills with the proven ability to deliver agreed objectives with timeframes, including experience in project outcome reporting utilizing industry standards
Demonstrated skills in data analysis and presentation
Demonstrated skill (intermediate to advanced level) in the use of personal computers and software programs, including but not limited to Microsoft Office applications, database management, and analysis
Organizational skills in priority setting, following through on assigned tasks, and adhering to deadlines
Interpersonal skills to effectively interact with and enhance communication and collaboration with staff, colleagues, administrative personnel
Skill in working with complex organizations to comply with regulatory requirements
Ability to function effectively in an interdisciplinary team that includes physicians, nurses, other healthcare personnel and administrative staff
Ability to define goals in an objectively and measurable fashion
Demonstrated ability in diplomacy, discretion, tact and sound judgment, and the ability to maintain confidentiality
Ability to develop, implement, and evaluate methods and systems to improve efficiency
#J-18808-Ljbffr