Quality Performance & Initiatives, Leader, Quality Data Engagement #917

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow.  We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds—tech people, numbers people, even people people—working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference—it’s time to make a healthy career move to MVP!

Status: Full-time, Exempt

MVP’s Quality department focuses on improving the clinical well-being of MVP members by focusing on improving key metrics of care. The Quality department is seeking a fast paced, driven, and highly detailed candidate for the position of Leader, Quality Data EngagementThis position reports to the Senior Leader, Quality Measurement and Improvement, and is responsible for leading MVP’s Healthcare Effectiveness Data and Information Set (HEDIS) strategy and operations. This includes increasing and optimizing clinical data collection to continually improve HEDIS performance, clinical data abstraction, and program coordination internally and externally. Applies both subject matter and technical expertise to support HEDIS strategies and goals to achieve high measure performance. Analyzes HEDIS and other quality data results and identifies performance improvement opportunities. Supports Quality improvement and innovation efforts by supporting intervention design, member / provider engagement, and evaluation of effectiveness efforts. Performs other duties as assigned.

This position can be worked as a hybrid position (a combination of work from home and work in the office) or worked full-time onsite in an MVP office location. 


Minimum Education:
Bachelor’s degree required. Nursing degree or other allied health professional license preferred.
Other advanced health-related/business degree or directly related health plan quality experience may be considered
Master’s Degree preferred

Minimum Experience:
Minimum of 3 years prior supervisory/management experience required
5 years of experience in clinical quality required
Experience in HEDIS/QARR/STARS in a managed care environment required
Experience working with claims and/or other medical management focused systems preferred
Project management experience preferred

Required Skills

  • Excellent oral and written communication skills including the ability to interact professionally with all levels of the organization
  • Strong analytical, reporting and problem-solving skills
  • Strong management/leadership skills
  • Strong organization skills and prioritizing ability
  • Team oriented
  • Ability to work independently, highly motivated
  • Demonstrated proficiency in Microsoft Office Suite

About MVP
MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal.  We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more – including how you may become a proud member of our team.

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