• Senior Project Manager of HEDIS and CMS Stars

    UCLA Health (Los Angeles, CA)


    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 lifestyle

    + 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/AnnuallyQualifications

    + 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

     

    UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.