About the Role
<h3>Your future role at a glance </h3><p style="margin: 0px;"><strong>Location: </strong>Remote - Must reside in Texas</p><p style="margin: 0px;"><strong>Facility: </strong>Ascension Care Management Insurance</p><p style="margin: 0px;"><strong>Department: </strong>Quality Management</p><p style="margin: 0px;"><strong>Schedule: </strong>Day Shift | Full Time | Monday-Friday</p><p style="margin: 0px;"><strong>Salary: </strong>$75,295.00 - $110,834.59</p><p style="margin: 0px;">Eligible for an annual bonus incentive</p><p style="margin: 0px;"> </p><p style="text-align: justify;"><span style="font-family: Verdana, sans-serif; font-size: 9pt; text-align: justify;">#LI-Remote</span></p><p style="text-align: justify;"><span style="font-family: Verdana, sans-serif; font-size: 9pt; text-align: justify;">#LI-AM2</span></p></br><h3>Life at Ascension: Where purpose meets opportunity </h3><p style="margin: 0px;">Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.</p></br><h3>Benefits that help you thrive </h3><ul style="margin-top: 0; margin-bottom: 0;"><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Comprehensive health coverage: </span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">medical, dental, vision, prescription coverage and HSA/FSA options</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Financial security & retirement:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> employer-matched 403(b), planning and hardship resources, disability and life insurance </span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Time to recharge:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> pro-rated paid time off (PTO) and holidays</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Career growth:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Emotional well-being:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> Employee Assistance Program</span><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #1e69d2; font-weight: 400;">,</span><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> counseling and peer support, spiritual care and stress management resources</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Family support: </span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">parental leave, adoption assistance and family benefits</span></li><li style="font-size: 10pt; font-family: Arial,sans-serif; color: #151920; font-weight: 400;" aria-level="1"><strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920;">Other benefits:</span></strong><span style="font-size: 10pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;"> optional legal and pet insurance, transportation savings and more</span></li></ul><p style="margin-top: 12pt; margin-bottom: 0pt;"><em><span style="font-size: 9pt; font-family: Roboto,sans-serif; color: #151920; font-weight: 400;">Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.</span></em></p></br><h3>How you’ll make an impact in this role </h3><ul style="margin-top: 0in;"><li style="color: #1f1f1f; margin-bottom: 0in;"><strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif; border: none windowtext 1.0pt; padding: 0in;">Strategic Quality Leadership:</span></strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif;"> Facilitates the development of organizational improvement ideas and manages the full lifecycle of Continuous Quality Improvement (CQI) programs, including annual evaluations.</span></li><li style="color: #1f1f1f; margin-bottom: 0in;"><strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif; border: none windowtext 1.0pt; padding: 0in;">HEDIS & PIP Management:</span></strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif;"> Oversees complex HEDIS project lifecycles—including data analysis, medical record abstraction, and chase logic—while leading the documentation and analysis of Performance Improvement Projects (PIPs).</span></li><li style="color: #1f1f1f; margin-bottom: 0in;"><strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif; border: none windowtext 1.0pt; padding: 0in;">Compliance & Accreditation:</span></strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif;"> Maintains deep working knowledge of URAC/NCQA standards, the Uniform Managed Care Contract, and state-specific programs like Texas Health Steps and Alternative Payment Models.</span></li><li style="color: #1f1f1f; margin-bottom: 0in;"><strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif; border: none windowtext 1.0pt; padding: 0in;">Data-Driven Implementation:</span></strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif;"> Coordinates quality management efforts through precise data collection, care gap analysis, and the implementation of systematic improvements.</span></li><li style="color: #1f1f1f; margin-bottom: 0in;"><strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif; border: none windowtext 1.0pt; padding: 0in;">Independent Project Execution:</span></strong><span style="font-size: 9.0pt; font-family: 'Verdana',sans-serif;"> Operates with high autonomy and sound judgment to communicate clearly and manage multiple competing priorities in a fast-paced environment.</span></li></ul></br><h3>What minimum requirements you’ll need </h3><p style="margin: 0px;">Licensure / Certification / Registration:</p><ul><li>Certification specializing in Lean Healthcare Mgmt preferred.. Licensure required relevant to state in which work is performed</li><li>Project Mgmt Professional preferred. Licensure required relevant to state in which work is performed</li><li>Registered Nurse preferred. Licensure required relevant to state in which work is performed</li></ul><p style="margin: 0px;">Education:</p><ul><li>High School diploma equivalency with 2 years of cumulative experience OR Associate's<br />degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.</li></ul></br><h3>What additional preferences we're seeking </h3><ul style="text-align: justify;"><li>Bachelor's Degree in Nursing or a related health science degree is a must-have.</li><li>2+ years of Registered Nurse (RN) experience and 2+ years of HEDIS experience are preferred.</li></ul></br><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;"> Equal employment opportunity employer </span></p><p style="margin: 0 0 15px 0;">Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf" target="_blank" rel="noopener"> EEO Know Your Rights (English) </a> poster or <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf" target="_blank" rel="noopener"> EEO Know Your Rights (Spanish) </a> poster.</p><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;"> Fraud prevention notice </span></p><p style="margin: 0 0 15px 0;">Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.</p><p style="margin: 0 0 10px 0;"><span style="color: #1e69d2; font-size: 18px; font-weight: bold; font-style: italic;"> E-Verify statement </span></p><p style="margin: 0;">Employer participates in the Electronic Employment Verification Program. Please click <a href="https://www.e-verify.gov/about-e-verify" target="_blank" rel="noopener"> here </a> for more information.</p><p style="margin: 0px;"> </p>