Top 13 Health manager Jobs in Olympia Wa

Manager of Health Plan Quality
PSW —Olympia, WA
- $110,000 - $130,000 a year
- Full-time
- Nursing
- 3 years
- Analysis skills
- Health savings account
- Disability insurance
Quick Apply
DSHS HCLA Critical Incident Program Manager
State of Washington Dept. of Social and Health Services —Olympia, WA
- $86,000 - $120,000 a year
- Hybrid work
- Background check
- Master of Social Work
- System design
- Paid training
- Wellness program
2d
Privacy Manager
Mason General Hospital —Shelton, WA
- $56.72 - $81.03 an hour
- 8 hour shift
- Hospital
- HIPAA
- Mid-level
- Loan repayment program
- Disability insurance
3d
Quality Program Manager-RN
MultiCare Health System —Olympia, WA
- $121,118.40 - $197,579.20 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Surgical Program Manager Adult NSQIP
Registry Partners —United States
- Weekends as needed
- Remote
- Nursing
- Surgery
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d

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DSHS HCLA Critical Incident Program Manager
State of Washington Dept. of Social and Health Services —Olympia, WA
Employees driving on state business must have a valid driver's license. A bachelor’s degree in public health, social work, public administration, health…
$86,000 - $120,000 a year
2d

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Medical Records and Health Information Manager
Backpack Healthcare —Columbus, OH
Background in behavioral health, pediatrics, Medicaid, telehealth, CARF accreditation, or multi-state operations.
$75,000 - $80,000 a year
Quick Apply
Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Performing research and answering questions related to…
$40.40 an hour

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Manager of Health Plan Quality

PSW -
Olympia, WA

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Job Details

Full-time
$110,000 - $130,000 a year

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Medicare
Managed care organization experience
Presentations for conferences or internal meetings
CMS
CMS regulatory compliance
Driver's License
Bachelor's degree
Health insurance knowledge
Medicare regulations
Leading team collaboration initiatives
Health information management
Data analytics technologies
Cross-functional communication

Full Job Description

Summary / Objective:
The Manager of Health Plan Quality is responsible for leading the strategy, implementation, and performance optimization of HEDIS (Healthcare Effectiveness Data and Information Set) and CMS Star Ratings programs for a Medicare Advantage Organization (MAO). This role drives quality improvement initiatives, ensures regulatory compliance, and partners cross-functionally to improve clinical outcomes, member experience, and overall Star Ratings performance. This position requires deep expertise in Medicare Advantage Stars measures, HEDIS abstraction and reporting, and continuous quality improvement practices.Essential Functions:
HEDIS Program Management

Lead annual HEDIS project planning, execution, and reporting in compliance with NCQA standards.
Oversee hybrid and administrative data collection processes, including medical record review and abstraction vendors.
Ensure data accuracy, completeness, and audit readiness for NCQA HEDIS Compliance Audit.
Partner with IT and analytics teams to validate measure logic and data integrity.
Support implementation of required tools and platforms

Stars Strategy & Performance

Develop and execute a multi-year Stars strategy to achieve 4+ Star performance.
Monitor and analyze CMS Star Ratings, identifying performance gaps and opportunities.
Lead measure-level performance improvement initiatives across domains:

o Clinical Quality
o Member Experience (CAHPS)
o Pharmacy Quality
o Operational measures

Track performance against benchmarks and implement rapid-cycle interventions.

Quality Improvement Initiatives

Design and implement provider and member engagement strategies to close care gaps.
Collaborate with network providers on value-based care initiatives and performance improvement plans.
Support population health programs targeting chronic disease management and preventive care.

Regulatory Compliance

Ensure alignment with CMS, NCQA, and state regulatory requirements.
Maintain readiness for CMS audits, program validations, and reporting deadlines.
Stay current with evolving regulations impacting MA Stars and HEDIS specifications.
Cross-Functional Collaboration – Partner with various groups including:

o Provider network teams on engagement and incentive alignment
o Pharmacy teams for medication adherence measures
o Member engagement/marketing for outreach campaigns
o Data analytics teams for reporting and insights

Act as subject matter expert (SME) for HEDIS and Stars program performance.

Analytics & Reporting

Develop dashboards and reports to track performance trends and outcomes.
Translate complex data into actionable insights for leadership.
Present results, risks, and improvement plans to executive stakeholders.Vendor Management
Oversee performance and deliverables of HEDIS abstraction and Stars consulting vendors.
Ensure vendor compliance with contractual obligations and timelines.

Team Leadership

Manage and mentor analysts or specialists supporting HEDIS and Stars functions.
Foster a performance-driven, collaborative team culture.

Knowledge, Skills & Abilities:

Analytical and problem-solving skills
Strong written and verbal communication
Ability to work independently and manage multiple deadlines
Collaborative mindset and customer service orientation
Detail oriented with a focus on accuracy and compliance.
Understanding of Accountable Care Organization and the operations of a Clinically Integrated Network.
Ability to navigate conflict and ambiguity with positivity.

Required Education and/or Work Experience:

Bachelor’s degree in healthcare administration, Public Health, Nursing, or related field required
3+ years of direct HEDIS and/or Stars program experience with an MAO
Proven track record of improving Star Ratings performance
Deep knowledge of:

o CMS Star Ratings methodology
o CAHPS Member Experience & HOS Survey
o NCQA HEDIS specifications and audit processes
o Medicare Advantage regulatory environment

Strong analytical and problem-solving skills
Experience with healthcare data systems, measure calculation, and reporting tools
Ability to lead cross-functional initiatives and influence stakeholders
Excellent communication and presentation skills
Ability to influence foundational quality strategy and infrastructure
Ability to work independently and collaboratively in a fast-paced environment.

Preferred Education and/or Work Experience:

Master’s degree (MPH, MHA, MBA)
Experience launching a new MAO health plan
Experience with Cotiviti Hedis Engine and Stars Intelligence

Required Certificates, Licenses and Registrations:

Valid driver’s license.

*PSW does not typically hire at the top of the pay range *

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance

Quick Apply

Refine Your Search

health manager jobs in olympia wa

Manager of Health Plan Quality

DSHS HCLA Critical Incident Program Manager

Privacy Manager

Quality Program Manager-RN

Surgical Program Manager Adult NSQIP

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