Top 23 Quality manager Jobs in Shelton, 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
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Director of Quality, Safety, & Regulatory Compliance
Mason Health —Shelton, WA
- $56.72 - $81.03 an hour
- 8 hour shift
- Nursing
- RN License
- Master's degree
- Loan repayment program
- Disability insurance
14d
Regional Quality Manager, Southwest (Remote - Travel Required)
SOLV Energy, LLC —Olympia, WA
- $116,812 - $146,016 a year
- Full-time
- Remote
- PMP
- Engineering
- Travel
- Paid holidays
- Disability insurance
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Quality Control Manager
Conti Federal Services, LLC —Fort Lewis, WA
- Full-time
- Civil engineering
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Water Quality Program Capital Budget Manager (WMS2)
State of Washington Dept. of Ecology —Lacey, WA
- $96,417 - $123,199 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Finance
- Paid training
- Wellness program
9d
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
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Lead Cleaning Technician & Quality Lead
Stone & Cedar Cleaning Co. —Thurston County, WA
- $35 - $40 an hour
- Part-time
- Background check
- Mid-level
- Residential
- Paid training
- Flexible schedule
Quick Apply
6d
Quality Control Manager – Heavy Civil Engineering
McMillen, Inc. —Olympia, WA
- $120,000 - $160,000 a year
- Civil engineering
- Construction site
- 5 years
- Paid holidays
- Health insurance
Quick Apply
1d
Construction Quality Control Manager
GSI Service Group, Inc. —DuPont, WA
- Construction site
- 5 years
- Project management
Contractor Quality Assurance/Control Supervisor - Landfill Construction/Cap Construction
Ayuda Companies —United States
- $90,000 - $120,000 a year
- Full-time
- Background check
- Construction site
- Pass drug screening
- Disability insurance
- Health insurance
Quick Apply
Real Estate Listing Agent - High Quality Leads Provided!
ADT Realty —United States
- $80,000 - $250,000 a year
- Full-time
- Remote
- Mid-level
- Real Estate License
- Referral program
Quick Apply
Construction Quality Control Manager- USACE
Thalle Construction Company —United States
- Full-time
- Construction site
- Senior level
- Leadership
- Paid holidays
- Disability insurance
Quick Apply
8d

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Registered Nurse - Utilization Management Discharge Nurse
US Veterans Health Administration —Seattle, WA
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the…
$87,285 - $161,201 a year
6d
Care Manager Assistant - LPN
Life Care Center of Port Orchard —Port Orchard, WA
Continuing Education Credits (CEUs) and state license reimbursement. Must maintain an active nurse (LPN) license in good standing throughout employment.
$40.43 - $45.27 an hour
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7d

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Valero —Bloomingburg, OH
Bachelor's degree (or higher degree) in a related scientific or technical field required. Ensure city, county, state, and federal regulations relating to the QA…
6d
Quality Manager
Worthington Enterprises —Westerville, OH
Position is responsible for leading and performing the maintenance of the quality software applications and processes, development and implementation of new…
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Manager of Health Plan Quality

PSW -
Olympia, WA

Quick Apply

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

quality manager jobs in shelton, wa

Manager of Health Plan Quality

Director of Quality, Safety, & Regulatory Compliance

Regional Quality Manager, Southwest (Remote - Travel Required)

Quality Control Manager

Water Quality Program Capital Budget Manager (WMS2)

Quality Program Manager-RN

Lead Cleaning Technician & Quality Lead

Quality Control Manager – Heavy Civil Engineering

Construction Quality Control Manager

Contractor Quality Assurance/Control Supervisor - Landfill Construction/Cap Construction

Real Estate Listing Agent - High Quality Leads Provided!

Construction Quality Control Manager- USACE

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