Norfolk, Virginia, United States · Remote OK
$38/hr–$63/hr
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote! Status: Full-time, permanent position (40 hours) Sta…
Skills: Quality performance, Outreach management, CAHPS, HOS, Medicare
Virginia Beach, Virginia, United States · On-site
City/State Virginia Beach, VA Work Shift Rotating Overview: Overview Sentara is hiring a Patient Transporter The Patient Transporter safely escorts and transports patients within all areas of the hospital using safe body…
Skills: Patient transport, Safe body mechanics, Communication, Patient care, Customer service
Virginia Beach, Virginia, United States · On-site
City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview The Behavioral Health Therapist assesses the social, psychological, cultural, environmental, and financial situation, as well as disposition needs,…
Skills: Behavioral Health Assessment, Case Management, Crisis Intervention, Clinical Counseling, Treatment Planning
Norfolk, Virginia, United States · On-site
City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara is hiring Registered Nurses (RN) at Norfolk General Hospital's special Level Up Program for our level I Emergency Department in partnership wi…
Skills: Emergency Nursing, Patient Assessment, Care Planning, Clinical Documentation, Interdisciplinary Collaboration
Elizabeth City, North Carolina, United States · On-site
City/State Elizabeth City, NC Work Shift Second (Evenings) Overview: Overview Job Description Provide quality MRI Imaging to patients under the direction of a supervising physician with adherence to the required protocol…
Skills: MRI Imaging, MRI Safety, Patient Screening, Contrast Administration, Radiologic Sciences
Norfolk, Virginia, United States · On-site
$32/hr–$53/hr
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Heart Hospital is seeking to hire a qualified individual to join our team as an Electrophysiology Specialist. Position Status: Full Time, Days, minimal cal…
Skills: Electrophysiology, Cardiac Care, Device Implants, Patient Care, Diagnostic Procedures
Virginia Beach, Virginia, United States · Remote OK
City/State Virginia Beach, VA Work Shift First (Days) Overview: Learning & Development Facilitator, Professional & Leadership Development We are looking for an exceptional facilitator to help employees and leaders build …
Skills: Facilitation, Leadership development, Professional development, Instructional design, Adult learning principles
Woodbridge, Virginia, United States · On-site
City/State Woodbridge, VA Work Shift First (Days) Overview: Overview The Security Officer Armed Recruit role is a role designated for newly hired Security Officers while preparing for successful transition to an Armed Of…
Skills: Security, Armed security, Fitness assessment, Psychological evaluation, Safety
Woodbridge, Virginia, United States · On-site
City/State Woodbridge, VA Work Shift Swing Shift Overview: Overview The Security Officer Armed Recruit role is a role designated for newly hired Security Officers while preparing for successful transition to an Armed Off…
Skills: Security, Armed security, Fitness assessment, Psychological evaluation, Safety
Virginia Beach, Virginia, United States · On-site
City/State Virginia Beach, VA Work Shift Rotating Overview: Overview Sentara is hiring a Patient Transporter The Patient Transporter safely escorts and transports patients within all areas of the hospital using safe body…
Skills: Patient transport, Safe body mechanics, Communication, Patient care, Customer service
Hampton, Virginia, United States · On-site
City/State Hampton, VA Work Shift First (Days) Overview: Sentara CarePlex Hospital, in Hampton, VA, is hiring an Operations Coordinator for Cardiac, Pulmonary, and Vascular Rehab. This is a full time, day shift position.…
Skills: Administrative support, Procurement, Financial activities, Medical terminology, Insurance verification
Williamsburg, Virginia, United States · On-site
City/State Williamsburg, VA Work Shift First (Days) Overview: Sentara Health is seeking a full time, day shift Monitor Tech for Telemetry Monitor Surveillance at Sentara Williamsburg Regional Medical Center in Williamsbu…
Skills: Telemetry monitoring, EKG interpretation, Arrhythmia detection, Patient surveillance, Medical documentation
Virginia Beach, Virginia, United States · On-site
City/State Virginia Beach, VA Work Shift Rotating Overview: Overview Conducts general diagnostic radiological imaging studies of patients in ambulatory setting, within scope of demonstrated competency under the direction…
Skills: Radiology, Imaging, Patient care, Clinical services, Trauma center support
Virginia Beach, Virginia, United States · On-site
City/State Virginia Beach, VA Work Shift Weekend Days Overview: Sentara Health is currently hiring for an RN to work at Virginia Beach General Hospital on the 3 West Ortho/Trauma Unit. Shift: Flexi - Weekend Days 7a-7p T…
Skills: Nursing care, Critical thinking, Patient assessment, Clinical knowledge, Musculoskeletal injury care
Suffolk, Virginia, United States · On-site
City/State Norfolk, VA Work Shift First (Days) Provider Specialty Orthopedic Surgery Overview: Sentara, a nationally recognized nonprofit integrated healthcare system, is recruiting a Sports Medicine trained orthopedic s…
Skills: Orthopedic Surgery, Fracture Work, Trauma Surgery, Adult Reconstruction, Sports Medicine
Suffolk, Virginia, United States · On-site
City/State Norfolk, VA Work Shift First (Days) Provider Specialty Orthopedic Surgery Overview: Sentara, a nationally recognized nonprofit integrated healthcare system, is recruiting an Arthroplasty Surgeon for Sentara Ob…
Skills: Orthopedic Surgery, Adult Reconstruction, Sports Medicine, Fracture Management, Elective Orthopedic Programming
Glen Allen, Alabama, United States · On-site
City/State Glen Allen, VA Work Shift First (Days) Overview: SMG Community Care Center is currently seeking a Direct Care Registered Nurse to join our team in Glen Allen, VA. This role is ideal for a nurse who is passiona…
Skills: Patient assessment, Care planning, Medication administration, Patient education, Vital signs monitoring
Harrisonburg, Virginia, United States · On-site
City/State Harrisonburg, VA Work Shift First (Days) Overview: SRMH is hiring a Cardiology Clinic Scheduler/Insurance Authorization in Harrisonburg, VA. Job Summary Monday through Friday8am to 4:30pm / 40 hours a week The…
Skills: Scheduling, Insurance authorization, Medical terminology, Customer service, Order entry
Harrisonburg, Virginia, United States · On-site
City/State Harrisonburg, VA Work Shift First (Days) Overview: Certified Medical Assistant! Up to a $5,000 Sign-On Bonus for Qualified Candidates New Grads Welcome to Apply Job Summary Monday through Friday, 40 hours per …
Skills: Patient care, Administrative tasks, Clerical tasks, Phlebotomy, Medical assisting
Harrisonburg, Virginia, United States · Hybrid
City/State Harrisonburg, VA Work Shift First (Days) Overview: SRMH South Main Health Center is seeking a Licensed Clinical Social Worker to join our collaborative outpatient care team in Harrisonburg, VA. Job Summary Mon…
Skills: Clinical social work, Psychosocial assessment, Crisis intervention, Individual counseling, Family counseling
Norfolk, Virginia, United States • Remote OK
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The manager leads cross-functional efforts to design and implement quality improvement programs for STARS, CAHPS, HOS, and HEDIS performance. They are responsible for managing a team of 3 to 6 direct reports while collaborating with providers and vendors to enhance member experience and close care gaps.
Candidates must have a bachelor's degree in a relevant field and at least 3 years of experience in HEDIS, STARS, or clinical improvement. Additionally, 3 years of supervisory experience and a valid Registered Nurse license in Virginia or a compact state are required.
Overview
The Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise.
The position will focus in Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare, and member rewards and data analysis for all lines of business
Reporting directly to the Director, Quality Performance and Outreach, this position leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
The position focuses on all lines of business, including Commercial, Medicaid, and Medicare, collaborating with other health plan departments, providers, vendors and the enterprise.
The position will manage a Team of 3 to 6 Direct Reports
Education
Bachelor’s degree in Nursing, Clinical Sciences, Population Health, Healthcare Administration, Business Administration, or related field REQUIRED
Certification/Licenses
Registered Nurse License in Virginia OR Compact/Multi-state preferred
Experience
3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement REQUIRED
3 years of supervisory or management experience REQUIRED
Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare highly preferred
Prior experience in Project Management and Performance Improvement REQUIRED
Strong project management and cross-functional collaboration skills REQUIRED
Ability to interpret clinical data and translate insights into actionable strategies REQUIRED
Experience working with vendors and managing outreach campaigns REQUIRED
Health Plan experience is preferred
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $38.22/hour min - $63.70/hour max. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities."
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-103770
#Indeed
Talroo - Health Plan
Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Quality, Performance, STARS, Consumer Assessment of Healthcare Providers and Systems, CAHPS, Performance Withold Program, PWP, and Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Health Outcomes Survey (HOS)
• Medical, Dental, Vision plans
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018). Like us on Facebook at www.facebook.com/sentarahealth Follow us on Instagram at @SentaraHealth
Offices: 1300 Sentara Park, Virginia Beach, Virginia 23464, US
Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018). Like us on Facebook at www.facebook.com/sentarahealth Follow us on Instagram at @SentaraHealth
Offices: 1300 Sentara Park, Virginia Beach, Virginia 23464, US
