Senior Technical Program Manager

HEDIS Program Management

We are looking for a Senior Technical Program Manager with HEDIS (Healthcare Effectiveness

Data and Information Set) experience to lead our annual HEDIS reporting programs. You will

lead complex, cross-functional technical programs — spanning data engineering,

clinical/quality teams, and compliance — from planning through NCQA submission, and you

will be the person who keeps the HEDIS reporting cycle on track against fixed regulatory

deadlines.

What You'll Do

• Lead end-to-end planning and execution of the annual HEDIS reporting program, from

measure specification updates through NCQA submission

• Build and manage program timelines around fixed HEDIS/NCQA deadlines, including

hybrid measure medical record review windows

• Partner with data engineering, clinical/quality teams, compliance, and vendors (e.g.,

HEDIS certified software vendors, medical record retrieval vendors) to coordinate

deliverables

• Track measure-by-measure progress across the HEDIS reporting cycle and escalate

risks to leadership early

• Coordinate with compliance and quality teams on NCQA audit readiness and HEDIS

compliance auditor requirements

• Drive postmortems after each reporting cycle and turn lessons learned into process

improvements for the next year

• Own program-level reporting and status communication to leadership on HEDIS rate

progress, data readiness, and submission risk

• Facilitate trade-off discussions when timelines are at risk, ensuring decisions account

for NCQA compliance requirements

• Coordinate dependencies across data engineering, analytics, and clinical teams to keep

HEDIS measure data flowing on schedule

What We're Looking For

• 5+ years of experience as a Technical Program Manager or similar role, including direct

experience managing HEDIS reporting programs

• Working knowledge of HEDIS measure specifications (NCQA Volume 2) and the annual

HEDIS reporting timeline

• Familiarity with hybrid measure processes, including medical record review and

supplemental data collection

• Strong technical background sufficient to engage credibly with data engineers on

pipeline and measure logic issues

• Proven track record of delivering complex, multi-team programs on time against fixed

regulatory deadlines

• Excellent stakeholder management and communication skills across engineering,

clinical/quality, compliance, and executive audiences

• Comfortable with program management tooling (Jira, Asana, Smartsheet, or similar) and

building reporting that surfaces real signal

HEDIS Experience

We are hiring specifically for someone with hands-on HEDIS (Healthcare Effectiveness Data and

Information Set) experience. In this role, you will be expected to:

• Have directly led or supported a HEDIS reporting program through at least one full

annual cycle

• Understand the interplay between NCQA specification updates, data engineering

timelines, and hybrid measure collection

• Are familiar with NCQA HEDIS audit requirements and working alongside a certified

HEDIS compliance auditor

• Can coordinate across clinical, compliance, and data teams to resolve measure data

issues under deadline pressure

• Have experience managing vendor relationships tied to HEDIS reporting (medical record

retrieval, HEDIS software, etc.)

Nice to Have

• Experience with CMS Stars ratings or other regulatory quality reporting programs

alongside HEDIS

• Background in health plan operations, quality improvement, or clinical data prior to

moving into program management

• Experience introducing or scaling HEDIS reporting process improvements at a growing

health plan or vendor

• PMP, Agile, or Scrum certification