HEDIS Quality Care Manager

Do you share a passion for helping others and making a difference? Submit your resume today and join us in our commitment to working together to provide a “Best-in-Class” service!

**Must be Bilingual in English and Spanish**

Valora Medical Group is a visionary company focused on high-quality primary care and value-based care and, consists of healthcare providers and professionals dedicated to the health and wellbeing of our patients. At Valora, we treat our patients like family.

With multiple locations throughout the Dallas-Fort Worth area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team.

We are seeking a dedicated and experienced HEIDS Quality Care Manager to oversee and enhance the quality of care across our programs. This role is responsible for ensuring compliance with regulatory standards, improving service delivery, and promoting a culture of excellence in client care. The ideal candidate is detail-oriented, data-driven, and passionate about delivering high-quality, person-centered services.

Key Responsibilities

• Monitor and evaluate care services to ensure compliance with all applicable regulations and organizational standards
• Conduct regular audits, assessments, and quality reviews
• Develop, implement, and maintain quality assurance policies and procedures
• Oversee the implementation and effectiveness of individualized care plans
• Analyze performance data and generate reports for leadership
• Identify trends and lead quality improvement initiatives
• Train, mentor, and evaluate staff on best practices and compliance requirements
• Address client concerns and ensure a high level of satisfaction and safety
• Collaborate with leadership to enhance operational processes and outcomes

Qualifications

• Bachelor’s degree in Healthcare Administration, Nursing, Social Work, or a related field (Master’s preferred)
• Minimum of 3–5 years of experience in healthcare quality management, compliance, or program oversight
• Strong knowledge of healthcare regulations and quality standards
• Excellent leadership, organizational, and communication skills
• Ability to analyze data and implement process improvements

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Medical Specialty:

• Geriatrics
• Internal Medicine
• Primary Care

Application Question(s):

• What is your desired pay rate?

Education:

• High school or equivalent (Required)

Experience:

• EMR System - eClinicalWorks (eCW): 4 years (Preferred)
• Medical Assistant: 4 years (Preferred)
• HEDIS: 4 years (Preferred)
• CMS Rules and Regulations: 2 years (Preferred)
• Care management: 2 years (Preferred)
• Managed care: 2 years (Preferred)

Language:

• Spanish (Required)

License/Certification:

• BLS Certification (Preferred)
• Certified Medical Assistant (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: In person