by Terrance Ellis | Jan 30, 2026 | Uncategorized
If you’re the person who can run a quality program like a project manager and think like an analyst, this role is built for you. You’ll lead HEDIS and quality performance work from planning through execution, keep data clean and defensible, and drive measurable results tied to regulatory and accreditation requirements.
About WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. They focus on delivering health coverage and services that work for members in real life, with a strong commitment to quality, equity, and outcomes.
Schedule
- Full-time
- Remote
- Compensation range: $77,000–$111,500 (may vary by geographic location)
What You’ll Do
- Lead quality performance projects end-to-end, including timelines, deliverables, and outcome tracking
- Coordinate cross-functional collaboration to keep initiatives aligned with regulatory and organizational goals
- Analyze performance data, trends, validation findings, issue logs, and predicted outcomes to guide decisions and execution
- Develop and implement validation strategies to ensure data accuracy and reliability
- Manage milestones, stakeholder engagement, and timely data submissions
- Partner with internal teams to ensure unbiased HEDIS results, including variance research, data mapping, and supplemental source review
- Monitor quality measure updates (including ECDS) and assess impact on data collection, reporting, and performance
- Support provider engagement to align on quality metrics, documentation standards, and supplemental data capture
- Develop recommendations through research and analysis tied to quality improvement data (population health, health equity accreditation, and related initiatives)
- Oversee vendor management for chart retrieval services, including deliverable tracking, invoice processing, and contract negotiations
- Contribute to provider tools and education materials related to HEDIS measures and HEDIS-relevant ICD-10/CPT coding aligned with NCQA requirements
- Support systems and processes that enable year-round care gap closure and supplemental data operations
- Complete other related projects as assigned
What You Need
- Bachelor’s degree in healthcare, public health, health administration, or related field (or equivalent experience)
- 4+ years of experience in healthcare quality, managed care, or project management
- Knowledge of NCQA HEDIS supplemental and administrative data processes and source requirements
- Strong understanding of healthcare performance measures and member-level data (HEDIS, Medicare Stars, Marketplace, PQA, Medicaid measures)
- Ability to translate clinical and technical information clearly for different audiences
- Strong troubleshooting, analytical, and problem-solving skills with the ability to communicate solutions
- Ability to work with minimal supervision and lead collaboration with stakeholders and vendors
- Preferred: master’s degree in public health, healthcare administration, or related field
- Preferred certifications: PMP, Lean Six Sigma, or CPHQ
- Preferred technical experience: SQL, SAS, MS Access reporting, and working with enterprise data warehouses
- Preferred tools: Inovalon and other HEDIS reporting software (QSI-XL certified tools, QMRM, iPORTHD)
- Preferred: experience with internal data cleansing and reconciliation (extract, analyze, interpret trends/variances)
Benefits
- Full-time remote work
- Competitive salary
- Medical, dental, vision, and pharmacy benefits
- Flexible Spending Accounts (FSA)
- 403(b) with savings match
- Paid time off
- Merit increases
- Career advancement opportunities
- Employee and family wellbeing resources
If you’ve got the mix of HEDIS knowledge, data integrity instincts, and project leadership to keep quality work moving without surprises, this is a strong remote role to pursue.
Bring your systems thinking, your validation mindset, and your ability to drive cross-team execution, and help WellSense raise performance with clean, defensible results.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 30, 2026 | Uncategorized
If you know how to turn quality data into real-world improvement, this role puts you at the center of it. You’ll lead Medicare STARS and broader quality initiatives, driving compliance, stronger outcomes, and measurable performance gains across the health plan.
About WellSense Health Plan
WellSense Health Plan is a nonprofit insurer serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. With a long-standing mission to provide coverage that works for members in all circumstances, WellSense focuses on access, outcomes, and health equity through a growing regional footprint.
Schedule
- Full-time
- Remote
- Salary range: $77,000–$111,500 (may vary by geographic location)
What You’ll Do
- Develop and implement quality improvement strategies aligned with organizational goals and regulatory requirements (NCQA, CMS, state regulators)
- Analyze clinical and operational data to identify trends, gaps, and improvement opportunities
- Lead root cause analyses and corrective action plans for identified issues
- Monitor and report on KPIs including state-specific quality measures, HEDIS, CAHPS, and Medicare STARS-related performance
- Collaborate with provider groups to review performance data, identify barriers, and implement targeted interventions
- Support accreditation and compliance activities, including coordinating submissions and ensuring timely, accurate reporting
- Build project plans and timelines for performance improvement projects and ongoing evaluation
- Lead workgroups and multidisciplinary project teams to drive targeted quality initiatives
- Collaborate with external vendors on quality projects and monitor vendor performance
- Participate in state quality meetings and partner with state leaders and internal stakeholders on initiatives
- Conduct literature reviews to support evidence-based quality improvement work
- Perform other related duties as assigned
What You Need
- Bachelor’s degree in nursing, health administration, behavioral health, public health, or related field (Master’s preferred)
- 5+ years of experience in healthcare quality improvement, preferably within a health plan
- Strong knowledge of managed care regulations, NCQA standards, HEDIS measures, and CMS Stars
- Strong data analysis skills and ability to translate insights into action
- Experience with quality improvement methodologies and performance measurement tools
- Strong leadership, communication, and project management skills
- Ability to lead cross-functional teams and large-scale projects
- Provider collaboration experience (preferred)
- Preferred certifications: CPHQ, Lean Six Sigma, or Project Management
Benefits
- Full-time remote work
- Competitive salary
- Medical, dental, vision, and pharmacy benefits
- Flexible Spending Accounts (FSA)
- 403(b) with savings match
- Paid time off
- Career advancement opportunities
- Resources to support employee and family wellbeing
If you’ve been looking for a remote role where quality isn’t just a report, it’s a strategy, this is a strong one to move on.
Bring your STARS and HEDIS expertise, your project leadership, and your ability to rally stakeholders, and help WellSense improve outcomes at scale.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 30, 2026 | Uncategorized
If you’re the person who can take messy client files, clean them up, and turn them into reporting-ready data without losing the plot, this role is for you. You’ll own day-to-day client data processing, protect data quality, and serve as the go-to when issues pop up.
About Sharecare
Sharecare is a digital healthcare company delivering software and tech-enabled services across the healthcare ecosystem. Through data-driven AI insights and a comprehensive platform that includes benefits navigation, care management, home care resources, and health information management, Sharecare helps people manage healthcare more easily and improve well-being.
Schedule
- Remote (US)
- Full-time
- Posted 6 days ago
- Travel within the United States as needed
What You’ll Do
- Process incoming client data day-to-day within Sharecare’s established workflows
- Serve as an escalation point for clients and internal team members
- Run internal and external reports and provide key data elements for leadership reporting
- Support data collection, entry, processing, and delivery into systems
- Identify data shortfalls and coordinate with data and development teams to close gaps and improve data fidelity
- Propose solutions that support business continuity and stable operations
- Provide operational data support to payor engagement managers
- Maintain strong understanding of internal and external data flows and reporting requirements
- Prepare, proof, and edit documents and spreadsheets
- Handle additional data-heavy duties as assigned
What You Need
- Working knowledge of SQL
- Strong Microsoft Excel skills for analyzing datasets
- Strong presentation skills
- Bachelor’s degree (preferred)
- Strong problem-solving skills and attention to detail
- Strong verbal and written communication skills for working with clients, providers, and internal partners
- Ability to work independently and collaboratively
- Ability to travel within the US as needed
Benefits
- Full-time remote role
- Hands-on ownership of client data quality and governance processes
- Opportunity to become a subject matter expert in payor client data and ingestion workflows
- Equal Opportunity Employer and E-Verify participant
If you’re comfortable being the escalation point and you like building order out of chaos in spreadsheets and datasets, this is a solid remote analytics lane.
Bring your SQL, your Excel brain, and your data quality instincts, and help keep client reporting clean and reliable.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 30, 2026 | Uncategorized
If you’re good with people and even better at guiding them when they’re stressed, this role is all about being the steady hand. You’ll help families find and hire in-home caregivers, then stay with them after the match to make sure the experience stays strong.
About Sharecare
Sharecare is a digital healthcare company delivering software and tech-enabled services across the healthcare ecosystem. Through data-driven insights and a broad platform that includes care management, home care resources, and health information management, Sharecare helps people navigate healthcare more easily and improve well-being. This role supports CareLinx, Sharecare’s in-home caregiver matching platform.
Schedule
- Remote (US), except Mesa, AZ area candidates
- Mesa, AZ area: required on-site 5 days per week
- Full-time, hourly
- Posted 2 days ago
What You’ll Do
- Guide members through the caregiver search process in a call center environment using strong relationship building and communication
- Support families after a caregiver is hired to ensure satisfaction and help if needs change
- Search for viable caregiver candidates, help schedule interviews, and support the hire process
- Maintain relationships with caregivers and provide ongoing support to improve retention
- Document accurate, complete notes in the CareLinx EHR system
- Communicate clearly with members and caregivers via phone, email, and text
- Collaborate professionally with other teams inside CareLinx
- Meet performance goals set by CareLinx guidelines and support additional tasks as assigned
What You Need
- High school diploma or equivalent (required)
- 1+ year in a productivity-based customer service role or call center environment, or 2+ years in a customer service environment
- Strong time management, organization, and multitasking skills
- Clear verbal and written communication skills
- Comfort working toward performance goals in a structured environment
- Ability to maintain confidentiality and exercise good judgment
- Microsoft Office experience
- Preferred: some college coursework
- Preferred: previous healthcare experience
- Nice to have: military experience
Benefits
- Full-time, hourly position
- Opportunity to support families through real-life care decisions with ongoing follow-through
- Experience working in a healthcare services and support environment
- Equal Opportunity Employer and E-Verify participant
If you like helping people make big decisions without feeling lost, this is a meaningful support role that stays busy in the best way.
Bring your empathy, your organization, and your follow-through, and help families land the right in-home care match.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 30, 2026 | Uncategorized
If you love building pipeline the right way, not off chaos and last-minute heroics, this role is your lane. You’ll own outbound and inbound qualification for Digital Health, creating clean, sales accepted opportunities with sharp context and clear next steps.
About Wheel
Wheel is evolving the traditional care ecosystem by equipping innovative companies with a platform to deliver high-quality virtual care at scale. Their solutions include configurable virtual care programs, an intuitive consumer experience, and access to a nationwide network of board-certified clinicians. The mission is to help partners deliver modern care that’s scalable, reliable, and easier to engage with.
Schedule
- Remote (USA), Austin, TX preferred
- Full-time
- Travel up to 25%
- Deadline to apply: April 1, 2026 at 2:00 AM CDT
- Role open through April 1, 2026
- No sponsorship available
What You’ll Do
- Build and execute outbound prospecting motions into enterprise and scaled digital health accounts
- Develop target account plans, map stakeholders, and run multi-thread outreach across business, product, and clinical leaders
- Lead structured qualification calls to confirm fit, urgency, buying process, and next steps
- Create sales accepted opportunities with clear context and crisp handoffs to sales owners
- Partner with Marketing on campaign follow up, event conversion, and messaging feedback loops
- Support targeted outbound sprints or inbound qualification for Life Sciences and Data as needed
- Maintain accurate Salesforce activity, stage movement, and next-step ownership
- Provide weekly reporting on meetings created, opportunities created, conversion, and deal aging
- Take ownership of inbound lead management workflows after ramp, including routing, acceptance visibility, and recycling
- Partner with Marketing and RevOps on form optimization, noise reduction, and inbound automation improvements
- Establish repeatable reporting and an operating cadence for lead health and opportunity creation
What You Need
- 4–7 years in market development, business development, sales development, or early-stage sales in digital health, healthcare SaaS, or virtual care
- Proven ability to prospect into enterprise accounts and engage senior stakeholders
- Strong qualification discipline with clear, written handoffs
- Comfort building repeatable motions and operating rhythms, not only working warm inbound leads
- Strong Salesforce skills with consistent documentation habits
Benefits
- Salary range: $105,000–$150,000 plus OTE (bonus based on goals/targets)
- Medical, dental, and vision insurance
- Life insurance and short and long term disability (no cost)
- 401(k) plus match
- Flexible PTO
- Parental leave
- Stock options
- Additional memberships and perks
This role stays open until April 1, 2026, but high-signal pipeline builders don’t usually sit on the market long, so move while it’s open.
If you’re ready to build a durable top-of-funnel engine that sales can trust, Wheel will give you the runway to do it.
Happy Hunting,
~Two Chicks…
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