<p>A Clinical Quality Consultant I opportunity is open in the Tampa Bay market, supporting a large-scale Medicare Advantage quality program across an established primary care network. This hybrid, field-facing role centers on driving HEDIS and STAR performance — with a direct mandate to achieve and sustain 4-STAR ratings or higher — through data analysis, provider engagement, and cross-functional collaboration. The position offers a competitive hourly pay range, a comprehensive benefits package, and meaningful scope for a clinician or managed care professional who wants to move the needle on population health outcomes at scale.</p>
<h3>Perks and Benefits</h3> <ul> <li>Hourly pay range of $24–$43 per hour based on full-time employment, with variation tied to local labor market, education, certifications, and experience</li> <li>Incentive and recognition programs tied to performance</li> <li>Equity stock purchase plan</li> <li>401(k) with company contribution</li> <li>Comprehensive medical, dental, and vision benefits package (eligibility requirements apply)</li> <li>Hybrid schedule: three in-office days per week with the remainder remote</li> <li>Drug-free workplace; pre-employment drug screening required</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Primary focus on achieving and sustaining a minimum 4-STAR Medicare Advantage rating across assigned Tampa Bay market provider groups</li> <li>Serves as the primary point of contact for all STAR-related activities within assigned market(s), operating within a matrix relationship that spans Quality Corporate Operations and Regional/Market Operations</li> <li>Develops market-level business plans designed to motivate and engage providers in improving STAR measures</li> <li>Delivers analytical interpretation of STAR and HEDIS reporting, including executive summaries prepared for plan leadership and provider groups</li> <li>Conducts data mining to identify quality gaps, develop remediation plans, and build tools and databases to capture relevant data for each assigned provider group</li> <li>Leads CAHPS/HOS action planning and shared trend analysis in collaboration with the broader quality department</li> <li>Works collaboratively with the regional Education Consultant on outlier identification, barrier discussions, and provider education initiatives</li> <li>Partners with the Corporate Quality team on enterprise-wide quality initiatives and activities</li> <li>Reviews provider group structure, office operations, and personnel to identify the most effective engagement strategies for each practice</li> <li>Designs solution-based, user-friendly initiatives to support practice-level success</li> <li>Field-intensive role: 75% travel within Tampa and surrounding areas</li> </ul>
<h3>Qualifications</h3> <ul> <li>Minimum 1 year of experience in healthcare or a health plan setting</li> <li>Minimum 1 year of HEDIS experience and/or demonstrated HEDIS knowledge</li> <li>Solid knowledge of managed care requirements related to clinical quality, including Medicare market products and competitive landscape</li> <li>Experience in managed care working with provider networks and provider relations</li> <li>Demonstrated professional experience influencing and persuading changes in provider or clinical behavior</li> <li>Microsoft Office proficiency with exceptional attention to detail</li> <li>Preferred: clinical and/or health education background; familiarity with clinical standards of care, preventive health, and STAR measures</li> <li>Preferred: proven ability to interact with medical staff and internal stakeholders at all levels; strong communication, presentation, and relationship-building skills across clinical and non-clinical personnel</li> <li>Preferred: demonstrated ability to analyze complex, cross-functional process problems and implement actionable solutions; strong business acumen in the Medicare space</li> </ul>
<h3>About the Community</h3> <p>Tampa, Florida sits on the Gulf Coast of west-central Florida and offers a high quality of life with year-round warm weather, no state income tax, and a cost of living that remains accessible relative to other major metros. The Tampa Bay region encompasses a diverse mix of urban, suburban, and coastal communities — including St. Petersburg, Clearwater, and Sarasota — with world-class beaches, a thriving arts and dining scene, professional sports, and easy access to international airports. For clinicians and healthcare professionals relocating from higher-cost markets, Tampa Bay consistently ranks as one of the most livable large metros in the Southeast.</p>