---
title: 'HEDIS Quality Programs, Principal at Waymark'
canonical: 'https://feeny.ai/job/hedis-quality-programs-principal-waymark-united-states-gezy4633p30t'
type: 'job'
last_seen: '2026-10-30'
---

# HEDIS Quality Programs, Principal at Waymark

- **Company:** Waymark
- **Location:** United States
- **Work type:** remote
- **Posted:** 2026-10-22
- **Last confirmed live:** 2026-10-30
- **Apply:** https://job-boards.greenhouse.io/waymark/jobs/4745748005

## Job description

## About Waymark

Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We’re designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what’s possible in Medicaid healthcare delivery.

## Our Values

At Waymark, our values are the foundation of how we work, grow, and support one another:

- Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology.
- Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions.
- Experiment to Improve: We use data to inform decisions and continuously assess our performance.
- Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results.

If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark.

## About This Role

As the HEDIS Quality Program Principal at Waymark, you will own Waymark’s approach to contractual quality performance, including HEDIS and partner-specific quality measures. You will own the end-to-end operationalization of quality measures and campaigns—from understanding the measure and identifying the opportunity, to designing and deploying high-impact programs, developing workflows, job aids and enablement, coordinating implementation, monitoring execution, and evaluating performance. Reporting to the Vice President of Care Ops, this is an opportunity to build and scale a critical component of Waymark’s care model, improve patient outcomes, and improve contractual performance.

## Key Responsibilities

- Own the portfolio of HEDIS contractual quality measures and roadmap across Waymark’s partnerships.
- Translate measure specifications and partner requirements into executable programs, including building workflows and scoping and directly managing vendor partners, including for “last-mile” gap closure (eg, home lab visits, at home diagnostic kit distribution) and building the operational infrastructure to scale them.
- Conduct retrospectives, root cause analyses, and structured improvement cycles to identify execution friction points and accelerate gap closure.
- Collaborate with Care Operations and Learning and Development teams to develop and maintain the job aids, SOPs, training, and enablement needed for care teams to execute campaigns consistently.
- Coordinate supplemental data submissions and reconciliation across payer partners.
- Partner with the Analytics team to define measure logic, dashboards, patient lists, gap reporting, and automated monitoring; independently validate outputs and troubleshoot discrepancies.
- Serve as a Subject Matter Expert for the Clinical Product Development team to ensure the ideation and requirements for new automation and AI innovations reflect best practices, reduce manual work, and make HEDIS programs scalable and efficient.
- Serve as a Subject Matter Expert for the Business Development team on HEDIS metrics and targets during contract negotiations.
- Stay informed about industry trends and best practices in quality and clinical management and integrate into our operations and product design.

## Minimum Qualifications

- 7+ years of experience in healthcare quality, quality operations, population health, value-based care, managed care, or a related field.
- 5+ years experience with NCQA HEDIS quality measures and performance programs, including translating requirements into implementable, scalable programs and operational workflows.
- Experience with BI and reporting tools such as Looker, Tableau, Power BI, or equivalent platforms.
- Strong program and project management skills with a proven ability to lead complex, cross-functional initiatives and manage competing priorities in a fast-paced environment.
- Comfort and demonstrated success driving program execution independently with a bias for action.
- Proven track record of managing operational vendors or clinical partners to deliver home-based services, diagnostic programs, or field campaigns.
- Excellent written and verbal communication skills, including presentation skills, for engaging with executive leadership, training frontline staff, and building strong partnerships with cross-functional teams and external stakeholders.
- Demonstrated ability to identify and manage quality program risks, develop mitigation strategies, and foster a culture of continuous improvement.
- Experience designing member outreach campaigns, care-team workflows, tasking, job aids, or training in support of quality measures.
- Ability to manage large volumes of data, analyze data, identify data gaps and develop reporting for performance management
- Must be able to work in a matrix environment
- Bachelor’s degree

## Preferred Qualifications

- Experience with Medicaid managed care
- Lean Six Sigma or related quality improvement certification
- Graduate or Advanced Degree (MPH, MHA, MBA)

Hiring Range

The expected hiring range for this role is $127,000 – $159,000, depending on relevant experience, skills, and qualifications. This is a remote role, however, candidates living in certain high-cost of living cities such as San Francisco, New York City, and Seattle, may be eligible for an additional market premium.

In addition to salary, we offer a comprehensive benefits package. Here’s what you can expect:

- Stock Options: Opportunity to invest in the company’s growth.
- Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office.
- Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy.
- Life Insurance: Basic life insurance to give you peace of mind.
- Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays.
- Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents.
- Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule.
- Commuter Benefits: Convenient options to support your commute needs.
- Professional Development Stipend: A dedicated stipend supports professional development and growth.

Offer of employment is contingent upon successful completion of a background check. Employment history and advanced degree/professional license verification (when applicable) are included as part of the standard background check process.

Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your past experience doesn’t align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!

## About Waymark

## Company Overview
- **One-liner**: Waymark is a public benefit corporation that builds technology-enabled, community-based healthcare clinics to improve outcomes and reduce costs for Medicaid populations.
- **Entity Type**: Private (Venture-backed)
- **Headquarters**: San Francisco, California, USA
- **Founded**: 2019
- **Founders**: Rajaie Batniji, MD, PhD (Co-Founder and CEO) and Sanjay Basu, MD, PhD (Co-Founder and Head of Clinical)

## Core Business
- **Primary industry**: Healthcare IT / Medicaid managed care / Community health
- **Target customers**: B2B; primary customers are health plans (e.g., Aetna, UnitedHealthcare, Sentara Health Plans) and health systems looking to improve care for Medicaid populations
- **Mission/purpose statement**: "Everyone should have access to the healthcare they need." The company succeeds when the communities it serves are healthier.

## Products & Services
- **Waymark Care Platform (AI + Services)**: A proprietary AI platform that combines predictive models (identifying rising-risk patients with ~90% accuracy), clinical decision support, and a patient engagement layer. This is paired with in-person, multidisciplinary care teams (community health workers, pharmacists, therapists, care coordinators) who provide clinical services and social support (food, housing, transportation). It is a technology-enabled clinical service model, not a pure SaaS product.

## Market Standing
- **Total Funding**: $42M in a recent round (including investment from CVS Health). The company was founded in 2019 and is venture-backed.
- **Key Metric**: In a peer-reviewed study published in *NEJM Catalyst* (2024), Waymark demonstrated a **48% reduction in avoidable hospitalizations**, a **20% reduction in avoidable ER visits**, and a **3:1 ROI** (saving $2,347 per member per year) for health plans.
- **Notable Investors/Partners**: Partners include CVS Health (investor), Aetna, UnitedHealthcare, and Sentara Health Plans.
- **Growth Signals**: Operating in multiple states (Washington, Virginia, Ohio) with plans to expand. Actively hiring across multiple departments (10+ open roles as of mid-2025). Certified as a **2025 Great Place to Work**—99% of employees reported feeling welcome upon joining.

## Competitive Advantages
- **Proven Clinical Outcomes**: Demonstrated 48% reduction in avoidable hospitalizations and a 3:1 ROI in peer-reviewed research (*NEJM Catalyst*).
- **AI-Powered Patient Identification**: Proprietary machine learning model predicts avoidable ER/hospital utilization with 90% accuracy, enabling early intervention.
- **Community-Based Care Model**: Teams are local to the patients they serve, addressing both clinical needs and social determinants of health.
- **Public Benefit Corporation**: Legal structure ensures the company's mission (community health) is prioritized over pure profit maximization.

## Strategic Focus
- **Scale evidence-based model**: Expanding partnerships with health plans and health systems across the U.S. to bring its proven community care model to more Medicaid populations.
- **Deepen AI capabilities**: Continuing to improve the predictive accuracy and clinical decision support of its platform.
- **Strengthen care teams**: Hiring community health workers, pharmacists, therapists, and coordinators in existing and new markets.
- **Embed within health systems**: Formalizing partnerships (e.g., with Sentara Health Plans in Virginia) to integrate care delivery.

## Why Work Here
- **Mission-Driven**: An opportunity to do "meaningful, transformative work that positively impacts your community" by fixing the broken Medicaid care delivery system.
- **Culture & Values**: The company emphasizes "Bold Builders," "Humble Learners," "Experiment to Improve," and "Focused Urgency." It is described as a supportive, team-oriented environment.
- **Remote-First Structure**: Many roles are listed as "US - Remote," while patient-facing roles (Community Health Workers, Outreach Specialists) are local to specific regions (Cleveland, OH; Richmond, VA).
- **Support for Growth**: The company supports care delivery certification and licenses for its clinical staff.
- **Great Place to Work Certified**: 99% employee satisfaction rate on welcome and inclusion, per the 2025 Great Place to Work Trust Index Survey.
- **Transparency**: The company includes an explicit warning about fake job offers, noting all legitimate communications come from @waymarkcare.com.

## Sources
1. [waymarkcare.com - About](https://www.waymarkcare.com/about)
2. [waymarkcare.com - Careers](https://www.waymarkcare.com/careers)
3. [waymarkcare.com - Homepage](https://www.waymarkcare.com/)
4. [LinkedIn - Waymark](https://www.linkedin.com/company/waymark-care)
5. [Greenhouse - Waymark Jobs](http://job-boards.greenhouse.io/waymark)

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