Director – HEDIS Improvement and Operations, Preventive Measures

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Overseeing the implementation, management, and continuous improvement of the Healthcare Effectiveness Data and Information Set (HEDIS) initiatives
  • Develop and implement strategies to improve clinical quality and performance metrics
  • Serve as an internal expert on HEDIS Preventive Measures technical specifications
  • Lead and be accountable for enterprise HEDIS performance
  • Accelerate shared accountability for HEDIS improvement
  • Develop and manage a strategic portfolio of improvement initiatives targeting key drivers of HEDIS performance
  • Collaborate with cross-functional teams
  • Own initiative performance oversight
  • Develop strategic recommendations for program evolution and policy advocacy
  • Oversee budget, vendor relationships and program delivery
  • Lead and develop a team of high-performing direct reports
    Requirements:
  • Bachelor’s Degree
  • 8+ years of experience in Medicare Advantage Stars and/or HEDIS
  • 5 years or more of people leadership experience
  • Demonstrated experience leading complex, cross-functional operations in a Medicare Advantage or clinical quality environment
  • Experience leading a portfolio of complex initiatives with a proven track record of delivering measurable performance improvement
  • Experience driving enterprise strategy
  • Exceptional written and verbal communication skills
  • Proven ability to influence without authority
  • Ability to interpret and leverage data and analytics to improve strategy and make recommendations
    Benefits:
  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance and many other opportunities

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