Director, Quality Improvement

Responsibilities

• Lead process improvement activities for efficient workflows
• Collaborate on NCQA Accreditation and HEDIS performance
• Drive quality improvement for risk adjustment processes
• Work with Medicare STARS team to enhance ratings
• Oversee implementation of provider satisfaction action plans
• Research and integrate best practices in operations
• Present improvement results and performance measures to senior management

Qualifications

• Bachelor's Degree in Nursing or related field; Master's preferred
• 7+ years of experience in quality management or healthcare operations
• Experience with HEDIS operations and quality strategies preferred
• Certification as a Professional in Health Care Quality is a plus
• Strong analytical and process improvement skills

Benefits

• Comprehensive health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off and holidays
• Flexible work schedule options including remote work