VP Quality Health Plan

About the role

For our client, we are seeking a VP Quality Health Plan to join the team of a leader in the Hospitals & Medical Centers space. This senior leader will guide the quality strategy for a health plan environment, with a strong emphasis on Medicare Star Ratings, HEDIS performance, and continuous improvement. The role will partner across departments to strengthen compliance, support accreditation readiness, and advance measurable quality outcomes. The ideal candidate will also serve as a trusted internal advisor on quality processes, performance improvement, and operational effectiveness.

Responsibilities

• Execute operational strategies for Medicare Star Ratings and HEDIS using complex analytics
• Lead performance improvement interventions and collaborate with departments to ensure compliance
• Design and implement the plan's continuous quality improvement infrastructure
• Serve as an internal consultant for Continuous Quality Improvement processes and standards
• Identify opportunities for innovation and evaluate outcomes in collaboration with the broader system
• Oversee the execution of Star strategy with key business partners and maintain accreditation requirements
• Monitor quality performance indicators and prepare reports for quality oversight committees

Qualifications

• Bachelor's degree in Health Care Administration, Public Health, Nursing, or a related field; Master's degree preferred
• Active clinical licensure required; RN licensure preferred
• 10+ years leading Quality Improvement Programs with staff supervision and budget management experience
• Comprehensive knowledge of Medicaid regulations, guidelines, and standards
• Familiarity with accreditation organizations such as NCQA; experience in managed care and leading accreditation processes preferred

Pay

$150,000 – $180,000 annually

Schedule

Remote - US based candidates only, no visa sponsorship available

Benefits

• Competitive salaries
• Full medical, dental, and vision insurance
• Flexible spending accounts (FSAs)
• Free wellness programs
• Paid time off (PTO)
• Retirement plans with employer matching contributions
• Continuing education and career development opportunities
• Life insurance and short/long term disability programs