Director, HEDIS Standards – Strategic Enablement

DirectorDirectorFull TimeRemoteTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

Kentucky

Posted

15 days ago

Salary

$168K - $231K / year

Bachelor Degree8 yrs expEnglish

Job Description

• Provide HEDIS technical specification expertise and consultation – ensuring operations are appropriately governed by specifications and strategic levers are in-play to optimize measure performance • Lead HEDIS clinical and data integrity audit readiness strategies and continuous monitoring programs to mitigate compliance and regulatory risk • Lead HEDIS clinical curriculum development and delivery to support medical record review and data file integrity activities • Own HEDIS standards for measure interpretation, documentation requirements, and compliance guidance • Own risk management planning related to regulatory submissions, including identification of vulnerabilities and development of mitigation strategies • Provide senior-level communication and recommendations on compliance risks, quality performance, and improvement opportunities • Serve as enablement liaison and collaborator across cross-functional teams and operational swim lanes to ensure alignment of quality initiatives and performance goals • Lead clinical process strategic framework development to support consistent and high-quality HEDIS data collection and submission • Advise and influence team strategy, supporting initiatives, and long-term roadmap; including supporting strategic exploration efforts by shaping pilots, defining success criteria, and guiding execution paths • Lead large-scale, high-impact strategic initiatives to optimize operational efficiencies and performance outcomes • Accelerate shared accountability for continuous improvement by ensuring partner transparency, creating alignment, inspiring action, and delivering tangible results • Foster a culture of quality, accountability, and continuous improvement across quality functions

Job Requirements

  • Bachelor's Degree
  • 8 years of experience in healthcare, clinical operations, portfolio coordination and/or consulting
  • HEDIS experience and expertise
  • Expertise in program administration, planning frameworks and performance tracking
  • Experience leading teams, growing talent and leading cross-functionally
  • Demonstrated success executing strategic initiatives from planning through delivery, ensuring measurable outcomes
  • Experience leading complex cross-functional execution in matrixed environments
  • High organizational agility and innovative thinking
  • Experience and comfort operating at both strategic and tactical levels
  • Strong decision-making skills, particularly with high impact on efficiency, effectiveness, completeness, and accuracy
  • Confidence and comfort in conversing with senior management, business leaders and external parties.

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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