Quality Solutions Director

A company is looking for a Regional Director, Quality Solutions (Remote). Key Responsibilities Oversee performance improvement and execution for assigned regional states within the Health Plan Performance team Serve as the liaison between national quality solutions organization and health plan leadership to meet key performance indicators Manage the QS HPP program manager and coordinate with health plan quality staff to ensure alignment with strategic goals Required Qualifications Bachelor's Degree in a related field (Healthcare Administration, Public Health, or equivalent experience) 7 - 10 years of experience in Managed Care and/or health plan quality Clinical experience in Accreditation, Compliance, HEDIS Interventions, and medical record abstraction Technical and strategy experience focused on quality interventions Preferred: Master's Degree in a related field and RN with Quality Background

May 1, 2025 - 05:59

A company is looking for a Regional Director, Quality Solutions (Remote). Key Responsibilities Oversee performance improvement and execution for assigned regional states within the Health Plan Performance team Serve as the liaison between national quality solutions organization and health plan leadership to meet key performance indicators Manage the QS HPP program manager and coordinate with health plan quality staff to ensure alignment with strategic goals Required Qualifications Bachelor's Degree in a related field (Healthcare Administration, Public Health, or equivalent experience) 7 - 10 years of experience in Managed Care and/or health plan quality Clinical experience in Accreditation, Compliance, HEDIS Interventions, and medical record abstraction Technical and strategy experience focused on quality interventions Preferred: Master's Degree in a related field and RN with Quality Background