Quality Solutions Regional Director

A company is looking for a Regional Director, Quality Solutions. Key Responsibilities Oversee performance improvement and execution for assigned regional states within the Health Plan Performance team Serve as the liaison between national and health plan leadership to ensure compliance with key performance indicators Manage the QS HPP program manager and coordinate with health plan quality staff to achieve performance 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 for roles focused on Accreditation, Compliance, HEDIS Interventions, and medical record abstraction Technical and strategy experience for positions focused on interventions Master's Degree in a related field is preferred

May 9, 2025 - 06:48

A company is looking for a Regional Director, Quality Solutions. Key Responsibilities Oversee performance improvement and execution for assigned regional states within the Health Plan Performance team Serve as the liaison between national and health plan leadership to ensure compliance with key performance indicators Manage the QS HPP program manager and coordinate with health plan quality staff to achieve performance 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 for roles focused on Accreditation, Compliance, HEDIS Interventions, and medical record abstraction Technical and strategy experience for positions focused on interventions Master's Degree in a related field is preferred