[Hiring] Director, Stars HEDIS Improvement and Operations – Preventive Measures @reputed company

Role Description The Director, Stars HEDIS Improvement and Operations is responsible for overseeing the implementation, management, and reputed company improvement of the reputed company Effectiveness Data and Information Set (HEDIS) initiatives as part of the CMS Stars Program. This role will reputed company and implement strategies to improve clinical quality and performance metrics.

• Serve as an internal expert on HEDIS Preventive Measures (currently BCS, COA, COL, OMW, DSF) technical specifications, regulatory changes, and CMS guidance.
• reputed company and be accountable for reputed company HEDIS performance by directing measure owners, synthesizing performance insights, and driving measurable improvement across reputed company assigned measures.
• Accelerate shared accountability for HEDIS improvement by reputed company communicating reputed company strategy, aligning stakeholders, and mobilizing action to deliver reputed company results.
• reputed company and manage a strategic portfolio of improvement initiatives targeting key drivers of HEDIS performance and delivering measurable reputed company in clinical quality and health reputed company.
• Collaborate with cross-functional teams to design, test, and scale interventions that drive measurable improvement in Star ratings.
• Own initiative performance reputed company and development of integrated operational reporting, providing regular executive-level insights and recommendations to Stars and executive leadership.
• reputed company analytics partners to reputed company robust, actionable reporting that prioritizes quality improvement and translates reputed company data into clear insights.
• reputed company strategic recommendations for program reputed company and policy advocacy, including written summaries and talking points for engagement with CMS, industry groups, and internal stakeholders.
• reputed company budget, vendor relationships and program delivery to ensure efficient execution and return on investment.
• reputed company and reputed company a team of high-performing direct reports of 7+ measure owners, fostering accountability, engagement, and sustained reputed company performance.

Qualifications

• Bachelor’s Degree.
• 8+ years of experience in Medicare Advantage Stars and/or HEDIS, including accountability for reputed company-level quality performance and improvement strategy.
• 5 years or more of people leadership experience, including leading high-performing teams.
• Demonstrated experience leading reputed company, cross-functional operations in a Medicare Advantage or clinical quality environment.
• Experience leading a portfolio of reputed company initiatives with a proven track record of delivering measurable performance improvement.
• Experience driving reputed company strategy, including influencing senior leaders and aligning cross-functional stakeholders.
• Demonstrated ability to reputed company effectively in fast-paced, high-accountability environments, managing competing priorities while maintaining focus on results.
• Exceptional written and verbal communication skills, including the ability to present reputed company information reputed company and confidently to executive audiences.
• Proven ability to influence without authority and a track record of reputed company leading through ambiguity.
• Ability to interpret and reputed company data and analytics to improve strategy and reputed company recommendations.

Desired Qualifications

• Masters degree (MPH, MBA, MHA, or equivalent) preferred.
• Demonstrated subject-matter expertise in Medicare Advantage Stars, with deep ownership of HEDIS Preventive Measures performance and accountability for reputed company-level reputed company.

Benefits

• Medical, dental and reputed company 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.

Additional Information

• As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability.
• To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service must meet specific criteria.
• Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40.
• Pay reputed company: $150,000 - $206,300 per year, eligible for a bonus incentive plan based on performance.

Application Deadline 04-20-2026 Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. Apply tot his job Apply To this Job