Associate Director of Quality Optimization

Job Summary

Leading quality improvement initiatives, the full-time Associate Director of Quality Optimization will manage Stars quality strategies and program management remotely, ensuring proactive quality program adherence and improvement across Medicare products.

Key responsibilities

• Oversee the Medicare Optimization & Business Intelligence team, managing health plan support activities and performance tracking
• Develop strategies to improve outcomes for HEDIS, Part D, CAHPS, and HOS Star domains during the prospective season
• Collaborate across multiple functional areas to support quality outcomes and enhance STARs improvement activities

Required qualifications

• 5+ years of Medicare Star rating experience
• 3+ years of experience in business operations within a large, matrixed organization
• 2+ years of experience managing Stars programs and strategies
• Experience in developing quality performance improvement projects using data-driven strategies
• Thorough knowledge of Stars Domains and Star Measures, including HEDIS and CAHPS