Michigan Licensed Program Director

Job Summary

Leading quality improvement initiatives, the full-time Michigan Licensed Program Director will manage healthcare quality programs, oversee HEDIS performance measurement, and ensure compliance with NCQA standards while working remotely.

Key responsibilities

• Oversees quality improvement programs and initiatives, ensuring alignment with healthcare standards and compliance requirements
• Acts as a subject matter expert, advising senior leadership on quality strategies and facilitating cross-functional collaboration
• Monitors key quality indicators and tracks program effectiveness, developing automated reporting tools as needed

Required qualifications

• At least 8 years of experience in healthcare, with a minimum of 5 years in health plan quality improvement
• At least 3 years of management or leadership experience
• Deep knowledge of HEDIS/NCQA and experience with accreditation processes
• Proficiency in data analysis and reporting, with strong strategic-thinking skills
• Experience with government-sponsored programs such as Medicaid and Medicare