Quality Improvement Program Director

Job Summary

Leading quality improvement initiatives, the full-time salaried Quality Improvement Program Director will manage healthcare quality programs, oversee data collection and reporting, and ensure compliance with NCQA standards in a remote capacity.

Key responsibilities

• Oversees quality programs/projects, including HEDIS performance measurement and quality reporting
• Acts as a subject matter expert, advising senior leadership on quality strategies and managing QI interventions
• Monitors key quality indicators and facilitates cross-functional collaboration to enhance quality reporting and interventions

Required qualifications

• At least 8 years of experience in healthcare, with 5 years in health plan quality improvement/compliance
• Minimum of 3 years in a management or leadership role
• Advanced knowledge of HEDIS/NCQA and experience with NCQA accreditation
• Experience with Medicare Stars programs and government-sponsored programs (Medicaid, Medicare, Marketplace)
• Strong proficiency in data analysis, reporting, and performance measure development