SVP Quality Health Equity

Job Summary

A company is looking for an SVP Quality Health Equity & Risk Adjustment.

Key Responsibilities

• Oversee Quality and Health Equity Programs, ensuring compliance with NCQA, CMS, and ACA certification requirements
• Manage HEDIS report production and vendor management, while supporting quality program analytics
• Lead performance improvement initiatives across all lines of business and geographies

Required Qualifications, Training, and Education

• Master's or Doctorate degree in a healthcare or technical field
• Minimum of 10 years of experience in a multi-state, multi-product health plan organization
• Experience in Medicaid, Medicare, and ACA Managed Care
• Proven background in health plan quality initiatives and HEDIS reporting
• Familiarity with NCQA and HEDIS vendors and health plan technology applications