Hybrid Senior Director, Quality Ratings – Network Performance

at Community Health Plan of Washington

• Job title: Senior Director, Quality Ratings – Network Performance
• Job type: Full Time
• Experience level: Senior
• Salary: $180,000 - $210,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Seattle, United States

About the role

• Senior Director improving healthcare quality ratings and provider performance for Community Health Plan of Washington. Overseeing strategic initiatives focused on Medicaid and regulatory compliance.

Responsibilities

• The Senior Director, Quality Ratings and Network Performance leads strategic initiatives to improve health plan quality ratings and provider performance, with a focus on Medicaid, Exchange, and D-SNP populations.
• This role is responsible for collaborating across the organization with other key stakeholders and leaders to drive measurable improvements in official HEDIS, HOS, and CAHPS performance and reporting.
• Oversee strategies for data collection and validation for official HEDIS, CAHPS and HOS reporting to regulatory bodies.
• Facilitate and/or oversee the organization’s cross-functional Star Improvement Committee, as well as cross-departmental collaborative meetings focused on Health Plan rating measure strategies.

Requirements

• Possess a Bachelor’s degree in healthcare administration, public health, nursing, healthcare economics, or related field, a Master’s degree is highly preferred.
• Have ten (10) + years of experience in healthcare quality, performance improvement, or healthcare analytics, with a focus on Medicaid, Exchange and/or D-SNP.
• Have a minimum of seven (7) years of progressive leadership experience.
• Possess a deep knowledge of CMS Stars, HEDIS, CAHPS, HOS and Medicaid-specific quality programs.
• Have proven leadership in managing cross-functional teams and complex initiatives.
• Are highly skilled in analytics, communication, and strategic planning.

Benefits

• Medical, Prescription, Dental, and Vision
• Telehealth app
• Flexible Spending Accounts, Health Savings Accounts
• Basic Life AD&D, Short and Long-Term Disability
• Voluntary Life, Critical Care, and Long-Term Care Insurance
• 401(k) Retirement and generous employer match
• Employee Assistance Program and Mental Fitness app
• Financial Coaching, Identity Theft Protection
• Time off including PTO accrual starting at 17 days per year
• 40 hours Community Service volunteer time
• 10 standard holidays, 2 floating holidays
• Compassion time off, jury duty pay.