Director, Quality Improvement

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide strategic direction for the organization’s quality management, performance enhancement, and compliance initiatives.

• Develop and implement the enterprise quality strategy.

• Propel enhancements in clinical outcomes, member experiences, patient safety, regulatory performance, and operational efficiency.

• Collaborate with clinical, operational, and health plan stakeholders.

• Utilize data, member insights, and best practices to achieve sustainable quality improvements.

• Advance HEDIS, Medicare Stars, and satisfaction metrics.

• Establish and manage frameworks for quality measurement, reporting, and performance monitoring.

• Convert quality data and performance trends into actionable insights, recommendations, and executive-level reporting.

• Facilitate decision-making and support continuous improvement efforts.

• Oversee quality assurance, improvement, and audit programs.

• Ensure adherence to regulatory, accreditation, contractual, and organizational standards.

• Drive risk reduction, change management, and stakeholder engagement initiatives.

• Enhance care quality, patient safety, operational performance, and external collaborations.

• Lead, mentor, and cultivate a high-performing team.

• Promote accountability, ongoing learning, and alignment with the organization’s values.

• Work remotely utilizing company-provided equipment.

⛳️ Requirements

• Bachelor’s degree in business, Marketing, Health Administration, or a related discipline.

• Over 8 years of experience in a member or customer experience role, preferably within a healthcare, tech, or behavioral health context.

• At least 3 years in a leadership position managing cross-functional teams.

• Strong knowledge of behavioral health strategies and concepts.

• Proven experience leading enterprise-level quality improvement efforts and achieving measurable performance outcomes.

• Experience collaborating with health plans, accreditation bodies, regulatory agencies, and clinical stakeholders.

• Familiarity with HEDIS, Medicare Stars, quality metrics, accreditation standards, and regulatory requirements is preferred.

• Competence in utilizing data analytics and performance reporting to guide strategic decision-making and quality enhancement initiatives.

• Proficiency in Microsoft Office Suite.

• Ability to successfully pass a background check upon hire and throughout employment.

• Capable of completing education and employment verification, FACIS Level I screening, a 10-panel drug screening, and E-Verify requirements.

• Strong analytical and problem-solving abilities.

• Aptitude for translating complex data into actionable insights.

• Demonstrated capability to lead organizational change, manage competing priorities, and achieve results in a complex healthcare setting.

• Excellent communication, presentation, and stakeholder management skills.

• Ability to influence executive leaders and cross-functional teams.

• Competence in developing and executing strategic initiatives that enhance clinical quality, member experience, patient safety, and operational performance.

• Must operate from a quiet home workspace with minimal background noise.

• High-speed internet service is required, with a minimum download speed of 20 Mbps, upload speed of 5 Mbps, and maximum latency of 100 milliseconds, to be installed prior to starting.

🏝️ Benefits

• Annual performance-based, discretionary incentive.

• Coverage for medical, dental, and vision.

• 401(k) plan with a competitive employer match.

• Company-sponsored life and disability insurance.

• Paid parental leave and wellness incentives.

• Generous paid time off, including time for volunteering.

• Flexible spending accounts for healthcare and dependent care.

• Opportunities for professional development and tuition reimbursement.

• Flexibility for remote work (role-dependent).

• Company-provided equipment.

• Potential for significant personal and professional growth.