✨ About The Role
- Lead and direct process improvement activities to provide more efficient and streamlined workflow
- Responsible for quality improvement aspects of risk adjustment processes for all products
- Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products
- Oversee provider satisfaction surveys and implement action plans for improvements
- Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines
âš¡ Requirements
- Ideal candidate will have a Bachelor's degree in Nursing, a related clinical degree, or equivalent experience
- Requires 7+ years of quality management, quality improvement, or healthcare operations experience
- Experience with National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance is preferred
- Must have experience collaborating with Medicare STARS team to improve overall STARS ratings for Medicare products
- Strong organizational skills and ability to lead and collaborate with internal and external stakeholders