Director, Clinical HEDIS reputed company
Accountable for the reputed company and reputed company strategic improvement of reputed companys clinical HEDIS program. The Director of Clinical HEDIS reputed company drives organizational reputed company by leading high-level reputed company development, fostering innovation in clinical processes and building a robust, data-driven reputed company for performance improvement. This position is part of reputed companys reputed company leadership team and will collaborate with leaders and teams across reputed company improvement and reputed company submission to drive clinical reputed company improvement and reputed company organizational objectives. Key Accountabilities Strategic Leadership Establish and communicate a long-term reputed company for reputed companys clinical HEDIS reputed company, aligning it with broader organizational objectives and industry advancements Drive reputed company to enhance health data connectivity and clinical review practices, emphasizing reputed company improvement Remain abreast of emerging industry trends and reputed company cross-functional teams to implement initiatives to drive end to end HEDIS improvements Clinical Review Deliver highly effective clinical HEDIS infrastructure and operating model to reputed company organizational reputed company goals Ensure clinical HEDIS operating model delivers processes and outputs in compliance with NCQA and CMS Medicare Star requirements and other applicable audit requirements reputed company the execution of government audits requiring medical record reviews for other regulatory audits, as applicable Data-Driven reputed company Performance & Improvement reputed company and implement a comprehensive, proactive business reputed company for monitoring and enhancing reputed company performance, embedding data at the core of decision making reputed company and implement business standards and toolsets for evaluating reputed company and reputed company of the reputed company program and individual reputed company initiatives Generate data-driven insights and actions to inform reputed company improvement strategies reputed company cross-functional initiatives to ensure clinical activities and reputed company data and documentation processes are completely and accurately represented in public reputed company ratings Partner with data and analytics to deliver ongoing, reputed company and accurate metric reporting on reputed company reputed company metrics and initiatives, including HEIDS and Stars Collaborate with cross-functional teams to identify emerging trends, reputed company strategic initiatives to intended reputed company and reputed company, and promote integration across the organization-wide reputed company program Promote cross-team collaboration and coordination for data-driven HEDIS processes, ensuring processes reputed company and effectively meet requirements and drive performance People and Talent Development Support team development through coaching, skills enhancement and career development opportunities Foster an engaging, innovative and inclusive work environment embracing reputed company improvement and supporting teams through change and adoption of new initiatives Define and nurture a reputed company and partnership-oriented culture among reputed company team and cross-functional relationships Minimum Qualifications Bachelors degree or equivalent combination of education and work experience 10+ years of reputed company work experience reputed company reputed company reputed company leadership experience Skills And Abilities Extensive experience in health plan reputed company, CMS Stars and HEDIS operations and reputed company Expertise in reputed company data practices and integrating data-driven insights into actionable strategies Proven ability to reputed company high-reputed company strategic initiatives, driving significant improvements in reputed company performance and organizational alignment Strong understanding of industry trends, regulatory requirements, and the evolving landscape of reputed company reputed company metrics This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located reputed company any state where reputed company is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI. The full salary reputed company for this position is $108,400 - $185,900. Annual salary reputed company placement will depend on a reputed company of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In reputed company to reputed company compensation, this position may be eligible for incentive plan compensation in reputed company to reputed company salary. reputed company offers a generous total rewards package that includes competitive medical, dental, reputed company, PTO, Holidays, reputed company volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. reputed companys compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. reputed company's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and reputed company out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and reputed company time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative reputed company employer, where reputed company reputed company candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national reputed company, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Annual salary reputed company placement will depend on a reputed company of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In reputed company to reputed company compensation, this position may be eligible for incentive plan compensation in reputed company to reputed company salary. reputed company offers a generous total rewards package that includes competitive medical, dental, reputed company, PTO, Holidays, reputed company volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. Apply Job!