HEDIS Performance Improvement Director
2 weeks ago
Elevance Health
HEDIS Performance Improvement Director
MIAMI ,
Florida
Apply Now
Location:
This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The
HEDIS Performance Improvement Director
will support the Enterprise Health Outcomes Organization HEDIS Improvement team and Enterprise Quality Strategy and Management team by providing operational analysis of HEDIS performance across all lines of business.
How you will make an impact:
Facilitate the achievement of all enterprise HEDIS improvement goals by identifying, implementing, and tracking key operational improvement opportunities, projects, and programs.
Create methodologies and processes to implement and track key performance improvement projects across all segments of the business to ensure implemented improvements yield expected outcomes.
Lead the development of key performance indicators and scorecards and ensure that progress against all metrics is reported uniformly across all segments of the business.
Synthesizes and assimilates all HEDIS performance data to inform leadership on appropriate improvement needs.
Create and maintain clear lines of communication with business leaders, and HEDIS performance stakeholders.
Collaborates on the standardization, maintenance, and optimization of performance from all aspects of HEDIS operations.
Contributes to HEDIS improvement planning throughout the enterprise by integrating operational targets with strategic business performance analysis.
This position will frequently work with other members of the Health Outcomes Organization (HOO) and Enterprise Quality Strategy and Management (EQSM) team to prepare, assess, or facilitate presentations or other documents for senior leadership that require broad scope as well as intimate knowledge of the detailed workings of the company.
Requires a BA/BS and a minimum of 10 years of increasingly responsible financial, project and/or operational experience in healthcare; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
MS/BA/BS in healthcare related field
10+ years of experience in HEDIS operations and data management, medical record review, member and provider engagement, CMS Medicare Stars Program, Medicaid and Exchange quality programs and commercial lines of business
10+ years of project management experience and HEDIS operational improvement experience
Adept communication and presentation skills and an ability to provide key updates to leadership and stakeholders with ease
Cross-functional collaborator, facilitator, and champion for positive operational change
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $148,120 to $222,180.
Locations:
District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
#J-18808-Ljbffr
-
HEDIS Business Information Consultant
3 weeks ago
Doral, United States Elevance Health Full timeHEDIS Business Information Consultant Location: This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The HEDIS Business Information Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations, and...
-
Medicare Medical Director Clinical Programs
1 month ago
Doral, United States Elevance Health Full timeWellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans. This is an individual contributor role. This position will work a hybrid model (remote and office). The...
-
Medicare Medical Director Clinical Programs
2 weeks ago
Doral, United States Elevance Health Full timeWellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans. This is an individual contributor role. This position will work a hybrid model (remote and office). The...
-
Medicare Medical Director Clinical Programs
2 weeks ago
Doral, United States Elevance Health Full timeDescription Wellpoint, formerly Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans. This is an individual contributor role. This position will work a hybrid model (remote and...
-
Medical Director- Palliative Care
3 weeks ago
Doral, United States Sanitas Full timeJob Details Job Location Miami Dade - Corporate - Doral, FL Description Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are...
-
Quality Improvement Coordinator
1 month ago
Doral, United States Miami Jewish Health Full timeDescription Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex...
-
Quality Improvement Coordinator
4 weeks ago
Doral, United States Miami Jewish Health Full timeDescription Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex...
-
Medical Director- Palliative Care
1 month ago
Doral, United States Sanitas Full timeJob DetailsJob LocationMiami Dade - Corporate - Doral, FLDescriptionSanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are...
-
Medical Director- Palliative Care
4 weeks ago
Doral, United States Sanitas Full timeJob DetailsJob LocationMiami Dade - Corporate - Doral, FLDescriptionSanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are...
-
Director, Client Accounting
3 days ago
Doral, United States Ascension Global Staffing & Executive Search Full timeJob Description Job Description Ascension Global Staffing & Executive Search, a Hispanic Women Owned & Operated National Recruiting Firm stands at the forefront of innovation and excellence. Led by a visionary team with a deep commitment to diversity and inclusion, our firm is dedicated to identifying and attracting top talent across the nation. With a...
-
Continuous Improvement Engineer
2 months ago
Doral, United States ExtendMyTeam Full timeContinuous Improvement Engineer Location: Miami, FL Role Description : Our partner, a fast-growing Miami-based CPG company is seeking a Continuous Improvement Engineer to join our Warehouse Operations Team based in either Miami, FL, or Jacksonville, FL (relocation assistance provided). The ideal candidate will come from a Lean or Six Sigma background, have a...
-
Continuous Improvement Engineer
2 weeks ago
Doral, United States ExtendMyTeam Full timeContinuous Improvement Engineer Location: Miami, FL Role Description : Our partner, a fast-growing Miami-based CPG company is seeking a Continuous Improvement Engineer to join our Warehouse Operations Team based in either Miami, FL, or Jacksonville, FL (relocation assistance provided). The ideal candidate will come from a Lean or Six Sigma background, have a...
-
Continuous Improvement Engineer
1 week ago
Doral, United States ExtendMyTeam Full timeJob Description Job Description Continuous Improvement Engineer Location: Miami, FL Role Description : Our partner, a fast-growing Miami-based CPG company is seeking a Continuous Improvement Engineer to join our Warehouse Operations Team based in either Miami, FL, or Jacksonville, FL (relocation assistance provided). The ideal candidate will come from a Lean...
-
Director, Business Operations
2 weeks ago
Doral, United States University of Miami - Miller School of Medicine Full timeCurrent Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Department of Medical Education has an exciting opportunity...
-
Manager of Case Management
3 weeks ago
Doral, United States Miami Beach Medical Group Full timeThe Manager of Case Management coordinates all aspects of clinic-based case management to promote patient-centered care, balance optimal care, and manage resource utilization. Duties and Responsibilities: Serve as a case management subject-matter expert, advisor, and leader for the case management team. Supervise, facilitate, and oversee staff development...
-
Manager of Case Management
5 days ago
Doral, United States Miami Beach Medical Group Full timeJob Description Job Description The Manager of Case Management coordinates all aspects of clinic-based case management to promote patient-centered care, balance optimal care, and manage resource utilization. Duties and Responsibilities: Serve as a case management subject-matter expert, advisor, and leader for the case management team. Supervise, facilitate,...
-
Territory Performance Manager
3 days ago
Doral, United States Avis Budget Group International Full timeHere at Avis Budget Group we're more than just rentals—although over 70 years of experience and 11,000 locations in 180 countries has taught us a thing or two about that. We’re shaping the future of the mobility industry with our innovative, customer-focused solutions. Our globally recognized brands - Avis, Budget, Budget Truck and Zipcar - connect...
-
Head of Performance Marketing
3 hours ago
Doral, United States NOVO Full timeAbout the Role: Novo is looking for an exceptional, high-performing, and passionate Head of Performance Marketing to lead the strategic acceleration of the company's growth ambitions. Reporting to the EVP of GTM, the Head of Performance Marketing will lead our Performance Marketing Team, owning the strategy, innovation, execution, and growth of our...
-
Director of Marketing
3 weeks ago
Doral, United States Suncaptech Full timeWe are an online retailer of professional skincare and beauty products. We are seeking an experienced, strategic, and results-driven Director of Marketing with a focus on Pay-Per-Click (PPC) advertising, Email Marketing, Creative Strategy, and managing HR related to all marketing initiatives. The ideal candidate will have a proven track record of...
-
Clinical Program Director
3 weeks ago
Doral, United States Healogics Full timeThe rewards at Healogics are immense, starting with the important work we do to change patients' lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider...
