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VP, Health Plan Quality Director
2 months ago
We are seeking a highly experienced and skilled VP, Health Plan Quality to lead our Quality and Performance Improvement initiatives. As a key member of our leadership team, you will be responsible for developing and implementing comprehensive strategic plans to ensure the highest standards of care and service for our members.
Key Responsibilities- Develop and implement strategic plans for Health Plan Quality Programs in alignment with VNS Health's mission and objectives.
- Provide leadership, oversight, and guidance to maintain the highest levels of clinical quality and member experience across all Health Plan products.
- Monitor and analyze Medicare Stars and quality performance metrics, identifying areas for improvement and developing data-driven solutions.
- Oversee the performance of Health Plans Quality Programs, emphasizing continuous quality improvement and member satisfaction.
- Lead cross-functional initiatives between VNS Health departments to ensure alignment with quality objectives and regulatory requirements.
- Maintain relationships with external vendors and provide ongoing support to manage initiatives that impact quality and member experience.
- Utilize member feedback and data analytics to identify trends and opportunities to improve member satisfaction and member experience.
- Foster a culture of member-centricity throughout the Health Plans, ensuring that member needs and expectations are met or exceeded.
- Bachelor's Degree in nursing, health care, or equivalent work experience required.
- Master's Degree in nursing, health care, or equivalent work experience preferred.
- Minimum of eight (8) years of progressive leadership in quality improvement with specific managed care experience and five (5) years of progressive managerial experience in healthcare required.
- Extensive knowledge of managed care regulations and quality standards and improvement methodologies required.
- Proven track record of leading successful quality improvement initiatives and improving performance metrics required.
VNS Health offers a competitive compensation package, including a salary range of $216,289,200.00 annual, as well as a comprehensive benefits package, including health insurance, paid time off, and tuition reimbursement.
