Director – HEDIS Improvement and Operations, Preventive Measures
Humana
full-time
Posted on:
Location Type: Remote
Location: Kentucky • United States
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Salary
💰 $150,000 - $206,300 per year
Job Level
About the role
- Overseeing the implementation, management, and continuous improvement of the Healthcare Effectiveness Data and Information Set (HEDIS) initiatives
- Develop and implement strategies to improve clinical quality and performance metrics
- Serve as an internal expert on HEDIS Preventive Measures technical specifications
- Lead and be accountable for enterprise HEDIS performance
- Accelerate shared accountability for HEDIS improvement
- Develop and manage a strategic portfolio of improvement initiatives targeting key drivers of HEDIS performance
- Collaborate with cross-functional teams
- Own initiative performance oversight
- Develop strategic recommendations for program evolution and policy advocacy
- Oversee budget, vendor relationships and program delivery
- Lead and develop a team of high-performing direct reports
Requirements
- Bachelor’s Degree
- 8+ years of experience in Medicare Advantage Stars and/or HEDIS
- 5 years or more of people leadership experience
- Demonstrated experience leading complex, cross-functional operations in a Medicare Advantage or clinical quality environment
- Experience leading a portfolio of complex initiatives with a proven track record of delivering measurable performance improvement
- Experience driving enterprise strategy
- Exceptional written and verbal communication skills
- Proven ability to influence without authority
- Ability to interpret and leverage data and analytics to improve strategy and make recommendations
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HEDISMedicare Advantageclinical qualityperformance metricsdata analyticsstrategic portfolio managementprogram deliverybudget managementvendor relationship managementpolicy advocacy
Soft Skills
leadershipcommunicationcollaborationinfluence without authoritystrategic thinkingperformance oversightteam developmentaccountabilityrecommendation developmentcross-functional operations
Certifications
Bachelor’s Degree