Director of Operations, Quality

Monogram Health

. Facilitate Quality Committee meetings and prepare the Quality deck for the Board of Directors .

Posted 4/21/2026full-timeRemote • Tennessee • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Facilitate Quality Committee meetings and prepare the Quality deck for the Board of Directors
Responsible for ensuring Quality-related accreditations (e.g., NCQA) are met and executed upon on an annual basis
Develop innovative initiatives in partnership with clinician leaders to drive efficient and effective clinical outcomes
Educate internal and external parties on the Star Rating system and Risk Adjustment history, changes, and where programs are moving forward
Liaison and represent Quality Team with various clients as it relates to value-based care initiatives and reporting
Present both internally and externally overview and specific findings to relative parties to ensure understanding and next steps
Analyze data to determine areas of opportunity and develop actions plans to address the identified gaps, aligned with Star Ratings, Risk Adjustment, and NCQA quality measures
Collaborate to enhance the clinical workflow to address the needs of the department in an efficient and comprehensive manager
Review and assist in the development of reporting around Stars and Risk Adjustment to help gain insights into key areas of opportunity and drive strategic initiatives
Assist in the development of overall quality program, including Star Ratings, Risk Adjustment, and NCQA-aligned quality standards, to support high-quality patient care and organizational performance
Alleviate operational barriers as they are addressed with conflicting and compromising business initiatives across the organization

Requirements

What you’ll need

Bachelor’s degree required, Master’s degree in healthcare or related field preferred
Minimum of five (5) years of experience in the healthcare industry, with preference for medical group, provider, or value-based care environments, including a minimum of three (3) years of Medicare Star Rating and Risk Adjustment experience
Proficiency in data visualization and reporting tools (e.g., Power BI) to analyze dashboards and drive data-informed decision making
Proficiency in Microsoft Office Suite, particularly Excel and PowerPoint, for data analysis, reporting, and development of executive-level materials
Proven ability to influence cross-functional stakeholders, including clinical and executive leadership, in a matrixed environment
Strong presentation skills with the ability to convey complex data and insights to diverse audiences
Experience translating complex data into actionable operational strategies that influence clinical workflows and outcomes
Business acumen with the ability to connect quality performance to financial and operational outcomes
Demonstrated success in leading change and driving adoption across distributed clinical teams

Benefits

Comp & perks

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data visualizationreportingdata analysisMedicare Star RatingRisk Adjustmentquality program developmentclinical workflow enhancementstrategic initiativesquality standardsaccreditation compliance

Soft Skills

influencepresentation skillscross-functional collaborationcommunicationchange managementoperational strategy developmentstakeholder engagementproblem-solvingleadershipbusiness acumen

Certifications

Bachelor's degreeMaster's degree in healthcare or related field