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Posted Mar 26, 2026

Director – HEDIS Improvement and Operations, Preventive Measures

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Job Description: • 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