About this role
About the Role The Director, Quality & Population Health is responsible for leading quality improvement initiatives that support performance across HEDIS, Medicare Stars, CAHPS, HOS, Patient Safety, and related quality programs. This role collaborates with clinical, operational, provider, and analytics teams to improve member outcomes, close care gaps, enhance provider performance, and advance organizational quality goals. The Director provides leadership for quality programs, delegated services, provider engagement, population health initiatives, regulatory compliance, and operational performance while supporting the development of high-performing teams. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Quality Strategy & Performance Design and lead quality improvement strategies and programs across assigned business units and markets. Develop and execute initiatives that improve care gap closure, member outcomes, provider performance, and quality ratings. Collaborate with Quality, Risk Adjustment, Care Coordination, Clinical Operations, Population Health, Analytics, and Provider Relations teams to achieve organizational objectives. Partner with Data Analytics teams to identify opportunities for quality improvement and performance optimization through actionable reporting. Provider & Population Health Management Design and implement operational workflows supporting quality measure closure, care coordination, transitions of care, annual wellness visits, and engagement of high-risk populations. Drive provider education and engagement initiatives that improve provider performance and adoption of value-based care programs. Support health equity initiatives, Social Determinants of Health (SDoH) strategies, and population health management programs. Leadership & Organizational Development Lead and develop managers, supervisors, and team members while fostering a culture of accountability, innovation, collaboration, and continuous improvement. Support mergers, acquisitions, integrations, and organizational growth initiatives by ensuring successful implementation and alignment of quality programs. Be a culture-forward force for good