Job summary
Job post source
This job is directly from MetroPlusHealth
Job overview
The Senior Director of Quality Performance Improvement at MetroPlusHealth leads quality management strategies to enhance healthcare quality and member experience across multiple lines of business.
Responsibilities and impact
The role involves developing and executing quality improvement plans, managing a cross-functional team, driving provider engagement strategies, overseeing regulatory projects, and ensuring compliance with quality metrics like HEDIS, CAHPS, and CMS Star Ratings.
Experience and skills
Requires a Master's degree in public health, health administration, or clinical field, 10+ years in healthcare or managed care, strong analytical skills, extensive knowledge of quality metrics, and preferred clinical license with 5+ years clinical experience.
Work environment and culture
MetroPlusHealth values compassion, collaboration, and empowering communities, fostering a proud and inclusive work environment.
Company information
MetroPlusHealth is a subsidiary of NYC Health + Hospitals, providing diverse healthcare services to New York City residents with a large network of providers and a 30+ year history.
Team overview
The Senior Director leads a cross-functional team of clinical and non-clinical staff focused on quality performance improvement.
Unique job features
The position offers leadership in strategic quality initiatives, involvement in regulatory compliance, and influence over provider engagement and member health outcomes.
Company overview
MetroPlusHealth is a New York City-based health insurance provider offering a range of plans including Medicaid, Medicare, Child Health Plus, and Marketplace options. They generate revenue through premiums collected from members and reimbursements from government programs. Established in 1985, MetroPlusHealth is a subsidiary of NYC Health + Hospitals, the largest public health care system in the United States. The company is known for its community-focused approach, providing affordable and high-quality health care services to underserved populations.
How to land this job
Position your resume to highlight leadership in quality performance improvement and strategic vision development in healthcare settings, focusing on managed care and public health systems like MetroPlusHealth.
Emphasize expertise with HEDIS, QARR, CAHPS, HOS, CMS Star Ratings, and regulatory compliance projects, showcasing your ability to drive quality-based provider engagement and cross-functional team leadership.
Apply through multiple platforms including the MetroPlusHealth corporate careers site, NYC Health + Hospitals portal, and LinkedIn to maximize your application visibility and chances.
Connect on LinkedIn with professionals in the Quality Management division at MetroPlusHealth; initiate conversations by referencing recent quality initiatives or expressing admiration for their work in improving healthcare outcomes.
Optimize your resume for ATS by incorporating keywords such as 'quality improvement,' 'HEDIS,' 'CAHPS,' 'CMS Star Ratings,' 'provider engagement,' and 'regulatory compliance' to ensure it passes automated screenings.
Use Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple job portals, and find LinkedIn connections to network with, allowing you to focus your time on preparing for interviews and skill enhancement.
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