- Remote, United States
- Remote
- Full-time · Director
- $130K–$162K per year
- 5+ years
Oversee healthcare operational performance and drive continuous improvement across multiple markets in a senior leadership role.
Compensation
Annual compensation ranging from $129,700 to $162,100, depending on experience, qualifications, and relevant skills.
Responsibilities
- Lead and oversee Risk Adjustment (BOI), Quality (HEDIS), and Cost of Care operational programs across at least three markets
- Develop, implement, and maintain standard operating procedures (SOPs), service-level agreements (SLAs), and responsibility frameworks (RACI)
- Collaborate with Central Operations to manage and optimize pre-visit medical record reviews, post-visit coding reviews, medical chart collection, query workflows, and provider engagement processes
- Partner with Market Leaders and local operations teams to monitor performance, identify operational challenges, and implement corrective actions and improvement plans
- Define and monitor key performance indicators (KPIs), conduct root cause analyses, and lead continuous improvement initiatives to standardize best practices across markets
Requirements
- Bachelor's degree in Business Administration, Healthcare Management, Public Health, or a related field
- Nice to have: Master's degree in healthcare administration, business, or a related discipline
- Nice to have: Six Sigma
- Nice to have: Lean certification