2 дня назад
Director, Enterprise Activation Provider Performance Strategy (Healthcare)
150 000 - 206 300$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Director, Enterprise Activation Provider Performance Strategy (Healthcare): Building and optimizing enterprise provider performance infrastructure for Medicare Stars with an accent on reporting, dashboards, technology enablement, connectivity, incentives, and data quality. Focus on designing scalable provider programs, integrating Compass and Availity solutions, optimizing vendor performance, and improving quality outcomes through actionable provider insights.
Location: Remote nationwide within the United States; occasional travel to offices for training or meetings may be required.
Salary: $150,000–$206,300 per year, plus eligibility for a bonus incentive plan.
Company
is a U.S. healthcare and insurance company providing Medicare, Medicaid, and healthcare services through and CenterWell.
What you will do
- Lead enterprise provider performance strategy, governance, reporting, dashboards, and performance management tools for Medicare Stars.
- Define business requirements and advance provider technology and connectivity across Compass, Availity, POCA, data feeds, supplemental data submission, interoperability, and workflow solutions.
- Manage governance, performance evaluation, ROI realization, and optimization of provider-focused Stars programs and strategic vendors.
- Develop provider engagement, segmentation, activation, and optimization strategies across Markets, Stars, Provider organizations, and enterprise partners.
- Partner with Clinical, Digital, Analytics, Operations, IT, Markets, Provider Enablement, and external provider organizations to improve quality performance and member outcomes.
Requirements
- Bachelor’s degree.
- 8+ years of progressively responsible leadership experience in Medicare Advantage, provider performance, quality improvement, population health, healthcare analytics, provider engagement, or related fields; alternatively, 5 years at a top-tier consulting firm.
- 3+ years of experience with Medicare Advantage Stars, HEDIS, quality measurement, and provider performance improvement.
- Experience developing provider reporting, performance management, provider engagement, or experience strategies.
- Experience analyzing provider quality and performance data and leading enterprise-wide initiatives across multiple business functions.
- Strong strategic planning, business analysis, program management, and stakeholder management skills.
Nice to have
- Experience supporting provider groups, value-based care arrangements, and National Strategic Providers.
- Experience with provider-facing technology platforms, digital provider solutions, and strategic vendor relationships.
- Experience with healthcare interoperability, APIs, FHIR, HL7, and healthcare data exchange models.
Culture & Benefits
- Remote work with occasional travel for training or meetings.
- Dedicated, interruption-free workspace required to protect member PHI and HIPAA information.
- Home internet requirements include at least 25 Mbps download and 10 Mbps upload speeds.
- Medical, dental, and vision coverage; 401(k); paid time off and holidays; parental and caregiver leave; disability and life insurance.
- Telephone equipment is provided for home or hybrid home/office employees.
Hiring process
- Interviewing may include HireVue technology.
- Application deadline: September 2, 2026.
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