Director, CAHPS and HOS Strategy, Execution

🕒 Outubro 20

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $130.332 - $195.498 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Alignment Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2013

⚕️ Seguro de Saúde

🛡️ Seguros

🏥 Saúde

💰 $135.000.000 Series C em 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health está comprometida em fornecer cuidados abrangentes para membros do Medicare, enfatizando as necessidades dos idosos, dos cronicamente doentes e daqueles que são frágeis. Com a missão de transformar a saúde dos idosos, a Alignment Health utiliza um modelo de atenção personalizado e tecnologia avançada para oferecer serviços de saúde de alta qualidade e baixo custo. Sua equipe de atendimento de concierge 24 horas por dia, 7 dias por semana, colabora com provedores locais confiáveis para garantir que cada membro receba um atendimento personalizado, refletindo o compromisso da empresa em tratar todos os membros como membros valiosos da família.

Descrição

• Translate enterprise-wide CAHPS/HOS strategies into detailed operational roadmaps • Own the project lifecycle for member experience initiatives supporting 5-Star performance • Direct the annual refresh, maintenance, and field implementation of the Provider Playbook • Ensure CMS Access to Care interventions are executed at clinic and group level • Analyze CAHPS/HOS data and performance metrics to identify trends and improvement opportunities • Develop action plans with operational leaders and network providers • Maintain 60%+ field presence for in-person provider performance reviews and onsite strategy implementation • Leverage provider partnerships and high-impact providers to improve member experience • Implement and monitor provider incentive programs aligned with measurable CAHPS/HOS improvements • Collaborate with Stars, Member Services, Member Retention, Network Management, and Quality teams • Serve as subject matter expert on CAHPS/HOS methodologies and regulatory changes • Prepare performance updates for senior leadership and highlight intervention ROI • Promote service excellence, empathy, and continuous improvement • Oversee assigned staff, including recruiting, training, workload assignment, performance appraisal, coaching, counseling, and performance management • Perform other duties and projects as assigned

🎯 Requisitos

• 10+ years of progressive leadership experience in healthcare quality, member experience, and provider performance improvement • Experience working in health plans, provider organizations, or quality-focused healthcare settings • Proven track record of moving CAHPS/HOS metrics within a Medicare Advantage environment • Hands-on experience driving provider engagement with demonstrated results in CAHPS and HOS performance improvement • Working knowledge of provider contracting, including integrating Quality/Stars components into agreements • Bachelor’s degree in Public Health, Healthcare Administration, Business, or related field • Deep understanding of CAHPS and HOS methodologies, CMS Star Ratings, and quality improvement frameworks • Ability to lead cross-functional initiatives and deliver measurable improvements in member experience • Effective written and oral communication skills • Ability to perform mathematical calculations and calculate simple statistics correctly • Ability to prioritize multiple tasks and apply advanced problem-solving and reasoning • Organizational and time management skills; ability to work in a fast-paced environment • Ability to comprehend and analyze statistical reports • Consistent field presence of at least 60% for in-person provider engagements and onsite implementation • Expertise in CAHPS/HOS survey methodology, regulatory changes, and CMS guidance • Executive autonomy and ability to communicate complex data insights to executive leadership • Ability to meet the listed physical functions, with reasonable accommodations as applicable

🏖️ Benefícios

• Opportunity for growth and innovation • Equal employment opportunity and affirmative action

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