Director, CAHPS and HOS Strategy, Execution

🕒 vor 21 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $130.332 - $195.498 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Direktor

👻 Geisterscore 0%

Was es bedeutet: die Wahrscheinlichkeit, dass für diese Stelle niemand wirklich einstellt.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Warum dieser Wert:

• Seit 22 Tagen offen.
• Stellen bei diesem Unternehmen werden meist in 22 Tagen besetzt.

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Alignment Health

WebsiteLinkedInAlle Stellen

501 - 1000 Mitarbeiter

Gegründet 2013

⚕️ Krankenversicherung

🛡️ Versicherung

🏥 Gesundheitswesen

💰 €135.000.000 Series C im 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health engagiert sich für die Bereitstellung umfassender Pflege für Medicare-Mitglieder, wobei der Fokus auf den Bedürfnissen von Senioren, chronisch Kranken und gebrechlichen Personen liegt. Mit der Mission, das Gesundheitswesen für Senioren zu transformieren, nutzt Alignment Health ein maßgeschneidertes Pflegemodell und fortschrittliche Technologie, um qualitativ hochwertige, kostengünstige Gesundheitsdienstleistungen anzubieten. Ihr 24/7-Konzierge-Pflegeteam arbeitet mit vertrauenswürdigen lokalen Anbietern zusammen, um sicherzustellen, dass jedes Mitglied eine individuelle Betreuung erhält, was das Engagement des Unternehmens widerspiegelt, alle Mitglieder als geschätzte Familienmitglieder zu behandeln.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

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

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