Director, CAHPS and HOS Strategy, Execution

🕒 il y a 17 jours

🇺🇸 États-Unis – Télétravail

💵 $130 332 - $195 498 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Alignment Health

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2013

⚕️ Assurance santé

🛡️ Assurance

🏥 Santé

💰 €135 000 000 Series C en 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health se consacre à fournir des soins complets pour les membres de Medicare, en mettant l'accent sur les besoins des personnes âgées, des personnes atteintes de maladies chroniques et des personnes fragiles. Avec pour mission de transformer les soins de santé pour les seniors, Alignment Health utilise un modèle de soins personnalisé et une technologie avancée pour offrir des services de santé de haute qualité à faible coût. Leur équipe de soins de conciergerie disponible 24h/24 et 7j/7 collabore avec des prestataires locaux de confiance pour s'assurer que chaque membre reçoit des soins personnalisés, reflétant l'engagement de l'entreprise à traiter tous les membres comme des membres de la famille précieux.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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

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