Director, CAHPS and HOS Strategy, Execution

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $130.3k - $195.5k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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