Director, HEDIS Business Operations
176000 - 200000 USD per year
Company:Clover Health
Location:United States
Languages:English
Seniority level:Director, 7+ years
Experience:7+ years
Skills:
LeadershipProject ManagementBusiness AnalysisData AnalysisProject CoordinationProduct OperationsCross-functional Team LeadershipOperations ManagementStrategyBusiness OperationsAnalytical SkillsCollaborationStakeholder management
Requirements:
7+ years of experience in healthcare program management and strategy. Led cross-functional programs that align multiple stakeholders toward a common outcome. Highly analytical, able to interpret performance data and translate it into effective interventions. Understand the HEDIS and Stars landscape. Motivated by the business and programmatic levers that deliver results. Thrive in a dynamic, high-stakes environment where success is measured in outcomes, not activity.
Responsibilities:
Lead the business strategy and execution for HEDIS outcomes. Establish and manage incentive structures and provider engagement models. Develop and oversee cross-functional initiatives. Partner with HEDIS Operations for seamless alignment. Own scenario-planning for HEDIS measure cutpoints and Stars implications. Anticipate and prepare for measure evolution. Track and communicate performance outcomes.
