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Director, Stars and Quality Programs



Quality Assurance
Nashville, TN, USA
Posted on Tuesday, June 18, 2024

Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient’s conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

Does this sound like you? If so, we should talk.

Who We Are

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

For us, it’s all in an Honest day’s work.

Your Role

As Director, Stars and Quality Programs, you will drive success by supporting the high-quality care of patients in Honest’s partner organizations, and act as a subject matter expert on Medicare Advantage, ACO REACH, and other Medicare value-based care program quality metrics and performance strategies. The Director, Stars and Quality Programs is responsible for developing the strategies for Star ratings and other quality programs as well as implementing them across field teams and practice partners to meet quality goals. The Director, Stars and Quality Programs will also oversee day to day performance and operations of the Quality team and provide quality training as needed to field teams and practice partners.

Primary Functions Include:

  • Lead the Quality Team to ensure a high level of engagement, execution, and performance results.
  • Design, develop and implement quality work plans to ensure optimal performance across all provider partners.
  • Provide subject matter expertise and champion quality programs and culture throughout the organization.
  • Develop educational materials for internal and external stakeholders. Partner with Honest Medical Group’s Clinical Learning Team to incorporate quality training into onboarding for all new hires.
  • Serve as a subject matter expert and interpret applicable CMS, NCQA, etc. guidelines and requirements to support program enhancements, product development, and work plans.
  • Collaborate with internal Risk Adjustment/CDI teams to ensure organizational alignment with vendors, chart review, etc.

How You Qualify

  • Bachelor's degree in healthcare administration or similar field required
  • 7+ years of experience working in health care quality
  • 3+ years of experience with Star Ratings, HEDIS, and ACO REACH quality
  • 3+ years of experience leading teams and developing talent
  • Demonstrable working knowledge of and experience with Electronic Health Records (EHRs)
  • Experience with risk adjustment preferred
  • Some travel required, up to 25%
  • Proficiency with Excel, Word, PowerPoint and Adobe PDFs,
  • Data analytics experience preferred

How You are Supported

  • As a full-time team member, you will benefit from Honest’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
  • Family friendly policies that support paid parental leave and flexible work arrangements
  • As a team member you’ll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest.
  • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest’s high-quality, value-based, care model.

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@HonestMedicalGroup.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Medical Group contacts candidates via various platforms, including Honest’s recruiting platform and/or email or text message. If working with candidates directly, Honest will contact candidates using an honestmedicalgroup.com email address. For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment. Honest will never ask for an individual’s confidential personal information or financial account information (i.e., social security number or bank account and/or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to talent@honestmedicalgroup.com.