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Blue Shield of CA

Senior Director, Quality (Medicare Stars) - Strategic

Blue Shield of CA, Baltimore, Maryland, United States, 21276


Your Role

Reporting to the Vice President, Medicare, this national role of the Sr. Director, Quality (Medicare Stars) will lead and manage the strategic direction, development and execution of quality improvement programs for Medicare health plans. This role is crucial in ensuring that a health plan meets or exceeds regulatory standards, such as those set by the Centers for Medicare & Medicaid Services (CMS) and achieves high ratings in Medicare's Star rating system. In this role, strategic vision, data-driven decision-making, and strong knowledge of Medicare quality standards and regulations are essential for success.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

Typically requires a college degree or equivalent experience, and a minimum of 10 years prior relevant experience including 8 years of management experience5+ years of healthcare experience leading larger cross functional programs requiredExpert knowledge of Medicare Stars requiredPrevious experience leading quality and performance improvement for a health plan requiredHighly motivated individual with the ability to work independently in a fast-paced environment with changing prioritiesAbility to interact with all levels of leadership, influence change and lead cross-functional teams and initiatives

Pay Range:The pay range for this role is: $188,540.00 to $282,810.00 for California.

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