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 experience
- 5+ years of healthcare experience leading larger cross functional programs required
- Expert knowledge of Medicare Stars required
- Previous experience leading quality and performance improvement for a health plan required
- Highly motivated individual with the ability to work independently in a fast-paced environment with changing priorities
- Ability 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.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.