Director of Clinical Operations, Quality & Performance Programs
Core
Lead strategic and operational excellence for healthcare quality programs, clinical data systems, and contact center operations to close quality gaps and improve outcomes.
Role type
Director of Clinical Operations, Quality & Performance Programs
Builds
Scalable quality workflows, staffing models, and client-facing performance programs
Domain
Digital Health / Healthcare Quality / Medicare Star Ratings (STARS) / HEDIS
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Healthcare quality operations, Medicare STARS program metrics, HEDIS reporting, risk adjustment, Looker (BI), EMR platforms, cloud-based contact center telephony, WFM & staffing calculations
Preferred skills
Client management (corporate healthcare/payers), end-to-end measure closure, strategic STARS planning, executive presentation, vendor & scaling experience
Technologies
Looker, EMR platforms, IVR, dialer strategies, G Suite / Google Workspace
Responsibilities
Drive strategy and execution for closing clinical quality gaps (STARS/HEDIS), develop complex staffing models based on throughput data, rapidly scale team size and workflows for volume surges, facilitate operational reviews (Daily/Weekly/Monthly Business Reviews), act as primary operational point of contact for clients, lead preparation for external and client-led audits, conduct call listening and calibration sessions, oversee telephony setups and EMR systems, manage third-party contractors and vendors
Seniority
Director, strategic leadership & team development
