Director, Star Ratings & Quality Programs
Director, Star Ratings & Quality Programs
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Job Description
Who You Are
Youre a collaborative professional driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare dont deter youinstead you see them as opportunities to find innovative solutions that benefit the partners people and communities we serve. Honest Healths commitment to purpose innovation communities and kindness resonates with you inspiring you to bring commitment creativity and compassion into your work. Youre ready to join a team focused on reimagining primary care for a healthier future that benefits all.
Does this sound like you If so we should talk.
Who We Are
At Honest Health we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholdersfrom health systems physician organizations and payers to providers practices and patients to deliver innovative solutions that elevate care control costs and support long-term health. Guided by our core values were creating a value-driven model that creates lasting benefits for everyone now and into the future.
For us thats just an Honest days work.
Your Role
In this key role you will lead Honest Healths Star Ratings and Quality Programs strategy driving clinical excellence across our provider network and payer contracts. Collaborating with partner organizations and Honest Health market teams you will craft and execute strategies that elevate patient care and ensure compliance with Medicare Advantage ACO REACH and other quality metrics. Youll translate complex requirements into actionable plans offering expert guidance to teams while demystifying CMS and NCQA standards.
In this role you will provide visionary leadership to the Clinical Quality Teamcomprising our patient outreach team program managers and provider experience coordinatorfostering a collaborative culture that drives continuous improvement and the achievement of quality goals. By actively engaging and guiding each team member you will empower the group to deliver exceptional patient care while shaping educational resources and integrating quality-focused learning into onboarding and professional development. Your leadership will reinforce Honest Healths commitment to excellence and measurable impact in primary care.
Primary Functions of the Director Star Ratings & Quality Programs Include:
- Provide dynamic leadership to the Quality Team fostering a culture of engagement accountability and collaboration to consistently achieve and exceed quality and performance targets across the organization.
- Design develop and execute comprehensive quality work plans tailored to the needs of diverse provider partners ensuring measurable improvements in Star Ratings ACO REACH and other quality program metrics as well as the achievement of practice-specific quality goals.
- Act as the primary subject matter expert on quality programs advocating for a quality-driven mindset throughout Honest Health and serving as a resource for internal teams practice partners and external stakeholders.
- Interpret explain and operationalize complex regulatory guidelines and quality standards from CMS NCQA and other governing bodies supporting the continuous enhancement of quality programs product offerings and strategic work plans.
- Collaborate closely with internal Care Management and Clinical Documentation Improvement (CDI) teams to align strategies and processes optimize vendor relationships and ensure effective chart review and data integrity workflows.
- Undertake additional responsibilities as needed proactively addressing emerging challenges and contributing to organizational initiatives that support Honest Healths mission and values.
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
- Bachelors degree in healthcare administration or similar field required
- 7 years of experience working in health care quality
- 3 years 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
- Occasional travel to Nashville or clients as needed
- Proficiency with Excel Word PowerPoint and Adobe PDFs
- Data analytics experience preferred
The base pay range for this role is $129700.00 - $152300.00. Compensation takes into account several factors including but not limited to a candidates experience education skills licensure and certifications and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.
How You are Supported
Full time team members may be eligible for:
Competitive Compensation
- Attractive base salary with performance-based bonuses and rewards
- 401(k) plan with a generous company match fully vested from day one
Comprehensive Health and Wellness Benefits
- Flexible health dental and vision insurance options tailored to your needs
- Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
- 100% company-paid short-term disability long-term disability and life insurance
- Wellness programs and resources to support your physical and mental health
Work-Life Balance
- Generous paid time off including vacation sick leave and 11 paid holidays annually
- Two paid volunteer days to support causes youre passionate about
- Flexible work arrangements to accommodate your lifestyle
Professional Development
- Robust onboarding program and ongoing training opportunities
- Reimbursement for role-related continuing education and certifications
Family-Friendly Policies
- Paid parental leave for new parents
- Dependent care flexible spending accounts
- Support for work-life integration
Collaborative and Purpose-Driven Environment
- Work alongside professionals who share your commitment to Honests high-quality value-based care model
- Opportunities to contribute to meaningful projects and initiatives
Additional Perks
- Team member recognition programs
- Team-building events and social activities
Join us and experience a rewarding career where your contributions are valued and your growth is supported.
Honest Health is committed to ensuring fairness opportunity strong teams and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit without regard to race color religion sex national origin disability Veteran status or other legally-protected characteristics.
Honest Health 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 for assistance. Reasonable accommodation will be determined on a case-by-case basis.
Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform email or text message. When working directly with candidates Honest Health will always use an email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.
To safeguard your personal information Honest Health will never ask for confidential detailssuch as social security numbers bank accounts or routing numbersbefore making a formal offer. We will also never request financial transactions PINs passwords or security access details through email text Venmo or any social media platform.
We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication please reach out to our team at.
Required Experience:
Director
Employment Type
Full Time
