| HEDIS Program Director Job Description |
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| The following is a full job description for HEDIS Program Director. Here are the requirements and responsibilities for HEDIS Program Director along with statistics. If after reading this page you determine that HEDIS Program Director is not the position you are looking for, you may want to try one of these similar titles: Program Management Office Director, Program Manager, CRM Program Director, Director of Medicare STARS Program, Medicare Program Development Director, Medicaid Program Development Director, Program Director - Social Service, Engineering Program Management Director, Program Supervisor |
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| Requirements and Responsibilities For HEDIS Program Director |
| Directs the organization's HEDIS quality reporting and improvement program to ensure accurate measure capture and drive gains in clinical quality performance. Provides knowledge and oversight of HEDIS measures and compliance to drive continuous improvement of quality, effectiveness, and safety of health plans. Oversees annual HEDIS data collection and submission to NCQA and applicable regulators. Develops improvement strategies and provider-facing interventions to close care gaps across preventive, chronic, and behavioral health measures. Ensures compliance with NCQA technical specifications, audit requirements, and reporting deadlines. Manages departmental staff, budgets, and analytics to sustain measurable quality improvement. Requires a bachelor's degree. Typically reports to senior management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. |
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| Also referred to as: HEDIS Quality Director |
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| Similar Jobs: Program Management Office Director, Program Manager, CRM Program Director, Director of Medicare STARS Program, Medicare Program Development Director, Medicaid Program Development Director, Program Director - Social Service, Engineering Program Management Director, Program Supervisor |
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| Level of Education: HEDIS Program Director Salaries with No Diploma, HEDIS Program Director Salaries with a High School Diploma or Technical Certificate, HEDIS Program Director Salaries with an Associate's Degree, HEDIS Program Director Salaries with a Bachelor's Degree, HEDIS Program Director Salaries with a Master's Degree or MBA, HEDIS Program Director Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Financial Services, Healthcare, Insurance | |
