Sr. Director, Clinical Quality

Blue Shield of California

Long Beach, CA, United States
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Quality rating systems
Strategic planning and programs
Continuous quality improvement
** Blue Shield of California is seeking a Sr. Director of Clinical Quality to oversee quality improvement initiatives and strategies that enhance healthcare outcomes. The ideal candidate will have extensive experience in quality management and a strong background in HEDIS specifications, alongside a commitment to fostering a collaborative and innovative workplace culture. **

Job Summary

  • Responsible for the performance of all quality rating systems and for the development of strategic plans and programs to support continuous quality improvement.
  • Manage a team of direct reports including several critical leaders and teams which deliver critical quality programs, models and operations.
  • Ensure regulatory compliance and oversee audits.

Matching Summary

Match Score: 75

** Blue Shield of California is seeking a Sr. Director of Clinical Quality to oversee quality improvement initiatives and strategies that enhance healthcare outcomes. The ideal candidate will have extensive experience in quality management and a strong background in HEDIS specifications, alongside a commitment to fostering a collaborative and innovative workplace culture. **

Skills & Requirements

Must-have

  • Quality rating systems
  • Strategic planning and programs
  • Continuous quality improvement
  • HEDIS specifications and outcomes
  • Provider and member engagement

Nice-to-have

  • Creative and critical thinking
  • Building high-performing teams
  • Fostering continuous learning
  • Industry leading expertise and connections

Key Requirements

  • Bachelor's degree in Nursing, Public Health, or related field
  • Master's degree preferred
  • 10 years of relevant experience
  • 8 years of management experience
  • 5-10 years leading Quality Improvement efforts

Work Rights

Not specified

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