Senior Director of HEDIS Operations

A company is looking for a Senior Director of HEDIS Operations.

Key Responsibilities

Lead and oversee HEDIS abstraction and submission processes for timely and accurate execution

Manage a team of abstraction experts and ensure operational readiness for HEDIS audits

Collaborate with cross-functional teams to improve HEDIS performance and outcomes

Required Qualifications

10+ years of experience in HEDIS or Stars operations for a Medicare Advantage plan or vendor

Deep expertise in HEDIS abstraction processes, NCQA specifications, and CMS Stars methodology

Experience managing hybrid and prospective review models at scale

Proven track record of achieving high HEDIS and Stars performance

Ability to thrive in high-stakes, outcomes-driven environments