Director, HEDIS and Quality Performance

Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more. At Capital Blue Cross , we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” The Director, HEDIS & Quality Performance, is accountable for developing and executing the enterprise strategy to drive HEDIS performance across all lines of business, with emphasis on HEDIS measures contributing to the Medicare Advantage Stars program. This leader will serve as the organization's enterprise subject matter expert and strategic architect for HEDIS performance, including HEDIS measures contributing to Medicare Advantage Stars ratings, translating CMS and NCQA requirements, performance data, market intelligence, and in