Our mission is Better Health. Our passion is helping others.

What’s Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?

Why Join Our Team: At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Local candidate highly preferred.  Hybrid work schedule (In office/Remote).  If remote, travel will be required, specifically to Tampa, FL

Position Objective:

The Director, Quality Programs is responsible for leading the operational execution of Better Health Group’s Quality and HEDIS initiatives.  Reporting to the VP, Quality Programs, this role translates strategy into action by managing projects, implementing workflows, ensuring compliance, and driving measurable improvements in quality performance.  The Director will work closely with internal teams, external partners, and regulatory agencies to deliver high-quality, compliant, and impactful outcomes.

Responsibilities

• Leads enterprise-wide Quality and HEDIS operations, including chart procurement, data management, vendor partnerships, and performance reporting.
• Drives strategic resource optimization and task prioritization across concurrent programs and workflows, ensuring productivity, scalability, and timely execution of deliverables.
• Provides leadership and oversight to cross-functional teams, ensuring alignment of goals, balanced workloads, and strong performance management.
• Translates executive strategy into operational execution, aligning initiatives with organizational objectives and regulatory requirements.
• Establishes and governs policies, procedures, and workflows that enable consistent, high-quality program delivery across Better Health Group and its affiliates.
• Ensures organizational compliance with CMS, NCQA, and other regulatory standards, proactively identifying and mitigating risks.
• Partners with clinical and operational leadership to accelerate gap closure, improve outcomes, and strengthen overall quality performance.
• Provides executive-level reporting and analysis of quality metrics, delivering actionable insights to inform decision-making.
• Builds and sustains high-value partnerships with internal and external stakeholders to advance strategic quality initiatives.
• Supports senior leadership communications, including board-level presentations and program updates.
• Performs additional strategic duties as assigned.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Public Health, Life Sciences, or a related field required; Master’s degree (MHA, MPH, MBA) preferred.
• 7+ years of progressive leadership in healthcare quality, HEDIS, population health, or risk adjustment programs, with a proven track record of managing multi-project workflows and optimizing resource productivity.
• Demonstrated experience across Medicare Advantage, Medicare, Medicaid, and Commercial lines of business, including regulatory compliance with CMS, NCQA, and other applicable standards.
• Proven ability to lead cross-functional teams, drive performance, and develop talent while balancing competing priorities across multiple initiatives.
• Strong experience establishing policies, procedures, and workflows to support consistent, high-quality program execution.
• Skilled in analyzing quality metrics, leveraging EMR and reporting systems, and providing actionable insights to executive leadership.
• Track record of partnering effectively with internal teams, clinical leadership, and external vendors to advance strategic quality initiatives.
• Exceptional ability to deliver executive-level presentations, program updates, and strategic recommendations.

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Physical Requirements

• Ability to sit, stand, walk, and move about the office for extended periods, including remaining in a stationary position for 50% or more of the workday.
• Ability to occasionally bend, stoop, kneel, squat, twist, reach, and pull.
• Regular use of a computer and standard office equipment (e.g., copier, printer).

Key Attributes/ Skills

• Demonstrates a contagious and positive work ethic, motivates and develops others, and consistently models organizational values and guiding principles.
• Contributes innovative ideas and constructive feedback, builds strong relationships across teams, and reliably delivers on commitments.
• Approaches challenges with focus, energy, and passion, thriving in a dynamic and complex healthcare environment.
• Defines success with clear objectives, maintains accountability, and consistently achieves organizational goals.
• Balances operational demands with long-term priorities, identifies opportunities to optimize processes and drive enterprise-level outcomes.
• Articulates vision, strategy, and performance insights clearly to both operational teams and executive leadership.
• Uses data to guide decisions, improve workflows, and enhance team and program performance.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.