Director, Health Plan Quality Program Management & Performance (Texas Health Plan)
Core
Director leading health plan quality management and performance improvement programs to ensure regulatory compliance and drive measurable outcomes for members and providers.
Role type
Senior leadership health plan quality director
Builds
Health plan quality performance and regulatory compliance
Domain
Healthcare / Health Plan Quality Management
Required skills
Health plan quality improvement, HEDIS reporting, NCQA standards, Performance Improvement Projects (PIPs), data analysis, regulatory compliance, team management, process improvement methodologies
Preferred skills
EPSDT/Texas Health Steps knowledge, provider credentialing, CPHQ/CHCA certification, Registered Nurse (RN) licensure
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