Chief Quality & Accreditation Officer

Florida Blue Group; United States; On-site; USD 260,000 - 380,000; Full time

Job summary

Florida Blue Group is seeking a Vice President, Quality & Accreditation to unite quality across Medicare and Commercial. You will own HEDIS strategy, accreditation, and clinical quality programs while steering the vendor ecosystem that supports data collection, abstraction, and reporting.

You will lead enterprise governance, improve documentation, and drive performance in HEDIS rates, survey readiness, and accreditation outcomes, collaborating with senior leaders to align quality across the

Qualifications

• 10+ years leading health plan Quality, HEDIS, and Accreditation across Medicare and Commercial.
• Bachelor’s degree in healthcare administration, public health, business or related field preferred.
• Master’s degree preferred.

Responsibilities

• Unify quality functions into a single enterprise operating model across lines of business.
• Own HEDIS performance, accreditation status, and survey readiness.
• Oversee HEDIS data collection, abstraction, and reporting vendor ecosystem.
• Develop intervention playbooks for HEDIS measures.
• Lead governance, compliance, and budget for quality programs.

Skills

Leadership

HEDIS expertise

Accreditation

Vendor management

Forecasting

Budget management

Executive influence

Education

Bachelor's degree

Master's degree

Job description

Florida Blue Group is seeking a Vice President, Quality & Accreditation to unite quality across Medicare and Commercial. You will own HEDIS strategy, accreditation, and clinical quality programs while steering the vendor ecosystem that supports data collection, abstraction, and reporting.

You will lead enterprise governance, improve documentation, and drive performance in HEDIS rates, survey readiness, and accreditation outcomes, collaborating with senior leaders to align quality across the