Chief Quality & Regulatory Excellence Officer

Antidote Health Group; New York (NY); On-site; USD 225,000 - 270,000; Full time

Benefits offered by this job

Equity

401(k)

Paid vacation

Company holidays

Job summary

Antidote Health in New York seeks Head of Quality to lead enterprise quality vision and performance across state and federal programs. This executive role designs and governs a comprehensive quality program driving clinical outcomes, member experience, regulatory results, and accreditation success.

You will partner with Product, Technology, Analytics, Clinical Operations, Network, Pharmacy, and Member Services to embed quality across workflows and decisions, with primary accountability for

Qualifications

• Bachelor’s degree required in Nursing, Public Health, Health Administration, or related field.
• 10+ years of progressive experience in health plan quality, including HMO/QHP programs.
• 5+ years in senior leadership (Director level or above).
• Deep expertise in HEDIS, CAHPS, QHP Enrollee Survey, QRS, QIS, and NCQA Accreditation.
• Proven ability to translate regulatory requirements into operational, technical, and analytical solutions.

Responsibilities

• Define and execute an enterprise quality strategy, governance, and KPI framework.
• Lead QHP quality performance and member experience initiatives across programs.
• Translate data into actionable quality initiatives and enable real-time performance visibility.
• Oversee provider quality strategy, scorecards, and performance-improvement programs.
• Lead readiness for NCQA accreditation and regulatory compliance across the enterprise.
• Oversee quality of care processes, case reviews, escalation, and corrective actions.
• Identify and address health equity gaps; align population health strategies with quality goals.
• Collaborate with cross-functional teams to ensure quality is embedded across workflows.

Education

Bachelor’s degree in Nursing

Job description

Antidote Health in New York seeks Head of Quality to lead enterprise quality vision and performance across state and federal programs. This executive role designs and governs a comprehensive quality program driving clinical outcomes, member experience, regulatory results, and accreditation success.

You will partner with Product, Technology, Analytics, Clinical Operations, Network, Pharmacy, and Member Services to embed quality across workflows and decisions, with primary accountability for