Director, CAHPS and HOS Strategy and Execution

alignmenthealthcare; United States; On-site; USD 180,000 - 260,000; Full time

Job summary

Alignment Health seeks a Senior Director of CAHPS and HOS Strategy to translate enterprise CAHPS/HOS goals into actionable field initiatives and 5-Star performance. You will lead the Provider Playbook refresh, coordinate CMS domain interventions, and guide data-driven improvements with providers and internal partners.

You'll maintain a strong field presence, drive engagement with provider networks, and ensure compliance with CMS guidance while reporting outcomes to senior leadership.

Qualifications

• Deep understanding of CAHPS and HOS methodologies, CMS Star Ratings, and quality improvement frameworks.
• Proven ability to lead cross-functional initiatives and deliver measurable improvements in member experience.
• Effective written and oral communication skills; ability to establish and maintain relationships with diverse stakeholders.
• Mathematical skills to perform basic statistics and data interpretation.
• Experience in healthcare quality, member experience, and provider performance improvement.

Responsibilities

• Translate CAHPS/HOS strategies into operational roadmaps and owner ship of the project lifecycle.
• Oversee the Provider Playbook refresh and ensure CMS domain interventions are executed at clinics and groups.
• Analyze CAHPS and HOS data to identify trends and create action plans with leaders and providers.
• Maintain a 60%+ field presence for in-person provider performance reviews and KPI monitoring.
• Collaborate with Stars, Member Services, Network Management and Quality to improve touchpoints and outcomes.
• Ensure CMS guidance compliance and prepare leadership updates showing ROI on interventions.

Skills

CAHPS/HOS mastery

CMS Star Ratings

Leadership

Provider engagement

Stakeholder communication

Education

Bachelor's degree

Master's degree preferred

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Senior Director of CAHPS and HOS Strategy is responsible for the tactical delivery, operational management, and performance outcomes of Alignment Health's Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) programs. Reporting to the VP of Stars, this role shifts high-level enterprise strategy into actionable, field-level interventions for provider partners. The Senior Director will own the "how" of achieving 5-Star ratings by driving member experience improvements by executing provider engagement playbooks and managing the day-to-day data cycles that inform performance pivots while collaborating with internal and external stakeholders.

Job Responsibilities:

• Translate enterprise-wide CAHPS/HOS strategies, developed through cross-functional executive collaboration, into detailed operational roadmaps; own the project lifecycle for all member experience initiatives to ensure 5-Star performance.
• Direct the annual refresh, maintenance and field implementation of the Provider Playbook. Ensure specific interventions for CMS Access to Care domain (i.e., getting needed care, getting care quickly, care coordination, rating of healthcare quality and getting needed prescription drugs) are being executed at the clinic and group level.
• Analyze CAHPS and HOS data and performance metrics to identify trends, opportunities for improvement, and develop action plans in partnership with operational leaders and network providers.
• Maintain a consistent field presence (60%+) to conduct in-person provider performance reviews and ensure onsite strategy implementation is meeting established KPIs for interventions directly mapped to CMS CAHPS and HOS domains.
• Leverage provider partnerships and high impact providers to drive member experience improvement.
• Implement and monitor provider incentive programs, ensuring financial levers are directly aligned with measurable improvements in CAHPS and HOS results. Share feedback from the field as to impact of incentives and performance across CAHPS and HOS results.
• Collaborate with cross-functional teams including Stars, Member Services, Member Retention, Network Management and Quality to improve touchpoints impacting member satisfaction.
• Serve as subject matter expert on CAHPS/HOS survey methodologies and regulatory changes, ensuring compliance with CMS guidance at all times to support provider groups.
• Prepare succinct, performance-focused updates for senior leadership, memorializing accountability for performance fluctuations and highlighting ROI on specific interventions.
• Promote a culture focused on service excellence, empathy, and continuous improvement.
• Other duties and projects not listed above

Supervisory Responsibilities:

• Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and performance management.

Job Requirements:

Experience:

• 10+ years of progressive leadership experience in healthcare quality, member experience, and provider performance improvement.
• Experience working in health plans, provider organizations, or quality-focused healthcare settings.
• A proven track record of moving CAHPS/HOS metrics within a Medicare Advantage environment.
• Hands-on experience in driving provider engagement with demonstrated results in CAHPS and HOS performance improvement
• Working knowledge of provider contracting, with a focus on integrating Quality/Stars components into agreements to optimize CAHPS and HOS performance outcomes.

Education:

• Bachelor's degree in Public Health, Healthcare Administration, Business, or related field
• Master's degree preferred

Specialized Skills:

Required:

• Deep understanding of CAHPS and HOS methodologies, CMS Star Ratings, and quality improvement frameworks.
• Proven ability to lead cross-functional initiatives and deliver measurable improvements in member experience.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
• Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
• Reasoning Skills: Ability to prioritize multiple tasks; advanced proble