Director of Medicare Stars & HEDIS Quality Improvement

HITEC; Long Beach (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

HITEC is seeking a Director of Clinical Quality - Medicare Stars to lead the HEDIS strategy, execution, and performance oversight, driving initiatives to improve star ratings, health outcomes, and member experience. The role directs the clinical quality roadmap and oversees performance across multiple contracts, requiring deep expertise in Stars, HEDIS, CMS requirements, and strong stakeholder engagement.

This hybrid role values leaders who foster learning, build high-performing teams, and

Qualifications

• 10 years of healthcare experience leading large cross-functional quality programs.
• 6 years of people management with direct reports.
• 6 years of Stars and HEDIS initiative leadership.
• Experience with CMS requirements and Medicare Advantage quality programs.
• Strong analytic skills to derive insights from healthcare data.

Responsibilities

• Lead Medicare Stars HEDIS strategy and performance oversight.
• Oversee the clinical quality roadmap and operational excellence.
• Collaborate across clinical and operational teams to drive system change.

Skills

Stars & HEDIS expertise

Healthcare data analytics

Cross-functional leadership

Executive communication

Project management

Medicare Advantage quality programs

Education

Bachelor's degree

MPH or MHA preferred

Job description

HITEC is seeking a Director of Clinical Quality - Medicare Stars to lead the HEDIS strategy, execution, and performance oversight, driving initiatives to improve star ratings, health outcomes, and member experience. The role directs the clinical quality roadmap and oversees performance across multiple contracts, requiring deep expertise in Stars, HEDIS, CMS requirements, and strong stakeholder engagement.

This hybrid role values leaders who foster learning, build high-performing teams, and