Director of Quality Data & HEDIS Operations

Cityblock Health, Inc.; United States; On-site; USD 125,000 - 165,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement benefits

Equity program

Paid time off

Job summary

Cityblock Health, Inc. is seeking a Director of Quality Operations to manage data governance, ensure accuracy of quality-measure data, and validate information before sharing with partners. This role owns membership data processes for Cityblock contracts and leads a small team.

The position requires advanced healthcare qualifications and extensive HEDIS experience, with responsibility for data completeness, cross-team collaboration, and enterprise-wide quality initiatives.

Qualifications

• Master's-level education or work in a healthcare field (MHA, MBA, or MPH) required; clinical experience a plus.
• 7+ years of experience in a healthcare setting (provider, hospital, value-based care, consulting, or health plan) working with quality reporting and operations, alongside care teams.
• Demonstrated HEDIS expertise, including understanding of HEDIS data and hands-on experience going through HEDIS audits.
• Proficiency in Excel and Google Sheets for data manipulation.
• Experience with coding languages is a plus.
• Experience improving data completeness and accuracy to support quality performance reporting.
• Experience working with HEDIS engines.

Responsibilities

• Serve as Cityblock's HEDIS subject matter expert, with deep knowledge of HEDIS measure specifications, data sources, and reporting requirements.
• Lead Cityblock's HEDIS audit readiness and participation, including audit preparation, documentation, and response.
• Drive data completeness and accuracy across systems, identifying and closing data gaps so that performance is accurately reflected before data is submitted to partners.
• Own the management and ongoing optimization of Cityblock's third‑party HEDIS engine, which ingests data and reports on our performance.
• Maintain a complete, accurate view of member gaps in care, partnering with market, clinical, and operations teams so that gap closure is supported by reliable data.
• Lead and develop a small team of Managers and Senior Associates.
• Evaluate system and workflow processes to find and fix root causes of data quality issues, and provide training to the teams involved.
• Collaborate across clinical and non-clinical teams (operations, technology, compliance, finance) and with market teams to implement enterprise-wide initiatives that support contracted quality measure performance.

Skills

HEDIS expertise

Data analysis

Team leadership

Education

Master's degree in healthcare field (MHA, MBA, MPH)

Tools

HEDIS engine

Excel

Google Sheets

Coding languages

Job description

Cityblock Health, Inc. is seeking a Director of Quality Operations to manage data governance, ensure accuracy of quality-measure data, and validate information before sharing with partners. This role owns membership data processes for Cityblock contracts and leads a small team.

The position requires advanced healthcare qualifications and extensive HEDIS experience, with responsibility for data completeness, cross-team collaboration, and enterprise-wide quality initiatives.