Director, Quality Operations

Cityblock Health; 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 (vacation and sick)

Job summary

Cityblock Health is seeking a Director, Quality Operations to drive governance and ensure the accuracy and completeness of data powering contracted quality measures.

The role oversees a HEDIS engine, partners with clinical, operations and market teams, and leads a small team of managers and senior associates to close data gaps and improve audit readiness.

Qualifications

• Master's–level education in a healthcare field is required or strongly preferred.
• 7+ years in healthcare with quality reporting and operations experience.
• Demonstrated HEDIS expertise and familiarity with audits.

Responsibilities

• Serve as HEDIS subject matter expert with knowledge of measure specs.
• Lead HEDIS audit readiness including documentation and responses.
• Drive data completeness and accuracy across systems to reflect performance.
• Own management and optimization of the third‑party HEDIS engine and workflows.
• Maintain an accurate view of member gaps in care with cross‑functional partners.
• Lead and develop a small team of Managers and Senior Associates.
• Identify root causes of data quality issues and train teams accordingly.
• Collaborate across clinical, operations, compliance, finance, and market teams.

Skills

HEDIS expertise

Data governance

Team leadership

Education

Master's degree in healthcare

Tools

Excel

Google Sheets

Job description

Job Description

The Director, Quality Operations is a strategic and operational leader responsible for the accuracy, completeness, and integrity of the data that drives Cityblock's performance on contracted quality measures. This leader ensures we have the most complete picture of member gaps in care and that our data is validated before it is sent to partners, so our performance is accurately and fully reflected. The role also owns data governance for membership-related information and processes for Cityblock contracts.

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. This includes data inputs, validation of outputs, and engine configuration and workflows.


• 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.

Requirements

• 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

This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: $125,000.00 - $165,000.00 Annual.

Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.