Director, Quality & Provider Engagement (Hybrid)

Chris Baily

New York (NY)

On-site

USD 150,000 - 180,000

Full time

13 days ago
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Benefits offered by this job

Health benefits
Life insurance
401(k) plan
Paid time off
13 paid holidays
Hybrid work schedule
Direct line to executive leadership

Job summary

Chris Baily is partnering with a high‑performing IPA in the New York metro, seeking a Director of Quality & Provider Engagement. This hybrid, full‑time role owns quality and provider engagement across a value‑based network, translating data into measurable improvement with executive visibility.

Reporting to the Chief Medical Officer, you will lead analytics, develop improvement strategies, mentor teams, coach providers, and drive CRM/EMR‑based workflows to support incentives and shared savings.

Qualifications

  • Strong analytical and problem‑solving skills, with the ability to turn complex data into insight and action.
  • Quality or HEDIS performance experience under value-based care, at a managed‑care plan, value‑based provider organization, or ACO (not a hospital‑QA‑only background).
  • Roughly 5+ years, though we weight depth of skill over tenure.
  • Advanced data literacy, genuinely hands‑on with Excel and large datasets to identify gaps and opportunities.
  • Experience managing and developing people.
  • Ability to translate quality analysis into practice‑level action.
  • Comfort operating in a fast‑growing, less‑structured environment where you help build the structure.

Responsibilities

  • Own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and Star Ratings.
  • Develop and drive the quality improvement strategy through data analysis, stakeholder engagement, and health-plan collaboration.
  • Lead and mentor the Quality team, translating analytics into actionable improvement plans.
  • Provide leadership and structure to the Provider Engagement team, operationalizing quality strategies at the practice level through provider coaching, EMR-configuration support, and feedback loops.
  • Build and deepen provider relationships, and lead provider education on documentation and risk adjustment.
  • Establish operational performance metrics and processes, including workload distribution and output tracking, and lead digital transformation to reduce manual reporting.
  • Partner with IT, data, and finance, and support the distribution of quality incentives, risk-adjustment earnings, and shared savings.
  • Own programs that improve member quality, engagement, and retention across the network.

Skills

Analytical thinking
Data literacy
HEDIS experience
Provider engagement experience
Leadership / people management
Excel proficiency

Education

Master's degree

Tools

EMR configuration
CRM implementation

Job description

Chris Baily is partnering with a high‑performing IPA in the New York metro, seeking a Director of Quality & Provider Engagement. This hybrid, full‑time role owns quality and provider engagement across a value‑based network, translating data into measurable improvement with executive visibility.

Reporting to the Chief Medical Officer, you will lead analytics, develop improvement strategies, mentor teams, coach providers, and drive CRM/EMR‑based workflows to support incentives and shared savings.

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