HEDIS Operations Director - Health Plan Leadership

Johns Hopkins Health Plans; Hanover (MD); On-site; USD 220,000 - 250,000; Full time

Job summary

A leading health organization in Hanover, MD is seeking a Director of HEDIS Operations. This senior role involves overseeing HEDIS operations, managing a large team, and ensuring compliance with HEDIS measures. Candidates should have significant experience in Medicare and Medicaid operations, coupled with strong clinical informatics knowledge. Join us to drive quality performance and innovation in healthcare.

Qualifications

• 7-10 years of experience in Medicare and Medicaid including management experience.
• Minimum 3-5 years of managed care experience.
• Robust knowledge of clinical informatics and EMR documentation.

Responsibilities

• Oversee HEDIS operations and manage chart abstraction.
• Define HEDIS strategy and execute performance goals.
• Lead annual HEDIS audits and ensure readiness.

Skills

Healthcare leadership

Regulatory knowledge

Clinical informatics

Cross-functional collaboration

Education

Bachelor’s degree in health administration

Master’s degree in health administration

Tools

EMR systems

Job description

A leading health organization in Hanover, MD is seeking a Director of HEDIS Operations. This senior role involves overseeing HEDIS operations, managing a large team, and ensuring compliance with HEDIS measures. Candidates should have significant experience in Medicare and Medicaid operations, coupled with strong clinical informatics knowledge. Join us to drive quality performance and innovation in healthcare.