Senior Director, Quality Ratings & Network Performance
Confidential
Senior Director, Quality Ratings & Network Performance
About the Company
Established organization assisting migrants with health insurance
Industry
Insurance
Type
Privately Held
Founded
1992
Employees
501-1000
Categories
- Insurance
- Health Insurance
- Health Care
- Non-Profit & Philanthropy
- Nonprofit Support
- Community Health
- Healthcare
- Health
- Finance
Specialties
- health insurance
- managed care services
- medical management
- medicare
- and medicaid
About the Role
The Company is seeking a Senior Director for Quality Ratings and Network Performance. The successful candidate will be responsible for leading strategic initiatives to enhance health plan quality ratings and provider performance, with a specific focus on Medicaid, Exchange, and D-SNP populations. This role requires a deep expertise in Medicaid and Medicare quality programs, including HEDIS, HOS, STAR, and CAHPS, and a proven track record in driving measurable improvements in these areas. The Senior Director will also be tasked with ensuring compliance with state and federal regulatory requirements, and will play a key role in the execution of provider strategies to improve quality outcomes. Key functions of the role include quality ratings oversight, organization star program management, and provider network performance. The ideal candidate will have a Bachelor's degree in a related field, with a Master's degree highly preferred, and at least 10 years of experience in healthcare quality, performance improvement, or healthcare analytics. A minimum of 7 years of progressive leadership experience is also required. The role demands a leader with strong analytical, communication, and strategic planning skills, who can effectively manage cross-functional teams and complex initiatives. The Senior Director will be expected to foster a culture of accountability, innovation, and continuous improvement, and to collaborate with internal and external stakeholders to ensure the integration of quality measurement initiatives throughout the organization.
Hiring Manager Title
Senior VP, Health Services
Travel Percent
Less than 10%
Functions
- Medical Care/Hospital Administration
- Data Management/Analytics
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Director, Quality Ratings & Network Performance in Jacksonville, FL vacancy
$50 per hour
...Description Python - Senior Developers - AI Training... ...the biggest pool of quality human data in the world... ...to join our Expert Network to help train and evaluate... ...to verify performance and output. Annotate... ...enjoying competitive pay rates, flexible hours, and the...SeniorPerformanceNetworkWork from homeFlexible hoursProlific Academic Ltd
Jacksonville, FL19 days ago$25 - $34 per hour
...0 years, Johnson Controls has delivered performance where it really matters. Backed by advanced... ...of operations, and bill of material, network layouts and electrical schematics as required... ...HIRING HOURLY RANGE: $25-34 (Hourly rate to be determined by the education,...SeniorPerformanceNetworkHourly payContract workFor contractorsFor subcontractorImmediate startJohnson Controls
Jacksonville, FL6 days ago$80 per hour
...building the biggest pool of quality human data in the world. Over... ...to join our Expert Network to help train and evaluate the... ...reasoning breaks down. Benchmark Performance: conduct comparative testing... ...enjoying competitive pay rates, flexible hours, and the ability...SeniorPerformanceNetworkHourly payWork from homeFlexible hoursProlific Academic Ltd
Jacksonville, FL22 days ago$40 per hour
...Description HTML/CSS - Senior Developers - AI... ...building the biggest pool of quality human data in the... ...Developers to join our Expert Network to help train and... .... Annotate Model Performance: identify areas where... ...enjoying competitive pay rates, flexible hours, and...SeniorPerformanceNetworkWork from homeFlexible hoursProlific Academic Ltd
Jacksonville, FL21 days ago- ...recovery. - Provide senior-level technical... ...execution to protect SLA performance. Job Specific... ...infrastructure, network, database, cloud, and... ...experience, expected quality and quantity of work,... ...regulatory minimum wage rates and exempt salary thresholds...SeniorPerformanceNetworkMinimum wageContract workTemporary workWork experience placement
MAXIMUS
Jacksonville, FL14 hours ago $185k - $277k
...Remote Job Overview The Senior Manager of Enterprise... ...define layered controls across network, endpoints, identity, cloud workloads... ..., lateral movement detection rates, and pipeline gate trends.... ...coaches, and retains a high-performing, technically elite security...SeniorPerformanceNetworkWork at officeRemote workRelativity
Jacksonville, FL2 days ago$81.4k - $151.8k
...Senior Cloud Engineer – Data & AI We are seeking an enthusiastic... ...roadmaps Identify, track, and perform regression testing on defects... ...part-time roles will be pro-rated based on number of hours regularly... ..., to manager support and network-building opportunities, we'll...SeniorPerformanceNetworkPart timeLocal areaBmo
Jacksonville, FL3 days ago- ...Responsibilities: - Provide senior-level engineering and... ..., and optimize network components supporting voice... ...segmentation. - Perform advanced Tier 2 and Tier... ...troubleshooting for call quality, connectivity, and... ...regulatory minimum wage rates and exempt salary thresholds...SeniorPerformanceNetworkMinimum wageContract workTemporary workWork experience placementRemote work
MAXIMUS
Jacksonville, FL2 days ago $50 per hour
...building the biggest pool of quality human data in the world. Over... ...Experts to join our Expert Network to help train and evaluate... ...Browser consoles) to verify performance and output. Annotate Model... ...start enjoying competitive pay rates, flexible hours, and the ability...SeniorPerformanceNetworkHourly payWork from homeFlexible hoursProlific Academic Ltd
Jacksonville, FL17 days ago- ...Responsibilities: - Serve as a senior technical lead... ..., ensuring optimal performance, availability, and... ...infrastructure, application, network, and incident response... ...experience, expected quality and quantity of work,... ...minimum wage rates and exempt salary thresholds...SeniorPerformanceNetworkMinimum wageContract workTemporary workWork experience placementRemote work
MAXIMUS
Jacksonville, FL2 days ago - ...Senior Vice President, Sales About the Company Top-tier provider of connectivity & infrastructure solutions Industry... ...position solutions as critical enablers of next-generation network performance, and lead a high-performing sales organization. The SVP will...SeniorPerformanceNetwork
Confidential
Jacksonville, FL1 day ago - ...establishing per diem rates, company trucks for superintendents... ...your skills. Strong networks are formed on... ...Partners with project directors in responding to RFP's... ...and supplier performance issues including documentation... ...project progress, quality and safety. Works with...SeniorPerformanceNetworkDaily paidContract workApprenticeshipFor subcontractorLocal areaRemote workFlexible hours
The Haskell Company
Jacksonville, FL5 days ago $81.4k - $151.8k
...Senior Azure Cloud Engineer We are seeking an enthusiastic and... ...skills into an already high performing team thus accelerating our efforts... ..., data storage and flow, network connectivity, and overall cloud... ...part-time roles will be pro-rated based on number of hours...SeniorPerformanceNetworkPart timeLocal areaBmo
Jacksonville, FL3 days ago$67k - $136.8k
...Service Delivery Center Senior – Financial Services... ...that are made up of high-performing US-based resources who... ...our clients on IT Quality Transformation & Application... ..., Billing Center and rating engine and integration... ..., multi-disciplinary network and diverse ecosystem...SeniorPerformanceNetworkWork experience placementSummer holidayFlexible hoursEY
Jacksonville, FL2 days ago$100.1k - $150.4k
...within territory) Reports to: Senior Manager, Sales & Development... ...operational outcomes through performance contracting, distributed... ...efficiently and maximize win rates. Keep management informed... ...develop and maintain a strong network within related industry groups...SeniorPerformanceNetworkLocal areaRemote workJohnson Controls
Jacksonville, FL5 days ago- ...Senior Vice President, Medicare About the Company Ambitious healthcare... ...maintaining a strong focus on quality and regulatory compliance. The SVP... ...the ability to drive value-based networks and efficient, high-quality performance, while also being accountable for...SeniorPerformanceNetwork
Confidential
Jacksonville, FL1 hour ago - ...The Head of IT for the USA Division is a senior leadership role responsible for ensuring... ...· Ensure stability, reliability, and performance of IT services (infrastructure and applications... ...infrastructure services including networks, cybersecurity, risk management, telecommunications...SeniorPerformanceNetworkWork at officeLocal area
Florida East Coast Railway
Jacksonville, FL10 days ago $175k - $200k
...The Senior Director, Alternative Risk Underwriter will be responsible for leading the strategy, underwriting performance, and portfolio management of alternative risk solutions, including... ...preferred ~ Established broker and client network within specialty or alternative risk...SeniorPerformanceNetworkTemporary workFortegra
Jacksonville, FL3 days ago- ...Senior Assistant Manager The Senior Assistant Manager supports and executes all aspects... ...Store Manager. # Understands store performance targets and monitors achievement of benchmarks... ...identify solutions. # Responsible for networking and recruiting within the market to...SeniorPerformanceNetworkWork at officeRelocationWeekend workAfternoon shift
Kirkland's
Jacksonville, FL2 days ago - ...Senior Vice President, Field Operations About the Company Rapid-growing multi-site aesthetics brand Industry... ...Vice President, Field Operations to lead and oversee the performance of a multi-region network. The successful candidate will be responsible for the financial...SeniorPerformanceNetwork
Confidential
Jacksonville, FL1 hour ago $80 - $100 per hour
...Senior Solutions Architect (Contract) Company: SNI Technology... ...Contract Type: Contract Pay Rate: $80/hr - $100/hr (based on... ...to enhance scalability, performance, and automation. Support... ...understanding of cloud security, networking, identity management, and observability...SeniorPerformanceNetworkContract workSNI USA Inc
Jacksonville, FL3 days ago$15,000 per week
...website. The Work The Senior Healthcare IT Recruiter... ...leadership to ensure exceptional quality service for our client... ...platforms and job boards Perform candidate pre-screens via phone... ...Interact with an existing network of Healthcare IT professionals...SeniorPerformanceNetworkTemporary workWork experience placementiMethods
Jacksonville, FL1 day ago- ...Senior Manager, Talent Acquisition Location: Atlanta... ...Reports to Senior Director of Talent Acquisition... ...Acquisition leads a high-performing team dedicated to attracting... ...consistent, high-quality hiring results while... ...mapping, market insights, networking, and pipeline...SeniorPerformanceNetwork
QXO
Jacksonville, FL1 day ago - ...searching for the best talent for Senior Manager, DC Operations in... ...for end‑to‑end operational performance within the four walls of the... ...deployments, process changes, and network transitions. Own operating... ...with safety, regulatory, and quality requirements, maintaining...SeniorPerformanceNetworkLocal areaShift work
J&J Family of Companies
Jacksonville, FL5 days ago - ...Senior Systems Engineer Power the future of Space at Star Catcher Star Catcher is... ...first orbital energy grid: the Star Catcher Network. Spacecraft connect into the Star... ...operational needs to define and coordinate system performance requirements, integrate technical...SeniorPerformanceNetworkPermanent employment
Star Catcher
Jacksonville, FL3 days ago - ...technical liaison between the DBA Team and the Lines of Business Performs backup and recovery on Database Management Systems, configures... ..., Protegrity, TDE, and TLS ~ Knowledge of OS, storage, and network layers for troubleshooting purposes ~ Knowledge of relational...SeniorPerformanceNetworkWork experience placementLocal areaRemote work
Intercontinental Exchange Holdings, Inc.
Jacksonville, FL2 days ago - ...seeks Business Systems Analyst Seniors in Jacksonville, FL to elicit... ...for unit testing and to the quality assurance team for... ...installation; Utilizing financial network simulators (Mastercard/Visa/FIS... ...and database configuration; Performing code load and transaction monitoring...SeniorPerformanceNetworkFull timeRemote workWork from home
FIS
Jacksonville, FL5 days ago $108.25k - $169.93k
...Senior Software Engineer Opportunity The Senior Software Engineer leads the design,... ...and proactive risk mitigation Build performant, resilient, scalable systems that self-heal... ...stack—front-end, back-end, database, networking, or infrastructure Shape the engineering...SeniorPerformanceNetworkWork at office3 days per weekOrion Advisor Solutions LLC
Jacksonville, FL4 days ago$77k - $202k
...infrastructure for enhanced business performance. Those in cloud and network architecture at PwC will focus on... ...teams and clients, and to deliver quality. Embracing increased ambiguity, you... ...cloud solutions and migrations. As a Senior Associate you analyze complex...SeniorPerformanceNetworkFull timeH1bPwC
Jacksonville, FL5 days ago$140k
...Senior Contracts Manager At Jacobs, we're challenging today to reinvent tomorrow by... ...accessibility throughout Amtrak's intercity rail network. Supporting this nationally significant... ...rewards, including merit increases, performance discretionary bonus, and stock. The...SeniorPerformanceNetworkFull timeContract workFor contractorsWork at officeJacobs Solutions
Jacksonville, FL5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Director, Quality Ratings & Network Performance. Be the first to apply!
Related searches
- quality supervisor Jacksonville, FL
- quality manager aerospace Jacksonville, FL
- director quality assurance regulatory affairs Jacksonville, FL
- quality manager Jacksonville, FL
- director of quality Jacksonville, FL
- corporate quality manager Jacksonville, FL
- director of quality improvement Jacksonville, FL
- director quality management Jacksonville, FL
- quality manager healthcare Jacksonville, FL
- training and quality manager Jacksonville, FL