Vice President, Quality & Accreditation Remote (anywhere in United States)

The Company is seeking a Vice President for Quality and Accreditation to take on a pivotal role in leading and unifying clinical quality performance across all business lines. The successful candidate will be responsible for the development and execution of HEDIS strategy and operations, as well as ensuring compliance with various accreditation standards. This executive will be the driving force behind the enterprise's clinical quality programs, with a focus on improving HEDIS rates, and will be accountable for the performance of the vendor ecosystem that supports HEDIS data collection and reporting. Key responsibilities include building a unified quality operating model, establishing enterprise governance for clinical documentation integrity, and leading the organization in meeting and maintaining accreditation standards. Applicants for the Vice President, Quality and Accreditation position at the company should have a minimum of 10 years' leadership experience in health plan quality, HEDIS, and accreditation, with a strong preference for a Bachelor's degree in a related field. The role requires a proven track record in improving HEDIS rates and achieving strong accreditation outcomes, as well as deep knowledge of HEDIS technical specifications and clinical quality improvement methodology. The ideal candidate will have experience leading large cross-functional teams, strong financial acumen, and the ability to influence senior executives. A Master's degree in a related field is also preferred. The role demands a strategic leader who can ensure enterprise-wide change and is committed to the highest standards of quality and compliance in the healthcare industry.

Hiring Company

Florida Blue