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Director of Quality & Provider Engagement
All, Healthcare
New York, NY
$150,000 - $180,000
Location: New York, NY (Hybrid) | Schedule: Full-time | Compensation: $150,000 to $180,000
Overview
Our client is a high-performing independent physician association (IPA) in the New York metro area, supporting a large network of providers and several hundred thousand patients, with a substantial share under value-based care arrangements. The organization is financially stable, growing, and recognized for strong quality performance. This is a rare opportunity to own and elevate quality across a large value-based network, with meaningful autonomy and a direct line to executive leadership.
What you'll do
- 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.
Required 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 depth of skill is weighted 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.
Preferred qualifications
- Deep, hands-on expertise with CMS Star Ratings and HEDIS/QARR.
- Experience working with independent providers in an IPA or managed-care setting.
- Provider-engagement or provider-relations leadership experience.
- Experience implementing a CRM or building operational performance metrics from the ground up.
- Master's degree in a relevant field.
- Experience at a large IPA or ACO, or with a Medicaid-heavy population and multiple plan contracts.
- Familiarity with EMR configuration or clinical-implementation workflows.
Compensation and benefits
- Competitive salary of $150,000 to $180,000.
- Comprehensive health benefits, including medical, dental, and vision coverage.
- Company-paid life insurance.
- 401(k) retirement plan with a 6% corporate match.
- Generous paid time off and 13 paid holidays.
- Hybrid work schedule.
Why this role
This is a rare chance to own and elevate quality across a large value-based network, with meaningful autonomy and a direct line to executive leadership, shaping quality strategy for a large, high-performing network.
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