Director, Quality Programs

Better-Health-Group • Tampa, FL

90d

About The Position

Our mission is Better Health. Our passion is helping others. Are you looking for a career opportunity that will help you grow personally and professionally? Do you have a passion for helping others achieve Better Health? Are you ready to join a growing team that shares your mission? At Better Health Group, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don’t just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, Life Sciences, or a related field required; Master’s degree (MHA, MPH, MBA) preferred.
• 7+ years of progressive leadership in healthcare quality, HEDIS, population health, or risk adjustment programs, with a proven track record of managing multi-project workflows and optimizing resource productivity.
• Demonstrated experience across Medicare Advantage, Medicare, Medicaid, and Commercial lines of business, including regulatory compliance with CMS, NCQA, and other applicable standards.
• Proven ability to lead cross-functional teams, drive performance, and develop talent while balancing competing priorities across multiple initiatives.
• Strong experience establishing policies, procedures, and workflows to support consistent, high-quality program execution.
• Skilled in analyzing quality metrics, leveraging EMR and reporting systems, and providing actionable insights to executive leadership.
• Track record of partnering effectively with internal teams, clinical leadership, and external vendors to advance strategic quality initiatives.
• Exceptional ability to deliver executive-level presentations, program updates, and strategic recommendations.

Responsibilities

• Leads enterprise-wide Quality and HEDIS operations, including chart procurement, data management, vendor partnerships, and performance reporting.
• Drives strategic resource optimization and task prioritization across concurrent programs and workflows, ensuring productivity, scalability, and timely execution of deliverables.
• Provides leadership and oversight to cross-functional teams, ensuring alignment of goals, balanced workloads, and strong performance management.
• Translates executive strategy into operational execution, aligning initiatives with organizational objectives and regulatory requirements.
• Establishes and governs policies, procedures, and workflows that enable consistent, high-quality program delivery across Better Health Group and its affiliates.
• Ensures organizational compliance with CMS, NCQA, and other regulatory standards, proactively identifying and mitigating risks.
• Partners with clinical and operational leadership to accelerate gap closure, improve outcomes, and strengthen overall quality performance.
• Provides executive-level reporting and analysis of quality metrics, delivering actionable insights to inform decision-making.
• Builds and sustains high-value partnerships with internal and external stakeholders to advance strategic quality initiatives.
• Supports senior leadership communications, including board-level presentations and program updates.
• Performs additional strategic duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Master's degree