Director, HEDIS Business Operations

Clover Health(4 months ago)

RemoteFull TimeSenior$176,000 - $210,000Healthcare Program Management

About this role

Clover Health is seeking a Director of HEDIS Business Operations to lead initiatives that improve healthcare quality metrics for Medicare Advantage members. The role involves designing and managing programs that enhance clinical outcomes and align with industry regulations, working across clinical, analytic, and operational teams.

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Required Skills

HEDIS
Star Ratings
Program Management
Data Analysis
Healthcare Strategy
Medicare Advantage
Quality Improvement
Cross-functional Leadership
Incentive Design
Clinical Insights

About Clover Health

cloverhealth.com

Clover Health is a Medicare Advantage provider offering HMO and PPO plans—many with $0 monthly premiums—bundling expanded benefits like dental, vision, and hearing. Headquartered in Jersey City, NJ, the company serves Medicare beneficiaries across multiple U.S. markets. Clover emphasizes a technology- and data-driven approach to care management, aiming to support providers, coordinate primary care, and improve member outcomes. It positions itself as a member-focused alternative designed to lower costs and simplify access to preventive and routine services.

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