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Hedis Stars Quality Director Jobs (NOW HIRING)

CareFirst

Quality Analyst (Remote)

Baltimore, MD · Remote

Direct experience with HEDIS, NCQA accreditation, CAHPS, CMS quality programs, Stars, quality improvement, regulatory reporting, or related quality activities in a healthcare, managed care, payer ...

Integrated Resources INC

HEDIS Nurse

Jacksonville, FL · On-site

$28 - $37/hr

Recent experience in data collection for HEDIS / Stars preferred. Determine member compliance ... Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is ...

Village Care

RN Clinical Quality Manager

Manhattan, NY · On-site

$102K - $115K/yr

... with HEDIS/Stars; 2 years direct hybrid record review- Strong metrics orientation, campaign management experience, and MS Office proficiencyApply to help deliver measurable quality outcomes for ...

Village Care

RN Clinical Quality Manager

Manhattan, NY · On-site

$102K - $115K/yr

... with HEDIS/Stars; 2 years direct hybrid record review - Strong metrics orientation, campaign management experience, and MS Office proficiency Apply to help deliver measurable quality outcomes for ...

Duly Health and Care

Quality Improvement Nurse

... Stars/HEDIS performance, and care gap closure aligned with payer quality incentives. This role supports population-level performance improvement with direct impact on quality revenue and value-based ...

Peak Health

Clinical Quality Specialist RN - Peak Health

$37.25 - $50/hr

The Clinical Quality Specialist will be an integral member of the Peak Health's quality team. This ... Assume accountability for HEDIS/Stars improvement activities including medical record review, chart ...

HarmonyCares

Quality Operations Manager

$120K/yr

Executive Directors * Clinical and administrative field teams Qualifications REQUIRED Knowledge ... Clinical credential (RN/LPN) or equivalent experience in HEDIS/Stars abstraction, coding, or health ...

Wvumedicine

Clinical Quality Specialist RN - Peak Health

$37.25 - $50/hr

The Clinical Quality Specialist will be an integral member of the Peak Health's quality team. This ... Assume accountability for HEDIS/Stars improvement activities including medical record review, chart ...

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Hedis Stars Quality Director information

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$105.6K

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How much do hedis stars quality director jobs pay per year?

As of Sep 1, 2026, the average yearly pay for hedis stars quality director in the United States is $105,577.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $130,000.00 per year, depending on experience, location, and employer.

What is a HEDIS Stars Quality Director?

A HEDIS Stars Quality Director is a healthcare professional responsible for overseeing and improving an organization's performance on HEDIS (Healthcare Effectiveness Data and Information Set) measures and the CMS Star Ratings system. They lead teams to collect, analyze, and report data to ensure compliance with quality standards set by health plans and government agencies. The director develops strategies to enhance care quality, patient outcomes, and overall organizational performance. Their work is crucial for maintaining accreditation, maximizing reimbursement, and delivering high-quality care to members.

What are the key skills and qualifications needed to thrive as a HEDIS Stars Quality Director?

To excel as a HEDIS Stars Quality Director, you need deep expertise in healthcare quality measurement, data analysis, and regulatory compliance, often supported by a clinical background and advanced degrees such as an RN or MPH. Familiarity with HEDIS measures, NCQA standards, quality improvement methodologies, and data analytics tools like SQL or Tableau is typically required. Outstanding leadership, strategic thinking, and communication skills are critical for driving performance improvement and engaging multidisciplinary teams. These competencies are essential for achieving high Stars ratings, ensuring regulatory compliance, and enhancing patient outcomes in value-based care environments.

What are some common challenges faced by a HEDIS Stars Quality Director when implementing quality improvement initiatives across multiple provider networks?

A HEDIS Stars Quality Director often encounters challenges such as aligning diverse provider groups with standardized measurement protocols, addressing data collection gaps, and ensuring consistent engagement from all stakeholders. Navigating varying levels of readiness and resources among provider networks can require tailored support and frequent communication. Additionally, the role involves balancing regulatory requirements with practical workflow changes, which demands strong project management and relationship-building skills.

What is the difference between Hedis Stars Quality Director vs Hedis Stars Quality Manager?

AspectHedis Stars Quality DirectorHedis Stars Quality Manager
CredentialsTypically requires advanced certifications in healthcare quality or management, such as CHC, CPHQUsually holds similar certifications but at a more foundational level
Work EnvironmentStrategic leadership, overseeing multiple teams or departmentsOperational focus, managing day-to-day quality improvement activities
Employer & Industry UsageUsed in healthcare organizations focusing on quality metrics and HEDIS scoresCommonly found in healthcare settings, supporting quality initiatives

The Hedis Stars Quality Director typically holds higher-level certifications and focuses on strategic oversight of quality programs, including HEDIS scores. The Quality Manager handles operational tasks, implementing quality improvement plans. Both roles are essential in healthcare quality management but differ mainly in scope and seniority.

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Hedis Stars Quality Director jobs near you
Infographic showing various Hedis Stars Quality Director job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $105,577 per year, or $50.8 per hour.

HEDIS Stars/Quality Coordinator /Population Health

Scottsdale, AZ • On-site

Optima Medical
Health Care and Social Assistance • 201 - 500 employees

5.7

Company rating: 5.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Learn more about Optima Medicalexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

About Optima Medical:
Optima Medical is an Arizona-based medical group consisting of 30+ locations and over 130 medical providers, caring for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's leading causes of death.
We go beyond primary care with a full spectrum of services including cardiovascular health, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and passionate candidates aboard.
 
Optima Medical is currently seeking a HEDIS Stars/Quality -Population Health Coordinator to join our team!
This individual will play a key role in supporting patients through proactive outreach and personalized care coordination. The HEDIS Stars/Quality Coordinator will monitor a specific patient panel, close care gaps, and work collaboratively with providers to help patients achieve both short- and long-term health goals. A strong understanding of healthcare processes, population health, and patient engagement is highly desired for this position.
 
Job Role:
Reports to the Manager of Population Health and is responsible for coordinating and supporting the value-based care and population health initiatives of the company. Responsibilities include data analyses, collecting supporting records and documentation to close HEDIS Quality Measures, participation in routine performance meetings with health plans, and supporting all efforts related thereto.
Responsibilities:
  • Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
  • Meet with multiple health plan representatives related to their incentive programs
  • Working Provider Portals to close care gaps
  • Attest to patient's historical diagnosed chronic and suspect conditions
  • Assist Manager with participation in population health programs
Qualifications:
  • MUST HAVE 1 year experience in Quality Care Gaps / HEDIS Stars
  • Experience in a Corporate / Health care Setting
  • MA experience highly preferred but not required
  • Ability to work independently as well as in a Team
  • This role requires Full Time-In Office Presence -  NOT REMOTE 
  • High level of professionalism
  • Excellent written and verbal communication skills
  • Excellent organizational and problem-solving abilities
  • Ability to work collaboratively with diverse teams and departments
  • Knowledge of healthcare regulations and compliance standards
  • Strong communication and interpersonal skills
  • Proficiency in electronic health records (EHR); eCW preferred, Microsoft products, and other relevant software.
  • Must have HS diploma or GED equivalent
Why join our team?
  • Career advancement opportunities
  • Leadership and mentoring
  • Resources to further career
  • Fun work environment (events, holiday parties)
  • Benefits (medical/vision/dental/401k/PTO/paid holidays)
  • Supportive and positive work environment
Optima Medical logo

About Optima Medical

Sourced by ZipRecruiter

Dedicated Providers Our team of Doctors, Nurse Practitioners, and Physician Assistants are not only qualified medically but truly listen to our patients and are attentive to their healthcare needs. Not Just Primary Care We take the word “Primary” to a new level by offering many services and tests that can all be done in the comfort of one facility. Inquire to learn more about what we offer. Professional Service We believe that healthcare should be delivered and received without any burden. Our administrative and clinical staff work in conjunction to reduce wait times and guarantee insurance coverage.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Bullhead City, AZ, US

Year founded

2012

Social media

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