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Sr. Director, Clinical Quality - Medicare Stars
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What they do
A Clinical Quality Manager ensures that the quality of the work in a clinical environment is consistent and meets government and industry standards as well as customer expectations. Verifies compliance with health and safety regulations. Coordinates all activities related to quality assurance and monitoring and revises existing processes in order to increase efficiency.
$157,377 / year median in California
Job Description
Sr. Director, Clinical Quality
- Medicare Stars Blue Shield of CA United States, California, Oakland 601 12th Street (Show on map) Sep 03, 2026 Your Role Reporting to the Vice President, Quality, the Senior Director, Quality
- Medicare STARs is a senior leader with expertise in developing STARs strategy, short
- and long-term STARs initiatives, and oversight of STARs performance.
The position will have responsibility for STARs quality improvement and performance for all lines of business with Medicare plans. You will serve as a strategic leader to develop, implement, and maintain the enterprise STAR quality improvement program in alignment with the overall Quality Roadmap and plan to achieve desired outcomes for members and on the overall impact of STARs performance for the organization at large. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow
- personally, professionally, and financially.
We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
Master's degree in relevant field (e.g. MHA, MBA, MPH or similar) is preferred.
12 years prior relevant experience is required.
6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports is required.
Expert knowledge of Medicare STARs required.
Previous experience leading quality and performance improvement for a health plan. Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.