Director Clinical Quality Performance & Improvement

Director Clinical Quality Performance & Improvement Cambia Health Solutions -

Newcastle, WA Posted:

3/23/2026 -

Expires:

6/22/2026

Job ID:

293301277 Job Description Director, Clinical Quality Performance and Improvement Oregon, Washington, Idaho or Utah (Hybrid) Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team is living our mission to make health care easier and lives better. As a member of the Enterprise Quality team, our Director, Clinical Quality Performance and Improvement leads the execution of the enterprise Medicare Stars strategy, driving sustained performance improvement through targeted initiatives, robust analytics, and cross-functional collaboration. This role translates strategic priorities into actionable plans, establishes the operational infrastructure needed to achieve Stars goals, and ensures the organization has the measure-level insights and program management capabilities required for success- all in service of creating an economically sustainable health care system. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Are you a Stars expert with a proven track record improving Medicare Stars ratings through data-driven initiatives and cross-functional collaboration? Then this role may be the perfect fit. What You Bring to

Cambia:

Qualifications:

• Bachelor's degree in Healthcare Administration, Public Health, Nursing, Business Administration, or related field, Master's degree (MBA, MHA, MPH, or related) strongly preferred.
• 12+ years of progressive healthcare quality or performance improvement experience including 8+ years of direct Medicare Stars program experience, including measure-level performance improvement and CMS reporting.
• 5+ years of people leadership experience with demonstrated success building and developing quality teams or equivalent combination of education and experience.
• CPHQ, Lean Six Sigma Green Belt or Black Belt, or PMP preferred

Skills and Attributes:

Medicare Advantage Expertise:

Proven track record improving Stars ratings through data-driven initiatives, with deep knowledge of CMS methodology, measure specifications, and Part D requirements

Stars Performance Management:

Experience implementing Stars-specific interventions including gaps in care programs, medication adherence initiatives, and member experience improvements

Advanced Analytics & Forecasting:

Strong proficiency in performance analytics, statistical forecasting, predictive modeling, and BI tools (Tableau, Power BI) for dashboard development

Healthcare Quality Standards:

Solid understanding of

NCQA HEDIS

measures, risk adjustment models, value-based care, and population health management principles

Process Improvement Methodology:

Knowledge of Lean, Six Sigma, PDSA, or similar improvement frameworks to drive systematic quality enhancements

Cross-Functional Leadership:

Ability to influence and drive results in matrix environments, building trusted partnerships with clinical, operational, and technical stakeholders without direct authority

Strategic Communication:

Exceptional skills translating complex data into actionable insights and presenting technical content to diverse audiences, with demonstrated ability to leverage AI tools for efficiency and innovation. What You Will Do at

Cambia:

• Lead annual and multi-year Medicare Stars strategy development, translating priorities into detailed operational plans while monitoring CMS rulemaking and providing leadership recommendations on program implications
• Serve as organizational expert on Medicare Stars requirements, measure specifications, and CMS methodology, ensuring enterprise-wide understanding To view the full job description, https://www.

aplitrak.com/?adid=YmJnZW5lcmljLjYzMjUzLjg3NjlAY2FtYmlhaGVhbHRoY29tcC5hcGxpdHJhay5jb20">click here Job Summary Veteran Preference Company Details Company Cambia Health Solutions Industry Fitness and Recreational Sports Centers Job Information Location Newcastle, WA Job Type Full Time Employee Job Position 1 Position(s) Open Duration Over 150 Days Additional Information Reference Code R-6447_2-4181 Federal Contractor No Affirmative Action Plan No