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ilocatum

Director of Quality & Provider Engagement - Value-Based Care

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What they do

A Director of Quality Assurance oversees and directs the overall operations of quality assurance within a company to ensure continuous improvement and compliance.

$147,367 / year median in New York

+2% projected growth

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Job Description

Director of Quality & Provider Engagement - Value-Based Care ilocatum - 5.0 New York, NY Job Details Full-time $150,000 - $180,000 a year 1 hour ago Benefits Paid holidays Health insurance Dental insurance Paid time off Vision insurance Life insurance Qualifications Quality control experience within healthcare industry Managed care Managed care organization experience Team leadership Gap analysis Team development Clinical performance metrics Healthcare performance metrics analysis Stakeholder relationship building HEDIS Quality assurance experience within healthcare Full Job Description Director of Quality & Provider Engagement New York, NY | Full-time (Hybrid) | $150,000 to $180,000 This independent physician association (IPA) in the New York metro area supports a large network of providers and several hundred thousand patients, with a substantial share under value-based care arrangements. The organization is financially stable, growing, and recognized for strong quality performance. Reporting to the Chief Medical Officer, the Director of Quality & Provider Engagement leads both the Quality and Provider Engagement functions, with a direct line to executive leadership and meaningful autonomy to shape quality strategy across the network. Schedule Full-time, hybrid work schedule based in the New York metro area. Compensation $150,000 to $180,000, based on experience. What You'll Do In this role, you will own overall quality performance for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and Star Ratings, developing and driving the quality improvement strategy through data analysis, stakeholder engagement, and health plan collaboration. You will lead and mentor the Quality team, translating analytics into actionable improvement plans, and provide leadership and structure to the Provider Engagement team, operationalizing quality strategies at the practice level through provider coaching, EMR configuration support, and feedback loops. You will build and deepen provider relationships and lead provider education on documentation and risk adjustment. You will establish operational performance metrics and processes, including workload distribution and output tracking, and lead digital transformation efforts to reduce manual reporting. You will partner with IT, data, and finance teams, supporting the distribution of quality incentives, risk adjustment earnings, and shared savings, and you will own programs that improve member quality, engagement, and retention across the network. Within the first 90 days, you will assess current quality performance, team capabilities, and operational gaps, and deliver a prioritized improvement roadmap. By six months, you will stand up operational metrics and workload tracking, with early, measurable movement on priority measures. By twelve months, you will deliver measurable improvement in quality and value-based performance, supported by a high-functioning, well-led team. Required Qualifications Strong analytical and problem-solving skills, with the ability to turn complex data into insight and action Quality or HEDIS performance experience under value-based care, at a managed-care plan, value-based provider organization, or ACO (hospital-QA-only backgrounds do not meet this requirement) Approximately 5 or more years of relevant experience, with depth of skill weighted over tenure Advanced data literacy, hands-on experience with Excel and large datasets to identify gaps and opportunities Experience managing and developing people Ability to translate quality analysis into practice-level action Comfort operating in a fast-growing, less-structured environment and helping build that structure Preferred Qualifications Deep, hands-on expertise with CMS Star Ratings and
HEDIS/QARR
Experience working with independent providers in an IPA or managed-care setting Provider engagement or provider relations leadership experience Experience implementing a CRM or building operational performance metrics from the ground up Master's degree in a relevant field Experience at a large IPA or ACO, or with a Medicaid-heavy population and multiple plan contracts Familiarity with EMR configuration or clinical implementation workflows Compensation and Benefits $150,000 to $180,000 annual salary Comprehensive health benefits, including medical, dental, and vision coverage Company-paid life insurance 401(k) retirement plan with a 6% corporate match Generous paid time off and 13 paid holidays Hybrid work schedule To apply, please submit your resume for consideration.