[Hiring] Director of Quality @Wellbe Senior Medical

Role Description

The Director of Quality is an execution-focused leader responsible for translating WellBe’s enterprise quality strategy into disciplined, measurable operations across markets and health plan contracts. This role leads the day-to-day Quality function, manages and develops team members, and redesigns care-gap closure workflows to be simpler, standardized, scalable, and integrated into clinical practice. The Director partners closely with market, clinical, pharmacy, analytics, technology, coding, and health plan stakeholders to improve HEDIS and Medicare Advantage Stars performance, strengthen data reliability, increase frontline accountability, and ensure the organization consistently converts quality insights into action.

• Lead day-to-day execution of the Quality program across Part C and Part D.
• Directly manage, coach, and performance-manage Quality team members.
• Map end-to-end care-gap closure workflows across measures, markets, and health plan contracts.
• Redesign and standardize workflows for care-gap processes.
• Engage Markets using structured working sessions to diagnose barriers and drive closure.
• Partner with clinical operations and technology teams to surface prioritized care gaps.
• Lead implementation and adoption of Quality workflow tools.
• Oversee HEDIS chart abstraction and health plan audit support.
• Manage medication adherence and other Part D outreach operations.
• Partner with analytics, IT, and health plan teams to strengthen quality reporting.
• Use data to prioritize interventions and monitor outcomes.
• Evaluate and implement automation and AI-assisted solutions.
• Own point-of-care solution assessment and implementation.
• Maintain current knowledge of NCQA, HEDIS, CMS, Stars, and health plan requirements.
• Build effective cross-functional relationships and drive decisions with stakeholders.

Qualifications

• Bachelor’s degree in nursing, healthcare administration, public health, health sciences, business, or a related field.
• Seven or more years of progressive experience in healthcare quality, managed care, provider operations, population health, HEDIS, or Medicare Advantage Stars.
• 3–5 years of people-management experience.
• Strong working knowledge of NCQA HEDIS specifications and Medicare Advantage Stars.
• Proven ability to manage multiple priorities and deliver results in a fast-paced environment.
• Strong people leadership, change-management, project-management, process-improvement, and problem-solving skills.
• Advanced proficiency with Microsoft Excel and presentation tools.
• High attention to detail and sound judgment.

Requirements

• Ability to stand or sit for extended periods.
• Visual acuity and fine motor skills.
• Ability to travel locally or nationally as needed.

Benefits

• Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.

Company Description

WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.