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$176,000–$210,000/yr
US Unlimited PTO

  • Lead the business strategy and execution for HEDIS outcomes.
  • Establish and manage incentive structures and provider engagement models.
  • Develop and oversee cross-functional initiatives that translate measure logic into actionable programs.

Strategy Healthcare Program Management Analytics

20 jobs similar to Director, HEDIS Business Operations

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$180,000–$220,000/yr
US 4w PTO

  • Set and execute Medicare agency strategy, partnering with the GM of Healthcare and Strategy & Ops to define a 3-year plan, annual OKRs, and a GTM strategy that drives 5–7x enrollment growth by 2026
  • Build and scale the brand and growth engine, partnering with Marketing to establish the agency brand and drive top-of-funnel demand across digital, advisor-assisted, and partner channels
  • Lead cross-functional operations and execution, aligning product, operations, and growth roadmaps while scaling efficiently through automation and AI

Propel empowers low-income Americans by simplifying access to government benefits with modern technology. They are a passionate team of 100 Propellers, all working to help their users get through the month, every month.

US

  • Set the strategic direction for federal and state quality measurement initiatives.
  • Provide executive oversight across the full measurement lifecycle.
  • Serve as a senior strategic advisor to federal and state clients.

American Institutes for Research (AIR) is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance. They solve urgent challenges in the U.S. and worldwide by generating evidence and applying data-driven solutions, with headquarters in Arlington, VA.

$127,245–$176,100/yr
US Unlimited PTO

  • Own and drive strategic health partnerships and cross-functional programs.
  • Create structure in ambiguous situations and drive programs from idea to execution.
  • Improve alignment, communications, and processes between teams.

Modern Health is a mental health benefits platform for employers, offering access to various resources for emotional, professional, social, financial, and physical well-being. They are a fully remote workforce known for its excellence and have a unique culture centered around empathy and accountability.

$211,200–$330,000/yr

  • Support Headway health plan partnerships and strategy.
  • Drive creative, innovative, exploratory data analyses to prove patient outcomes.
  • Work collaboratively with cross functional teams including product, design, growth, marketing, payer relations, data & analytics, and operations.

Headway is building a new mental healthcare system that everyone can access. They have grown into a national network of over 60,000 mental healthcare providers across all 50 states. They are a Series D company with over $325m in funding.

US Canada Unlimited PTO

  • Lead measurement strategy across the full product lifecycle.
  • Shape and communicate the value story for ProviderConnect.
  • Create internal messaging, training materials, and measurement focused enablement.

Phreesia's SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care. Phreesia is committed to helping healthcare organizations succeed in an ever-evolving landscape by transforming the way healthcare is delivered. They are dedicated to continuously improving their employee experience by launching new programs and initiatives and they value inclusivity, professional development, and growth opportunities.

US

  • Stand up and run the daily clinical operations for PIN/CHI delivery.
  • Define the care team structure, supervision ratios, and operating cadence.
  • Ensure billing-ready documentation is completed correctly every time. Partner with Compliance + RCM support to prevent leakage/denials caused by ops errors.

Carewell is focused on providing the most trusted and reputable retail source for caregiving products. They have been recognized as one of the fastest-growing companies in the US.

US Unlimited PTO

  • Own the design, execution, and ongoing improvement of in-person care delivery operations.
  • Build scalable workflows that support field-based visits, including care package delivery and care plan check-ins.
  • Translate health plan and payer requirements into clear operational processes for care teams.

Jobgether uses AI powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

$80,000–$90,000/yr
US

  • Leads practice day to day strategy and execution by implementing operational frameworks, policies and performance systems that drive quality and scalability.
  • Own program delivery end-to-end, including existing and new service implementations, ensuring projects are completed on time and aligned with strategic goals.
  • Drive cross-functional collaboration with clinical, product, finance, commercial and senior leadership teams to align services with patient needs and client commitments.

SimpliFed is a digital solution in maternal and child healthcare, enabling continuous, expert care throughout the perinatal period. They have raised over $6M+ in venture capital from world class investors to execute on democratizing access to maternal child healthcare in the perinatal period as related to infant nutrition.

US Unlimited PTO

  • Develop & implement long-term, comprehensive clinical operations strategies focused on member experience, clinical quality, team efficiency, and employee experience.
  • Cultivate a strong, cohesive clinical operations leadership team that effectively oversees day to day operations, ensures clinical safety & compliance.
  • Lead operational excellence within clinical operations including continuous improvement strategies/projects, operating metrics review/improvement, and standardization where appropriate.

Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. They strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions.

US 4w PTO 12w maternity

  • Drive performance excellence by partnering across teams to identify performance issues.
  • Own the end-to-end execution of the Objective Steering Committee meeting.
  • Monitor organizational progress toward hitting our numbers, identifying performance gaps.

Aledade, a public benefit corporation, empowers independent primary care, and is the largest network of independent primary care in the country. They help practices, health centers and clinics deliver better care to their patients and thrive in value-based care, with a collaborative and inclusive remote-first culture.

US

  • Enhance healthcare quality by overseeing performance improvement initiatives.
  • Ensure compliance with regulations and support data analysis.
  • Monitor quality metrics and drive projects to improve healthcare outcomes.

Jobgether is a platform that connects job seekers with potential employers, using AI to match candidates with roles. They focus on ensuring applications are reviewed fairly and efficiently.

US Unlimited PTO

  • Set strategy for the domain, translating clinical and product strategy into a technical direction.
  • Lead managers and teams, build an inclusive culture, and grow future leaders.
  • Deliver treatment launches with rigor, owning delivery for clinical product initiatives.

Hims & Hers is a health and wellness platform that aims to help the world feel great through better health. They deliver personalized care for results and are a public company traded on the NYSE under the ticker symbol “HIMS” with a talent-first flexible/remote work approach.

US

  • Proactively identify strategic growth initiatives and drive their implementation.
  • Lead site operations at health system partners including overseeing management of in-clinic pharmacy liaison team.
  • Meet or exceed both internal and external financial, operational, and patient outcome & satisfaction targets.

Shields Health Solutions provides integrated support across stakeholders and throughout the outpatient specialty pharmacy program continuum of care. They instill a patient-focused culture and ecosystem of teamwork, collaboration, and kindness.

US Unlimited PTO 13w maternity

  • Lead, coach, and develop a team of Ops Associates.
  • Oversee the design and implementation of payor builds or process improvements.
  • Work closely with the Managers to identify process breakdowns and implement solutions.

Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients, and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.

$140,000–$165,000/yr
US

  • Build Maven’s ability to drive sales through payer channels through strategic and analytic support to identify potential clients for all Maven programs and build a business case for them.
  • Lead end‑to‑end outcome evaluations for payer clients, designing robust methodologies and performing hands‑on analyses of medical and pharmacy claims, eligibility files and Maven platform data.
  • Own technical and clinical relationships with payer stakeholders, serving as their primary point of contact for study design, data sharing, results interpretation and ongoing analytic support.

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.

US

  • Own the CEO’s and other key executives’ priorities and operating cadence.
  • Own cross-functional execution on the company’s highest-leverage initiatives.
  • Run leadership team meetings and planning cycles.

Carda Health is building the world’s first patient-centered virtual heart and lung platform, starting with cardiac and pulmonary rehab. They are a team of clinicians, data scientists, mathematicians and repeat entrepreneurs that believes technology and data transforms people’s lives.

US

  • Partner with the Valeris Sales team to ensure a clear understanding of the concept design while addressing the patient journey and brand strategy specific to the patient program.
  • Serve as expert resource for the team to address questions pertaining to program design and project management.
  • Maintain a knowledge base for cross functional team training, onboarding and sharing of best practices with client services, working with internal operational stakeholders.

Valeris is a fully integrated life sciences commercialization partner providing comprehensive solutions that span the healthcare value chain. The company has over 500 life sciences customers, is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, and has a mission-driven and inclusive culture.

$137,500–$182,000/yr
US Unlimited PTO

  • Executes enterprise privacy strategy and governance.
  • Embeds privacy-by-design into product and tech.
  • Leads privacy reviews for vendors and partners.

HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They value their employees and strive to make HSAs widespread and popular, connecting health and wealth for American families.

US

  • Define and lead HIM strategy by building scalable processes to fulfill records requests.
  • Define, develop, and maintain standard medical record report outputs responsive to various record & audit request scenarios.
  • Process medical records of patients, checking for compliance with established policy on nomenclature and procedures.

Omada Health inspires and engages people in lifelong health, one step at a time, and has served 1.4 million individuals since 2011. Its workforce is 100% remote, and it is committed to building an inclusive culture where differences are celebrated.

US

  • Own analytics around scribe AI tools, ensuring outputs become clear reports and dashboards.
  • Monitor patient safety, adverse events, and near-miss reporting—integrating findings into continuous improvement.
  • Collaborate with clinical leadership on evidence-based clinical protocols, ensuring alignment with patient-centered care.

Midi Health is a fast-scaling virtual care company with a mission to transform the way healthcare is delivered. They focus on women’s health and whole-person care, delivering high-quality care through a modern, tech-forward platform, valuing innovation, collaboration, and patient-centered care.