AVP, Health Plan Quality & Risk Adjustment (Nevada)

JOB DESCRIPTION Job Summary Provides strategy and leadership to team responsible for health plan risk and quality activities. Oversees health plan execution for risk and quality, including alignment with enterprise quality strategy. Interfaces with regulatory agencies, leads local quality committees, and oversees and executes local intervention activities designed to improve quality measures and outcomes. Collaborates with corporate quality teams to facilitate data collection, reporting and monitoring for key quality performance measurement activities, and National Committee for Quality Assurance (NCQA) accreditation surveys and federal and state quality improvement (QI) compliance activities. Leads local execution/support for Medicare Stars strategies and performance improvement. Essential Job Duties • Provides strategy development, vision and direction for the health plan risk and quality function. Ensures alignment with corporate risk and quality solutions strategy and activi...