Fuze Health is a technology-powered healthcare company committed to transforming patient experiences and advancing personalized care. Backed by SoftBank VF.
About the role
At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.
What they're looking for
- 5+ years of direct experience in healthcare quality operations, with a strong focus on Medicare STARS program metrics, HEDIS reporting, or risk adjustment
- STARS/HEDIS Subject Matter Expert: Strong, foundational knowledge of NCQA guidelines, HEDIS specifications, and Medicare Star Ratings
- Data & Analytics (Looker): Direct experience using Looker (or similar business intelligence tools) to track key performance indicators (KPIs), monitor throughput, and make data-driven staffing decisions
- Systems Fluency: Practical, hands-on experience navigating major EMR platforms and cloud-based contact center telephony platforms
- High proficiency in G Suite / Google Workspace (Docs, Sheets, Slides, Drive) to create client presentations, manage operational trackers, and facilitate meetings
- WFM & Staffing Calculations: Demonstrated ability to project staffing needs and scale personnel dynamically based on data throughput during peak HEDIS seasons
More about this role
At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.
Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.
Job Description
The Director, Quality & Performance Programs drives strategic and operational excellence across healthcare quality programs, clinical data systems, contact center operations, and external...
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