Full time, Full Time
Community Hospital of the Monterey Peninsula
2026-546 locations100% Remote time typeFull time posted onPosted 6 Days Ago job requisition id2026-546 Welcome to Montage Health’s application process! Job Description: Position Summary The Director of Health Plan Quality is responsible for enterprise leadership of three core performance pillars: STAR Ratings, Member Experience (CAHPS & Engagement), and Risk Adjustment (RAF). This role drives an integrated strategy across these domains to optimize clinical quality, member outcomes, and financial performance for Medicare Advantage and Commercial populations. In addition, the Director provides the clinical oversight of Appeals and Grievances, ensuring a seamless and member-centric resolution process that directly enhances member experience and satisfaction. Responsibilities STAR Ratings Leadership Lead enterprise STAR strategy to achieve and sustain 4+ STAR ratings. Oversee HEDIS, HOS, and administrative measure...