Rancho Cucamonga, California, United States of America
Full Time
1 hour ago
$169,312 - $232,793 USD
No Visa Sponsorship
Key skills
LeadershipChange ManagementCommunication
About this role
Role Overview
Develop and execute an enterprise-wide CAHPS improvement strategy, aligned with CMS Star Ratings, NCQA, Medicaid, and Marketplace requirements.
Integrate CAHPS performance into broader organizational member experience and growth strategies.
Serve as the organization’s expert on CAHPS methodology, benchmarks, and best practices.
Lead cross-functional initiatives that directly improve CAHPS measures such as Getting Needed Care, Getting Care Quickly, Care Coordination, and Rating of Health Plan.
Translate member survey insights into actionable operational and clinical interventions.
Collaborate with IEHP’s provider network leadership team to align practice transformation and clinical workflows with CAHPS improvement goals.
Design and deliver training and toolkits to empower providers and staff in improving member experience.
Partner with member services, care management, and quality teams to ensure member-first interactions.
Direct the development of dashboards and reporting tools to track CAHPS performance in near real-time.
Use data to identify trends, disparities, and opportunities for targeted interventions.
Regularly report performance to executive leadership, and other key stakeholders.
Build, coach, and lead a cross-functional CAHPS improvement team through influence and partnerships.
Foster a culture of accountability, empathy, and member-centered care across the organization.
Hire, train, and manage support staff, while monitoring and evaluating outcomes.
Conduct performance reviews of each Team Member within IEHP guidelines.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Requirements
A minimum of eight (8) years of progressive leadership experience in health plan quality, member experience, or related roles required.
Proven success in designing and implementing CAHPS/member experience improvement strategies required.
Bachelor’s degree in healthcare administration, public health, business, or related field from an accredited institution required.
Master’s degree in healthcare administration, public health, business, or related field from an accredited institution preferred.
Deep knowledge of CAHPS survey methodology, Star Ratings, and Medicaid quality requirements.
Member-centered mindset, with passion for improving care experiences.
Strong analytical, communication, and change management skills.
Data-driven and outcomes-focused.
Ability to lead cross-functional initiatives and influence at all levels of the organization.
Strategic and operational balance: able to set vision while driving execution.
Collaborative leader skilled at provider and stakeholder engagement.
Benefits
Competitive salary
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Life, short-term, and long-term disability options
Career advancement opportunities and professional development
Wellness programs that promote a healthy work-life balance
Flexible Spending Account – Health Care/Childcare
CalPERS retirement 457(b) option with a contribution match