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Director, Health Plan Quality Program Management & Performance (Texas Health Plan)

US · Remote · Full-time · Others

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About the role

Program ManagementCompliance
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Director, Health Plan Quality Program Management & Performance (Texas Health Plan) based in United States. This leadership role oversees health plan quality management and performance improvement programs, ensuring alignment with state, federal, and NCQA requirements. You will lead quality program strategies, audits, surveys, reporting, and performance improvement initiatives while helping maintain strong regulatory compliance. Working across analytics, strategic, clinical, operational, and leadership teams, you will translate quality data into actionable improvements and measurable outcomes. The role also serves as a senior subject matter resource for health plan quality activities and external state-level engagements. You will guide a specialized team, strengthen quality processes, and ensure staff are equipped to meet evolving program requirements. This is an opportunity to shape quality performance across a complex health plan environment while driving continuous improvement and better outcomes for members and providers.