Director, Care Management & Quality - Peak Health
Peak HealthMorgantown, West Virginia, United States
Posted March 10, 2026
Full Time
About the Company
Making health care more accessible, understandable, and collaborative. Explore our career opportunities at https://wvumedicine.wd1.myworkdayjobs.com/PEAK
Job Description
We’re excited you’re considering an opportunity with us! This role will be responsible for the people, process and business requirements necessary to appropriately manage care, lead the plan’s HEDIS/Stars program, and deliver exceptional customer service.
Requirements
- Bachelor's Degree in Healthcare Administration, Public Health, or related field.
- Five (5) years of prior management experience in Care Management and/or Quality in a managed care setting.
- Eight (8) years of experience working in Care Management or Quality.
- Three (3) years of experience in population health, healthcare, HEDIS, HOS, CAHPS, STARS or QRS.
- Five (5) years of Managed care experience across a broad portfolio of products or provider managed care setting, specifically with state and federal health programs.
- Five (5) years of experience with care management principles, population health management, CMS guidelines, regulations, NCQA® and HEDIS® standards/guidelines.
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Visa Sponsorship
- Four Day Work Week
- Generous Parental Leave
- Tuition Reimbursement
- Relocation Assistance
