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Posted: 10/20/2026Director, CAHPS and HOS Strategy, Execution
Alignment HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CAHPS and HOS methodologies, with a strong focus on improving member experience and provider performance in a Medicare Advantage environment. Proven ability to lead cross-functional initiatives, analyze performance metrics, and implement effective strategies for quality improvement.
Highest-signal resume keywords
10+ Years Leadership ExperienceCAHPS/HOS Metrics ImprovementProvider Engagement StrategiesHealthcare Quality ImprovementCross-Functional Initiative Leadership
About the role
Key responsibilities & impact- Translate enterprise-wide CAHPS/HOS strategies into detailed operational roadmaps
- Own the project lifecycle for member experience initiatives supporting 5-Star performance
- Direct the annual refresh, maintenance, and field implementation of the Provider Playbook
- Ensure CMS Access to Care interventions are executed at clinic and group level
- Analyze CAHPS/HOS data and performance metrics to identify trends and improvement opportunities
- Develop action plans with operational leaders and network providers
- Maintain 60%+ field presence for in-person provider performance reviews and onsite strategy implementation
- Leverage provider partnerships and high-impact providers to improve member experience
- Implement and monitor provider incentive programs aligned with measurable CAHPS/HOS improvements
- Collaborate with Stars, Member Services, Member Retention, Network Management, and Quality teams
- Serve as subject matter expert on CAHPS/HOS methodologies and regulatory changes
- Prepare performance updates for senior leadership and highlight intervention ROI
- Promote service excellence, empathy, and continuous improvement
- Oversee assigned staff, including recruiting, training, workload assignment, performance appraisal, coaching, counseling, and performance management
- Perform other duties and projects as assigned
Requirements
What you’ll need- 10+ years of progressive leadership experience in healthcare quality, member experience, and provider performance improvement
- Experience working in health plans, provider organizations, or quality-focused healthcare settings
- Proven track record of moving CAHPS/HOS metrics within a Medicare Advantage environment
- Hands-on experience driving provider engagement with demonstrated results in CAHPS and HOS performance improvement
- Working knowledge of provider contracting, including integrating Quality/Stars components into agreements
- Bachelor’s degree in Public Health, Healthcare Administration, Business, or related field
- Deep understanding of CAHPS and HOS methodologies, CMS Star Ratings, and quality improvement frameworks
- Ability to lead cross-functional initiatives and deliver measurable improvements in member experience
- Effective written and oral communication skills
- Ability to perform mathematical calculations and calculate simple statistics correctly
- Ability to prioritize multiple tasks and apply advanced problem-solving and reasoning
- Organizational and time management skills; ability to work in a fast-paced environment
- Ability to comprehend and analyze statistical reports
- Consistent field presence of at least 60% for in-person provider engagements and onsite implementation
- Expertise in CAHPS/HOS survey methodology, regulatory changes, and CMS guidance
- Executive autonomy and ability to communicate complex data insights to executive leadership
- Ability to meet the listed physical functions, with reasonable accommodations as applicable
Benefits
Comp & perks- Opportunity for growth and innovation
- Equal employment opportunity and affirmative action
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CAHPS/HOS MethodologiesStatistical AnalysisQuality Improvement FrameworksProvider Contracting KnowledgePerformance Metrics AnalysisAction Plan DevelopmentMathematical CalculationsData Insights CommunicationPerformance Review ExecutionIn-Person Provider Engagement
Soft Skills
Effective CommunicationOrganizational SkillsTime ManagementProblem-SolvingEmpathy
Certifications & Qualifications
Bachelor’s Degree in Public HealthBachelor’s Degree in Healthcare AdministrationBachelor’s Degree in Business
Industry Keywords
Medicare AdvantageHealthcare QualityMember ExperienceProvider PerformanceCMS Star RatingsQuality-Focused HealthcareProvider PlaybookField ImplementationMember RetentionService Excellence