Banner Health · 1 day ago
Senior Director, Quality and Stars Strategy
Phoenix, AZ
Full-time
Onsite
Mid, Senior Level
7+ years expBanner Health is one of the nation’s most respected integrated health systems, and they are seeking a Senior Director of Stars and Quality to lead the charge in transforming member experience and driving excellence in health outcomes. This role involves shaping strategy, inspiring innovation, and elevating performance across Medicare Advantage and quality programs while collaborating with diverse stakeholders to achieve high performance in quality metrics.
Health CareInsuranceNon Profit
Responsibilities
Acts as the internal Stars expert, providing guidance, education, and technical support to functional leaders accountable for individual measures; delivers data-driven recommendations, synthesizes regulatory updates, and translates external trends into actionable strategies for success
Drives comprehensive strategic planning and initiative development for Medicare Advantage Stars and Quality programs assuring full accountability for performance analytics, reporting, and achievement of Stars-related targets and quality improvement opportunities
Champions system-wide initiatives to advance health equity, support SDOH, and address disparities in Stars domains; ensures these priorities are embedded in all collaborative strategies
Proactively builds and maintains strong relationships with all leadership levels and key contributors
Implements formal and informal mechanisms to capture insights, address barriers, and drive ongoing communication between teams
Leads and convenes multi-disciplinary work groups, ensuring coordinated Stars and Quality strategies across clinical, pharmacy, IT, contracting, analytics, and member experience teams; success is dependent on forging consensus and enabling high performance through others
Partners with analytics, digital engagement, and technology leaders to identify, prioritize, and support deployment of tools and programs enabling gap closure and superior member/provider engagement
Tracks, interprets, implements rigorous data validation, accuracy checks and completeness to ensure reliability and integrity of reported metrics and communicates key performance indicators, but relies on operational teams for direct execution; monitors progress and holds cross-functional teams accountable through transparency and communication
Acts as a bridge between administrative and clinical stakeholders, fostering credible dialogue and consensus on strategic options and operational challenges
Identifies unintended barriers to performance rooted in clinical workflow, supports adoption of new models, and helps teams interpret policy changes from a clinical vantage
Ensures that initiatives respect and optimize clinical staff efforts, while advancing Stars and quality program goals
Provides leadership to direct team members, fostering their success and accountability in achieving department goals
Develops and oversees the department budget to meet Stars performance goals and objectives
Translates organizational Stars and Quality plans into assumptions for annual operating and/or capital budgets
Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance
Qualification
Required
Must possess strong knowledge of healthcare and health plan operations as normally obtained through the completion of a Bachelor's Degree in Business Administration in healthcare administration, nursing, public health, business, or related field
Seven plus years of progressive experience in healthcare quality management, with at least three to five years specifically in Medicare Advantage Stars (HEDIS, CAHPS, HOS) or CMS quality programs
Demonstrated success leading teams and cross-functional initiatives, with strong project/program management skills
Experience with budgeting, resource allocations, and vendor evaluation in health plan setting
Advance ability to analyze data, use quality improvement methodologies, and drive performance outcomes in complex environments
Excellent relationship management, verbal/written communications, and leadership abilities
Preferred
Master's degree preferred
Robust clinical expertise gained through education, licensure, and/or frontline healthcare experience to guide quality improvement strategy and ensure effective translation of clinical evidence into best practices preferred
Previous experience in value-based revenue and quality improvement initiatives with various health insurance products(s)
Additional Related Education And/or Experience Preferred
Benefits
Option to participate in a variety of health, financial, and security benefits
Management Incentive Program
Company
Banner Health
Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,
10001+ employees
H1B Sponsorship
Banner Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (85)
2024 (70)
2023 (35)
2022 (47)
2021 (51)
2020 (29)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Diane and Bruce Halle Foundation
2025-10-24Grant
Leadership Team
Andy Kramer Petersen
President & CEO Banner Health Foundation
Brian P. Kellar
Chief Executive Officer
Recent News
2026-01-06
2025-12-15
2025-12-10
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