Sr. Director Network Quality and Clinical Strategy

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Asvantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare

Job Title: Sr. Director Network Quality and Clinical Strategy Location: remote Reports to: CVP, Healthcare Services This role will lead the development and execution of quality improvement and clinical strategy initiatives across our healthcare network. The role will be responsible for enhancing provider performance, improving clinical outcomes, and ensuring compliance with regulatory standards. This role will collaborate closely with network providers, clinical teams, and senior leadership to drive consistent, high-quality care and operational excellence across all network facilities.

Strategic Leadership: Develop and execute the organization’s network quality and clinical strategy to improve patient outcomes, provider performance, and operational efficiency. Provider Performance: Establish performance benchmarks and quality improvement programs for network providers to enhance care delivery and patient satisfaction. Clinical Strategy: Design and implement clinical care models that align with industry best practices and emerging healthcare trends. Regulatory Compliance: Ensure all network activities comply with state, federal, and accreditation standards (e.g., CMS, NCQA, Joint Commission). Cross-Functional Collaboration: Partner with clinical, operational, and administrative teams to integrate quality and clinical strategy into all aspects of care delivery. Data-Driven Insights: Develop and monitor key performance indicators (KPIs) to track network quality, clinical outcomes, and provider performance. Provider Engagement: Foster strong relationships with network providers and clinical leaders to align on quality improvement goals and best practices. Leadership and Team Development: Build and lead a high-performing team focused on network quality and clinical strategy, providing mentorship and professional development opportunities. Stakeholder Reporting: Present network quality and clinical strategy performance reports to executive leadership and the board of directors, providing strategic recommendations. All other duties as assigned.