Job Details

Director Of Quality Management

Under the direction of the Senior Director of Quality and Performance Improvement (QI/PI), the Director of Quality Management is responsible for directing plan-wide and regional performance improvement initiatives, quality incentive programs, and quality improvement data visualization tools and analyses. This includes, but is not limited to strategic goal setting, program planning, budget/account management, and supervision of teams.

Responsibilities include:

• Direct Partnership's performance improvement activities, conducted by regional performance improvement teams and others in the quality department.
• Assure ongoing prioritization, progress, evaluation, and monitoring of network wide and regional project portfolios to assure short term tactical plan objectives under the Partnership 5-Star Quality Strategy are achieved.
• Ensures all interventions are measured for effectiveness and efficiency, with timely analysis and reporting.
• Oversee the delivery and ongoing development of Partnership's Partnership Improvement Academy and its associated programs.
• Direct Partnership's Primary Care, Hospital, Perinatal, Palliative, Enhanced Case Management, and Long Term Care Quality Incentive Programs.
• Research, develop strategies, and advise on QIP payment and incentive methodologies for enhancing existing programs to align with the Partnership 5-Star Quality Strategy.
• Direct the maintenance and enhancement of Partnership's provider level quality data visualization and analysis program.
• Lead, develop, and coach the leadership of Partnership's Performance Improvement teams, quality incentive programs (QIPs), and Quality Improvement Analysis teams.
• Assure robust communication and ongoing collaboration is achieved with sponsors, stakeholders, leadership, staff, and external partners involved in performance improvement initiatives and project portfolios across the organization.
• Stay informed on key developments in the quality improvement field that impact our provider network.
• Partner closely with the Director of Quality Measurement to strengthen communication, understanding, and decision-making.
• Foster strong partnerships between QI, Health Analytics, IT, and Population Health.
• Serve as a member of QI Department and Health Services Management Teams.
• Other duties as assigned.

Qualifications include:

Education and Experience

Bachelor's degree in applicable field required; Master's degree in healthcare is strongly preferred. Formal certification in areas of professional expertise such as Lean Six-Sigma, IHI's Improvement Advisor Program, and training in the Model for Improvement is desirable. Minimum of three (3) years management experience required. Experience should include managing multifaceted quality and performance improvement projects. Working knowledge of principles and techniques of effective management, including training and evaluation. In depth knowledge of Quality Improvement Methodologies.

Special Skills, Licenses and Certifications

Ability to lead and motivate teams in achieving superior performance while assuring professional development of staff. Superior communication skills, adaptability, openness to feedback and new ideas. Excellent project management skills, including project planning, resource allocation, and completion status tracking and reporting. Strong critical thinking and data analytic skills are required. Advanced data analytic skills in healthcare quality data are desired. In depth knowledge of improvement methodologies such as the Model for Improvement, Lean, Six Sigma. High level of proficiency in MS Word, Excel, Outlook, and Visio are minimum requirements. Proficiency in MS Project, Tableau, and reporting software desirable. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.

Performance Based Competencies

Strong written and oral communication skills. Excellent interpersonal skills to build relationships and communicate with the Partnership provider network, various Partnership regional offices, and other Partnership departments. Ability to teach and coach diverse healthcare leadership and staff on quality management projects. Strong organizational skills to work on multiple projects simultaneously within established time frames. Strong analytic and critical thinking skills. Demonstrated skills in facilitation, consensus building, conflict resolution, and identification of concrete action steps.

Work Environment And Physical Demands

Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. When necessary, the ability to lift, carry, or move manuals and reports, weighing up to 25lbs.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$180,252.50 - $243,340.87

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.