Partnership HealthPlan of California · 3 hours ago
Director of Quality Management
US-CA-Auburn
Full-time
Hybrid
Mid Level
$180K/yr - $243K/yr
3+ years expPartnership HealthPlan of California is seeking a Director of Quality Management to oversee performance improvement initiatives and quality incentive programs. The role involves directing strategic goal setting, program planning, and supervising teams to enhance quality management across the organization.
Health CareInsuranceNon Profit
Responsibilities
Direct Partnership’s performance improvement activities, conducted by regional performance improvement teams and others in the quality department. Activities include large-scale network wide initiatives, DHCS mandated improvement projects, elective improvement projects conducted with internal and external partners, and initiatives specific to engaging members and improving member experience
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. Direct knowledge management processes and inventories to inform multi-year intervention strategies in quality measure score improvement
Ensures all interventions are measured for effectiveness and efficiency, with timely analysis and reporting. Assures initiatives and programs are evaluated at an appropriate frequency with comprehensive, data driven reporting, conclusions, and recommendations
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, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance to our provider network for meeting performance improvement targets
Research, develop strategies, and advise on QIP payment and incentive methodologies for enhancing existing programs to align with the Partnership 5-Star Quality Strategy. Initiate new pay for performance programs, as needed
Direct the maintenance and enhancement of Partnership’s provider level quality data visualization and analysis program, the Partnership Quality Dashboard. Work closely with Quality Improvement Analysis team, other leadership across QI department and Partnership as a whole on data and measurement related activities, including the QIPs, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations
Lead, develop, and coach the leadership of Partnership’s Performance Improvement teams, quality incentive programs (QIPs), and Quality Improvement Analysis teams in the hiring, training, coaching, and support of staff
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, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements
Partner closely with the Director of Quality Measurement to strengthen communication, understanding, and decision-making in how changes to NCQA and DHCS measure sets inform performance improvement priorities, QIP measure development, and data visualization in Partnership Quality Dashboard (PQD)
Foster strong partnerships between QI, Health Analytics, IT, and Population Health to fulfill data collection, reporting, and dashboard needs in achieving QI/PI deliverables and related organizational goals, while addressing competing priorities and assuring good stewardship of technical resources
Serve as a member of QI Department and Health Services Management Teams: Support Senior Director in budget management, staffing decisions, and strategic and operational planning. Serves as a key contributor to maintaining and advancing progress under Partnership’s 5-Star Quality Strategy and corresponding tactical plans, work plans, and department goals. Support development of direct reports and other department staff by establishing clear goals, expectation, and metrics on all projects. Accept other responsibilities as determined by the needs of the QI department
Qualification
Required
Bachelor's degree in applicable field required
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
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
High level of proficiency in MS Word, Excel, Outlook, and Visio are minimum requirements
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
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
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 25 lbs
Preferred
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
Advanced data analytic skills in healthcare quality data are desired
Proficiency in MS Project, Tableau, and reporting software desirable
Company
Partnership HealthPlan of California
Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
L
Lorna Veloso
Sr. Manager of OpEx/PMO
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