Carolina Health Centers, Inc. · 1 week ago
Director of Quality and Population Health
Greenwood, SC
Full-time
Onsite
Lead/Staff, Director/Executive
2+ years expCarolina Health Centers, Inc. is focused on advancing population health outcomes and quality of care. The Director of Quality and Population Health is responsible for leading initiatives in quality improvement and practice transformation while serving as a liaison with managed care companies and accountable care organizations.
Health CareMedicalNon ProfitWellness
Responsibilities
Provide leadership and direction for the Department of Quality and Population Health, including supervision of staff responsible for care management, care coordination, analytics for managed care organizations, and addressing social drivers of health
Directly supervise the manager(s) of Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs, ensuring effective program implementation, integration, performance and revenue generation
Monitor and report on CCM and RPM program metrics (enrollment, engagement, clinical outcomes, reimbursement), preparing monthly, quarterly, and annual reports for leadership and the Quality Improvement Committee
Complete clinical reporting and analysis in compliance with the Quality Improvement Plan, grants, managed care organization agreements and federal requirements
Coordinate Peer Review program (quarterly) and Patient Satisfaction Surveys (annual)
Lead and manage the Quality Improvement Committee, including managing roster, developing agenda, strategies for collaboration and improvement and PDSA cycles
Convene department and interdepartmental meetings for training, collaboration, and updates
Lead and/or support the Front Desk Foundations meetings
Work with managed care organizations and Community Integrated Management Services (CIMS) to facilitate population health goals, gaps in care coordination, HEDIS measure performance and accurate performance monitoring and incentive payments
Disseminate information from managed care organizations and strategize and help implement system improvements
Travel to sites, form relationships with staff (including providers), present data, educate on the meaning and importance of the information, and facilitate staff improvement methods
Organize and lead the Provider Enhancement Program (PEP) meetings to build comradery and knowledge within the provider staff
Chair the Patient Centered Medical Home (PCMH) Committee and coordinate PCMH applications, maintenance and audits
Collaborate with state and regional partnerships on population health, quality improvement, and health system innovation
Qualification
Required
Bachelor's degree required
Preferred
master's degree in public health, healthcare administration, nursing, or related field
Minimum two years' experience in healthcare, population health, quality improvement, or related field
Experience implementing and overseeing Chronic Care Management and Remote Patient Monitoring programs
CPHQ, CCM, RHIA or similar certifications
Knowledge of population health, quality of care concepts, managed care organizations, billing and coding requirements, and social determinants of health
Critical thinking and data analysis skills
Computer proficiency, including EHR and reporting systems, Excel proficiency
Organizational skills for managing long-term projects and rapid change processes
Professional demeanor and effective communication skills
Ability to navigate relationships and manage the inherent organizational stress between quantity and quality
Compile and analyze data
Manage long-term projects
Collaborate with staff and external partners across diverse settings
Multitask across multiple projects, tasks and strategies
Able to push, pull, reach, sit, stoop, and stretch
Full range of body motion
Hand-eye coordination and manual dexterity for computer and office equipment
Required to talk and hear
Vision abilities for close, distance, color, peripheral, depth perception, and focus adjustment
Noise levels: quiet to moderate
Exposure to patient/customer elements in a medical practice enforcing OSHA and HIPAA compliance
Professional office environment with standard office equipment
Periodic domestic or overnight travel may be required
Company
Carolina Health Centers, Inc.
Carolina Health Centers, Inc. (CHC), formerly MEGALS Rural Health Association, was formed by a group of interested citizens.
Founded in 1977Greenwood, South Carolina, USA
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Locke Simons
Chief Medical Officer
Company data provided by crunchbase