Director of Quality and Population Health

2 weeks ago

Gastonia, United States Kintegra Health Full time
Job DescriptionJob Description

Summary of Position: The Director of Quality and Population Health provide overall leadership and direction for the quality of care and population health for the patients of Kintegra Health to improve outcomes. This position will serve to develop and sustain value-based contracts the overall quality plan of the organization. The Director will be responsible for maintaining compliance, establishing procedures and processes, and implementing solutions that advance continuity of care, address care gaps, and manage costs for the patient population. Working closely with leadership teams, the director will work to align current and future strategy and operations of Kintegra Health toward its goal of keeping pace with population health and quality methodologies while enhancing the patient experience. Key goals include building strong relationships with hospitals and community partners and drive data reporting.


Benefits:

• Health Insurance

• 403B Retirement Plan / 403B Retirement Matching

• Paid Time Off

• Holiday Pay

• Long Term Disability

• Life Insurance

• Employee Assistance Program

• Flexible Spending Accounts

• Tuition Reimbursement


Minimum Qualifications:

  • Strong skills developing and implementing operating plans and analyzing both financial and quality data.
  • Ability to effectively manage provider relations.
  • Experience in managing multiple, large-scale, complex projects.
  • Able to research, analyze and interpret policy, contracts and regulations.
  • Experience in working in Federally Qualified Health Center or vulnerable populations.
  • Strong and effective oral and written communication skills.
  • Ability to work extended hours and weekends when needed.

Experience: 5+ Years’ experience with quality, population health, and case management and 10+ Years’ experience in Nursing. Experience in an integrated healthcare delivery system.

Education: Masters’ Degree preferred

Certification(s)/Licensure: Registered Nurse License

Key Responsibilities

  • In coordination with the Chief Quality Officer, develops, implements, and maintains a standardized quality management work plan and program description to ensure compliance with external regulatory and requirements.
  • Develops the annual Quality Program Evaluation and updates the QI Program Description and Workplan in coordination with the Chief Quality Officer.
  • Research and document current health care standards for use in performance improvement study design and methodologies related to health outcomes. Provides assistance, guidance, and oversight to clinical staff with regard to study design, methodology, data analysis and reporting.
  • Serve as the liaison for Medicaid Health Plans, Clinically Integrated Networks, Payers, Providers, and other state agencies in the provision of case management services.
  • Coordinate oversight activities for external entities providing care management services.
  • Manage case management programs to include but not limited to Medicaid Managed Care, Medicare Shared Savings Program, Commercial and Uninsured Case Management programs.
  • Understand the service delivery system for healthcare programs which are administered by the state federal government and be an expert in regulations and requirements.
  • Facilitate and attend meetings with the state, health plans, community agencies and other key stakeholders.
  • Build and implement comprehensive plans to capture, analyze, and utilize data on outcomes of clinical interventions and costs.
  • Design, develop, implement and sustain improvement of health outcomes, outreach and education programs.
  • Participate in the development of the budget, goals and objectives of the department and provides consistent communication to leadership ensuring progress toward agreed upon objectives.
  • Develop and motivate department employees to effectively deliver upon objectives in an efficient and innovative manner. Recognize and reward a high performing workforce, including recognition for excellence in patient care, teamwork and collaboration. Meet with staff and employees on frequent basis to effectively and timely disseminate information, gives staff opportunity for input on solving issues; improves communications, encourages effective teamwork and positive morale.
  • Leads change management efforts as it relates to quality initiatives and organizational strategies and goals.
  • Leads efforts for MIPs, PCMH and other quality driven initiatives as they relate to clinical data and quality.
  • Other duties as assigned


Kintegra Health Core Requirements

1. Patient First – An approach to care that holds primary, the well-being and desires of the patient

2. Build not Blame – Focusing first on finding fault with the process rather than the person

3. Integrity and Honesty – Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers

4. Cooperation and Flexibility – Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description

5. Culturally Sensitive – Always working toward increasing one’s ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one’s own culture.



We are an equal opportunity employer and value diversity.


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