Director of Quality Improvement/Population Health Specialist

5 days ago

Montrose, Colorado, United States Cedar Point Health Full time
Cedar Point Health: Director of Quality Improvement/Population Health

The Director of Quality Improvement/Population Health will play a pivotal role in driving efficient and effective operations across the organization. This individual will be responsible for ensuring high clinical performance by developing and implementing evidence-based clinical pathways and protocols. They will collaborate closely with the CEO and CMO to support the strategic objectives of the organization.

Key Responsibilities:
  • Develop and manage key performance indicators for assigned practices to enhance care coordination, manage chronic diseases, and improve overall community health.
  • Maintain a comprehensive population health strategy aligned with the organization's mission and goals.
  • Work closely with healthcare providers, community organizations, and stakeholders to coordinate care and address the social determinants of health.
  • Prepare and present reports on population health metrics to the leadership team and stakeholders.
  • Deliver and coach on foundational programs, including patient messaging, same-day visit processing, standing orders, pre-visit planning, team-based documentation, quality outreach campaigns, and annual wellness visit workflows.
  • Develop workflows and protocols to ensure high performance in various quality program participation, such as payer-specific programs and MIPS. Implement these under the direction and with the support of the CMO.
  • Oversee the reporting of quality data to insurance companies and applicable organizations (ACO, CIN).
  • Organize and oversee efforts to analyze high-risk populations by data mining our systems and connecting them to the proper resource for further assistance.
  • Design work plans, workflows, and processes by which these programs would be managed.
  • Evaluate cost of care, identify outliers, design cost interventions.
  • Optimize clinical processes, reduce waste, and improve patient care in collaboration with managers and CMO.
  • Communicate and assist with developing necessary policies and procedures to aid in implementation.
  • Collaborate with training teams on creation and rollout of educational materials.
  • Design and analyze performance and outcomes reporting for clinical programs.
  • Track progress of action plans, present outcomes to peers, the leadership, and outside partners.
  • Stay current on evolving ACO program requirements.
  • Responsible for additional population health management tasks and initiatives defined by management.
  • Support a culture that promotes outstanding patient satisfaction, employee engagement, and quality.
Requirements:
  • This position requires on-site work 3-4 days per week, minimum.
  • Ability to demonstrate flexibility and a positive attitude in a high-case load, rapidly changing priority work environment.
  • Ability to cultivate strong professional client-service rapport.
  • Must be experienced in a physician's office or equivalent combination of training and experience.
  • Must possess strong leadership and team management skills.
  • Must have skills and knowledge of word processing, spreadsheets, and report management.
  • Skilled in developing and maintaining clinical quality assurance.
  • Must possess strong analytical and problem-solving skills.
  • Ability to interpret, adapt, and apply guidelines and procedures.
  • Ability to use good reasoning and judgment and react calmly in emergency situations.
  • Ability to establish and maintain effective working relationships with patients, medical staff, coworkers, and the public.
  • Ability to read, write, and communicate effectively orally and in writing.
  • Proficient in the operation of electronic medical records and computer keyboard.
  • Must be able to stand for extended periods of time.
  • Must be able to occasionally lift and carry up to 20 pounds.
  • Must be a team player (maintain respectful co-worker relationships).
  • Must be able to maintain strict confidentiality.
Education and Experience:
  • Bachelor's Degree in Nursing, Public Health, Healthcare Administration, Business, or a related field.
  • Preferred experience in a medical office, nursing home, or inpatient facility. Exposure to quality programs and reporting is highly desired. Focus on care coordination or chronic disease management preferred.
Mental and Physical Requirements:

Must possess the physical and mental abilities that are mostly sedentary with occasional standing, walking, reaching. Daily and repetitive data entry may cause nerve problems unless ergonomic techniques are used. Periodic stress occurs from handling many calls and dealing with patient requests.

The position requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies, labs, hospitals, and other members of the public on a regular basis. The position may cause exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinical environment.

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