Director of Quality Management Population Health Services
3 days ago
Dignity Health Management Services Organization (Dignity Health MSO) is seeking a Director, Quality Management Population Health Services Organization (PHSO) to lead our quality improvement initiatives. This role will work across multiple time zones and will be responsible for establishing project plans, developing initiatives, and establishing data tracking.
Key Responsibilities
The successful candidate will have the ability to work across a matrixed environment and will be responsible for:
- Developing compliance programs to meet state, health plan, and federal regulations.
- Overseeing the development and maintenance of regular quality monitoring and reporting for all contracted organizations and provider groups.
- Continually improving systems to comply with strategic goals of the organization, Federal and state laws and regulations, and accreditation standards.
- Developing a Physician engagement implementation plan and strategy for PHSO and supporting roll out to strategic partner.
- Establishing oversight programs for quality improvement initiatives that include data tracking, goals setting, and benchmarking.
- Updating and maintaining risk reporting and risk management system including sentinel and critical event reporting and followup.
- Responsible for developing interventions strategies to meet targeted goals, support matrixed leaders in implementation and tracking.
The ideal candidate will have:
- 7+ years of management experience, with a focus on quality improvement leadership.
- 2+ years working in a managed care or other related healthcare business environment.
- Experience leading a national/regional operations team.
- Bachelor's Degree
- Knowledge and experience using Continuous Quality Improvement techniques.
- Experience working with JCAHO, NCQA or other standards.
- Experience managing complex work processes including accreditation, organization audits.
- Knowledge and experience with regulatory organizations such as CMS, DMHC, CDPH.
A degree concentration in Healthcare or Business Management is preferred, as is experience working in an integrated healthcare model with process development and program implementation. Experience in Risk Management and Health Care Compliance is also preferred.
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