Director of Quality and Population Health

Summary of Position: The Director of Quality and Population Health provides 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 and 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 align current and future strategies 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 relationships with hospitals and community partners and driving 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 in developing and implementing operating plans and analyzing 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 Centers 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: Master's 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 regulations 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 healthcare standards for performance improvement and study design and methodologies related to health outcomes. Provide assistance, guidance, and oversight to clinical staff regarding 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 providing case management services.
• Coordinate oversight activities for external entities providing care management services.
• Manage case management programs, including, but not limited to, Medicaid Managed Care, Medicare Shared Savings Program, Cand commercial, and Uninsured Case Management programs.
• Understand the service delivery system for healthcare programs administered by the state and 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 clinical intervention outcomes and costs.
• Design, develop, implement, and sustain improvement of health outcomes, outreach, and education programs.
• Participate in developing the department's budget, goals, and objectives. Consistently communicate with leadership to ensure progress toward agreed-upon objectives.
• Develop and motivate department employees to effectively deliver upon objectives efficiently and innovatively. Recognize and reward a high-performing workforce, including recognition for excellence in patient care, teamwork, and collaboration. Meet with staff and employees on a frequent basis to effectively and timely disseminate information, give staff opportunities for input on solving issues, improve communications, and encourage 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 related 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.