Director of Quality Improvement and Population Health

Description

General Description:

Reporting directly to the Chief Medical Officer, the Director of Quality Improvement and Population Health is responsible for assisting providers and all staff of Carolina Health Centers, Inc. to improve population health outcomes and quality of care. 

• This position is also a key member of the management team that helps to develop, implement, and evaluate population health, quality, and practice transformation strategies to improve the health of the patients, families and communities that we serve.

Requirements

All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: honesty, integrity, openness, the pursuit of individual and collective excellence, and unwavering mutual respect and appreciation. 

In addition, this position requires:

Education

• Bachelor’s degree is required; Master’s degree in public health or healthcare is preferred. 

Work Experience

• A minimum of two years’ experience working in healthcare, population health, quality improvement or related field preferred. 

Licensure and Credentials:

• None required

Beneficial Attributes

• Knowledge of population health, quality of care concepts and methodologies, as well as concepts of community health and social determinants of health 
• Critical thinking with ability to gather and analyze data, assess effectiveness of systematic changes 
• Computer proficiency and ability to quickly learn new applications, including EHR and reporting systems
• Organizational skills with ability to manage long-term projects as well as short change processes
• Professional demeanor and ability to interact with staff members regardless of education, background and status
• Effective oral and written communication

Professional Abilities

• Compile and analyze data
• Manage long term projects
• Work with staff members and outside partners across many different settings

Physical Abilities

• Able to push, pull, reach, sit, stoop, and stretch
• Have full range of body motion
• Have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, and copier
• Required to talk and hear
• Vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus
• Noise levels in the work environment are quiet to moderate

Work Environment

This position involves exposure to customer/patient elements. The work environment is that of a medical practice that enforces safe OSHA compliant practice. HIPAA rules and regulations are stringently enforced. 

This job also operates in a professional office environment. This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets, and fax machines.

Requirement for out-of-town and/or overnight travel is occasional.

Duties and Responsibilities:

• Provides leadership and direction for the Department of Quality and Population Health including supervision of staff responsible for facilitating patient access and utilization, as well as measuring quality and performance across the continuum of care. These staff may include but are not limited to positions involved in care management, care coordination, addressing social drivers of health, analytics, and performance improvement. 
• Completes monthly, quarterly, and annual clinical reporting and analysis in compliance with the Quality Improvement Plan
• Completes clinical reporting and analysis in compliance with grants and federal requirements
• Coordinates Peer Review and Patient Satisfaction Surveys in compliance with the Quality Improvement Plan
• Hosts the Quality Improvement Committee and records minutes in compliance with the Quality Improvement Plan
• Periodically convenes department and inter-departmental meetings for the purpose of training, collaboration, updates, and other work as needed
• Works with insurance plans to facilitate population health goals such as accurate member rosters, gaps in care coordination, and monitoring to ensure services rendered are properly credited by the plans
• Works with staff to disseminate information from insurance plans and suggests system improvements to better coordinate care while also providing the insurance plans with contractually negotiated data
• Travels to sites to present relevant data and to instruct staff on methods of improvement 
• Chairs the Patient Centered Medical Home (PCMH) Committee
• Coordinates PCMH application for all sites, warehouses the documentation, and responds to audits as necessary
• Collaborates with state and regional partnerships on population health, quality improvement and health system innovation strategies and initiatives, as deemed necessary and beneficial to Carolina Health Centers

Reporting Relationships:

Responsible to:

• Chief Medical Officer

Workers Supervised:

•  Case managers, Quality Improvement Specialists, Care Coordination Specialists, and[Office1]  Population Health Specialists

Interrelationships: 

• Works in cooperation with staff and effectively serves customers

This job description is not designed to cover or contain an exhaustive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities and activities may change at any time with or without notice.