Director Quality Management PHSO
US-CA-BAKERSFIELD
commonspirit_careers
Req #: 380887
Type: Day
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Overview: ***This position is remote and will work across multiple time zones. The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first. Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave. Responsibilities: ***This position is remote and will work across multiple time zones. Position Summary: The Director, Quality Management Population Health Services Organization (PHSO) has the ability and skills to work across a matrixed environment to establish project plans, developed initiatives and establish data tracking. Working with state leaders, value hub leaders and Health Plan leaders to support operational operations processes. Responsibilities may include: - Works with the VP to develop compliance programs to meet state, health plan and federal regulations. Should include Quality improvement tracking and oversight processes. - Oversees the development and maintenance of regular quality monitoring and reporting for all contracted organizations and provider groups. - Continually improves systems to comply with strategic goals of the organization, Federal and state laws and regulations, and accreditation standards. - Develops a Physician engagement implementation plan and strategy for PHSO and supports roll out to strategic partner. - Establishes oversight programs for quality improvement initiatives that include data tracking, goals setting and benchmarking. - Updates and maintains risk reporting and risk management system including sentinel and critical event reporting and follow-up. - Responsible for developing interventions strategies to meet targeted goals, support matrixed leaders in implementation and tracking. Qualifications: Minimum Qualifications: - 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. Preferred Qualifications: - Experience working in an integrated healthcare model with process development and program implementation desirable. - Experience in Risk Management and Health Care Compliance preferred. - Degree concentration in Healthcare or Business Management preferred. - Experience with MSSP strongly preferred. #LI-DH
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