Director of Operations, Quality

Monogram Health • Brentwood, TN

1d

About The Position

The position of the Director of Operations, Quality, will serve to enhance operations and results of Monogram Health performance in Quality Improvement, including but limited to Star Rating goals, documentation accuracy within Risk Adjustment, and clinical interventions. This role will collaborate cross-departmentally to develop and drive strategic initiatives to achieve performance results within the department. Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Requirements

• Bachelor’s degree required
• Minimum of five (5) years of experience in the healthcare industry, with preference for medical group, provider, or value-based care environments, including a minimum of three (3) years of Medicare Star Rating and Risk Adjustment experience
• Proficiency in data visualization and reporting tools (e.g., Power BI) to analyze dashboards and drive data-informed decision making
• Proficiency in Microsoft Office Suite, particularly Excel and PowerPoint, for data analysis, reporting, and development of executive-level materials
• Proven ability to influence cross-functional stakeholders, including clinical and executive leadership, in a matrixed environment
• Strong presentation skills with the ability to convey complex data and insights to diverse audiences
• Experience translating complex data into actionable operational strategies that influence clinical workflows and outcomes
• Business acumen with the ability to connect quality performance to financial and operational outcomes
• Demonstrated success in leading change and driving adoption across distributed clinical teams

Nice To Haves

• Master’s degree in healthcare or related field preferred

Responsibilities

• Facilitate Quality Committee meetings and prepare the Quality deck for the Board of Directors
• Responsible for ensuring Quality-related accreditations (e.g., NCQA) are met and executed upon on an annual basis
• Develop innovative initiatives in partnership with clinician leaders to drive efficient and effective clinical outcomes
• Educate internal and external parties on the Star Rating system and Risk Adjustment history, changes, and where programs are moving forward
• Liaison and represent Quality Team with various clients as it relates to value-based care initiatives and reporting
• Present both internally and externally overview and specific findings to relative parties to ensure understanding and next steps
• Analyze data to determine areas of opportunity and develop actions plans to address the identified gaps, aligned with Star Ratings, Risk Adjustment, and NCQA quality measures
• Collaborate to enhance the clinical workflow to address the needs of the department in an efficient and comprehensive manager
• Review and assist in the development of reporting around Stars and Risk Adjustment to help gain insights into key areas of opportunity and drive strategic initiatives
• Assist in the development of overall quality program, including Star Ratings, Risk Adjustment, and NCQA-aligned quality standards, to support high-quality patient care and organizational performance
• Alleviate operational barriers as they are addressed with conflicting and compromising business initiatives across the organization

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 251-500 employees