Director of Quality and Value Based Care - Hybrid Sacramento, CA

California Primary Care Association • Sacramento, CA

2d • $127,070 - $134,545 • Hybrid

About The Position

The Director of Quality and Value-Based Care provides strategic guidance, technical expertise, and advocacy to support health centers in advancing clinical quality, population health, and value-based care and payment, including through managed care contracts and Medicare arrangements. Working with internal teams, external partners, and policymakers, this role leads quality improvement (QI) programs, value-based care initiatives, including in managed care and Medicare, and best practice adoption. The position emphasizes data-driven performance improvement, requiring strong knowledge of quality measures, data analysis, QI methodologies, population health, and value-based care within the managed care system and Medicare.

Requirements

• Knowledge of state and national quality measures such as UDS, HEDIS, MCAS, and QI initiatives/methodologies, population health, and health care data analysis.
• Strong knowledge of managed care contracting, billing, Medicare, provider networks, performance improvement strategies, and value-based care models.
• Advanced problem-solving, critical thinking, time management, and organizational skills with keen attention to detail.
• Skilled in leading high-level meetings and trainings with diverse stakeholders, using inclusive facilitation techniques.
• Proven ability to work independently, manage priorities, and meet deadlines in a fast-paced, cross-functional environment.
• Excellent written and verbal communication skills, including effective proofreading.
• Demonstrated professionalism, confidentiality, and interpersonal effectiveness with staff, members, boards, and partners.
• Collaborative team player with experience working across departments and with senior leadership.
• Proficient in Microsoft Office, virtual communication tools, and web-based platforms.
• Bachelor’s degree in public health, healthcare administration, nursing, or related field.
• Minimum of 7 years of experience in quality improvement, population health, value-based care, Medicare, or related areas within primary care, public health, or healthcare organizations.
• Due to network security and hybrid work, this position requires the employee to have a cell phone with a data plan and home internet service, both are reimbursed at a set rate each month.
• This is a hybrid position with all hires being required to maintain residence in California and commute to our office in downtown Sacramento multiple times a week.

Nice To Haves

• Master’s degree preferred.
• Experience with community health centers, member-driven associations, or non-profit organizations is preferred.
• Relevant experience may be considered in lieu of degree requirement.

Responsibilities

• Lead strategic planning and execution of statewide QI and value-based care initiatives.
• Serve as subject matter expert on federal and state quality programs such as DHCS, Covered CA, OHCA, NCQA, CMS, etc.
• Analyze clinical quality performance data to produce actionable reports, dashboards, and presentations that inform improvement opportunities for community health centers (CHCs).
• Conduct research, analyze data, and prepare reports to support advocacy, training, technical assistance, and grant deliverables.
• Lead the development and execution of managed care and Medicare strategies to support health centers in maximizing contracts and transitioning to value-based payment.
• Serve as a subject matter expert on managed care policies, contracts, billing, clinic networks, Medicare, and performance improvement strategies.
• Develop and deliver training, technical assistance, and resources such as webinars, workshops, toolkits, manuals, newsletters, and web content.
• Ensure resources and training align with CPCA’s strategic plan, grant requirements, and regulatory/legislative/policy agenda.
• Build relationships with member health centers to assess needs and tailor support, resources, and technical assistance.
• Coordinate and facilitate Peer Networks, Task Forces, and Technical Advisory Committees, including developing agendas, presentations, and content, and ensuring content alignment with CPCA priorities.
• Cultivate partnerships with managed care plans, agencies, stakeholder groups, and grant funders.
• Represent health centers in stakeholder committees, advisory groups, and advocacy efforts with managed care plans, agencies, and partners.
• Represent CPCA and health center interests with professionalism at local, regional, state, and national forums and events.
• Support grant development and management, including proposal writing, managing contracts, and ensuring compliance with funder requirements.
• Advocate for health centers by engaging with policymakers and responding to policy proposals.
• Collaborate with internal staff and external partners to analyze and respond to legislation, regulations, and policy guidance (e.g., All-Plan Letters).
• Support the Association's strategic plan.
• Attend and participate in required Association meetings,
• Travel for state, regional, and national conferences, training, and site visits by air and ground transportation.
• Reports regularly to supervisor.
• Other duties as assigned.

Benefits

• Hybrid work schedule (2 days in the office weekly, with an additional in-office day once per month)
• 100% employer-paid medical, dental, vision, life, and AD&D insurance
• 5% employer retirement contribution
• Generous paid time off: 15 vacation days, 12 sick days, 2 floating holidays, plus 18 paid holidays (including a December 24th - January 1st Winter Break)
• Monthly stipends: $50 for cell phone and $50 for internet
• Parking benefits
• Employee Assistance Program (EAP) and voluntary benefits, including pet insurance, Aflac, and FSA options

What This Job Offers

• Job Type: Full-time
• Career Level: Director