Director of Quality Management

Partnership HealthPlan of California•Fairfield, CA

About The Position

Under the direction of the Senior Director of Quality and Performance Improvement (QI/PI), theDirector of Quality Management is responsible for directing plan-wide and regional performanceimprovement initiatives, quality incentive programs, and quality improvement data visualizationtools and analyses. This includes, but is not limited to strategic goal setting, program planning,budget/account management, and supervision of teams.

Requirements

Bachelor’s degree in applicable field required; Master’s degree inhealthcare is strongly preferred.
Minimum of three (3) years management experiencerequired.
Experience should include managing multifaceted quality andperformance improvement projects.
Working knowledge of principlesand techniques of effective management, including training andevaluation.
In depth knowledge of Quality ImprovementMethodologies.
Ability to lead and motivate teams in achieving superior performancewhile assuring professional development of staff.
Superiorcommunication skills, adaptability, openness to feedback and newideas.
Excellent project management skills, including project planning,resource allocation, and completion status tracking and reporting.
Strong critical thinking and data analytic skills are required.
High level of proficiency in MS Word,Excel, Outlook, and Visio are minimum requirements.
Valid Californiadriver’s license and proof of current automobile insurance compliantwith Partnership policy are required to operate a vehicle and travel forcompany business.
Strong written and oral communication skills.
Excellent interpersonalskills to build relationships and communicate with the Partnership providernetwork, various Partnership regional offices, and other Partnership departments.
Ability to teach and coach diverse healthcare leadership and staff onquality management projects.
Strong organizational skills to work onmultiple projects simultaneously within established time frames.
Strong analytic and critical thinking skills.
Demonstrated skills in facilitation,consensus building, conflict resolution, and identification of concreteaction steps.
Must be able to work in a fast paced environment and maintaincourtesy and composure when dealing with internal and externalcustomers.
Ability to function effectively with frequent interruptionsand direction from multiple team members.

Nice To Haves

Formal certification in areas ofprofessional expertise such as Lean Six-Sigma, IHI’s ImprovementAdvisor Program, and training in the Model for Improvement isdesirable.
Advanceddata analytic skills in healthcare quality data are desired.
Proficiency inMS Project, Tableau, and reporting software desirable.

Responsibilities

Direct Partnership’s performance improvement activities, conducted by regional performanceimprovement teams and others in the quality department.
Assure ongoing prioritization, progress, evaluation, and monitoring of network wide andregional project portfolios to assure short term tactical plan objectives under the Partnership 5-Star Quality Strategy are achieved.
Ensures all interventions are measured for effectiveness and efficiency, with timelyanalysis and reporting.
Oversee the delivery and ongoing development of Partnership’s Partnership ImprovementAcademy and its associated programs.
Direct Partnership’s Primary Care, Hospital, Perinatal, Palliative, Enhanced Case Management,and Long Term Care Quality Incentive Programs, also known as Quality ImprovementPrograms (QIPs).
Research, develop strategies, and advise on QIP payment and incentive methodologiesfor enhancing existing programs to align with the Partnership 5-Star Quality Strategy.
Direct the maintenance and enhancement of Partnership’s provider level quality datavisualization and analysis program, the Partnership Quality Dashboard.
Lead, develop, and coach the leadership of Partnership’s Performance Improvement teams,quality incentive programs (QIPs), and Quality Improvement Analysis teams in thehiring, training, coaching, and support of staff.
Assure robust communication and ongoing collaboration is achieved with sponsors,stakeholders, leadership, staff, and external partners involved in performanceimprovement initiatives and project portfolios across the organization.
Stay informed on key developments in the quality improvement field that impact ourprovider network, including patient-centered medical home certification criteria,meaningful use, primary care transformation best practices, and quality reportingrequirements.
Partner closely with the Director of Quality Measurement to strengthen communication,understanding, and decision-making in how changes to NCQA and DHCS measure setsinform performance improvement priorities, QIP measure development, and datavisualization in Partnership Quality Dashboard (PQD).
Foster strong partnerships between QI, Health Analytics, IT, and Population Health tofulfill data collection, reporting, and dashboard needs in achieving QI/PI deliverables andrelated organizational goals, while addressing competing priorities and assuring goodstewardship of technical resources.
Serve as a member of QI Department and Health Services Management Teams:
Support Senior Director in budget management, staffing decisions, and strategicand operational planning.
Serves as a key contributor to maintaining and advancing progress under Partnership’s5-Star Quality Strategy and corresponding tactical plans, work plans, anddepartment goals.
Support development of direct reports and other department staff by establishingclear goals, expectation, and metrics on all projects.
Accept other responsibilities as determined by the needs of the QI department.
Other duties as assigned.