Director, Quality Improvement and Value Based Care

Integrated Services for Behavioral Health•Columbus, OH

3d•Hybrid

About The Position

Integrated Services for Behavioral Health (ISBH) is seeking a Director, Quality Improvement and Value-Based Care for their Ohio Region. This is a hybrid position. ISBH is a community-minded, forward-thinking behavioral health organization dedicated to helping individuals on their path to health and well-being by meeting them in their homes and communities and connecting them to necessary resources. Serving Southeastern and Central Ohio, ISBH offers a comprehensive array of behavioral health and other services, collaborating with local partners to foster healthy people and strong communities. All services are designed to be collaborative and personalized. The Director of Quality Improvement (QI) will provide strategic and operational leadership for the organization’s quality infrastructure, encompassing both a Federally Qualified Health Center (FQHC) and a large community behavioral health organization. This role is pivotal in setting the vision for quality improvement, translating strategy into actionable, measurable steps, and ensuring the consistent execution of enterprise-wide QI initiatives. The position ensures that quality priorities are aligned with the organization’s overall strategy, payer expectations, regulatory mandates, and lead to demonstrable improvements in care delivery. Additionally, the Director will lead the Quality Improvement team and collaborate closely with clinical leadership, operations, compliance, finance, and information technology to cultivate a culture of continuous improvement, accountability, and learning.

Requirements

A high school diploma or GED equivalent is required.
A bachelor’s degree in business, social work or counseling, health care administration, public health, or a relevant field is required.
8 years of experience in quality improvement initiatives in healthcare, with demonstrated responsibility for clinical quality metrics and reporting, is required.
5 years of leadership experience in quality improvement is required.
Experience in both primary care/FQHC and behavioral health settings is required.
Experience supporting or managing value-based care or payer quality programs is required.
Advanced analytical, organizational, and communication skills, with the ability to influence at all levels of the organization, are required.
The ability to function independently and have flexibility, personal integrity, and the ability to work effectively with individuals, teams, and partner agencies is required.
Familiarity with UDS, NCQA, HEDIS-aligned measures, and population health approaches is required.
Working knowledge of FQHC requirements, HRSA quality expectations, and PCMH standards is required.
Cross-functional collaboration
Clear, pragmatic communication
Excellent organizational skills with the ability to stay focused
Ability to prioritize multiple tasks
Ability to use appropriate databases, spreadsheets, and other software
Able to effectively communicate through verbal/written expression
Must be able to operate in an Internet-based, automated office environment
Excellent communication skills, both oral and written is required
Ability to manage deadlines within a fast-paced, high-volume environment is required.

Nice To Haves

A master’s degree in business, social work or counseling, health care administration, public health, or a relevant field is preferred.
Certification or formal training in Quality Improvement or Performance Management (e.g., CPHQ, Lean, Six Sigma) is preferred.

Responsibilities

Develop, implement, and continually refine a comprehensive organizational quality improvement strategy that spans primary care, integrated behavioral health, and specialty behavioral health services.
Serve as the organization’s subject matter expert on quality improvement methodologies (e.g., Lean, PDSA cycles, root cause analysis, performance management).
Promote a culture of continuous improvement, data-driven decision-making, and accountability across clinical and operational teams.
Provide strategic oversight of population health initiatives across the organization, ensuring alignment of care models and chronic care management programs to improve whole-person health across the continuum.
Lead the design, execution, and evaluation of QI initiatives targeting clinical outcomes, patient experience, access, utilization, and equity.
Partner with clinical and operational leaders to translate performance data into redesigned workflows, care pathways, and improvement plans.
Monitor quality performance trends and proactively identify areas of risk or opportunity.
Serve as a primary organizational lead for Value-Based Care and alternative payment models, including pay-for-performance, shared savings, and quality incentive programs.
Maintain strong working relationships with third-party payers related to quality expectations, reporting, and performance improvement.
Oversee tracking, analysis, and reporting of VBC quality metrics; collaborate with clinical leaders to design or adjust care models to achieve contract benchmarks.
Partner with finance and clinical leadership to assess performance impact and inform strategic decisions.
Lead all quality reporting and documentation required for HRSA, including Uniform Data System (UDS) measures and annual quality submissions.
Oversee Patient-Centered Medical Home (PCMH) recognition, maintenance, and re-certification processes, ensuring alignment with HRSA program requirements and NCQA standards.
Develop and maintain the annual FQHC Quality Improvement Plan in alignment with HRSA and Board expectations.
Oversee quality metrics, reporting, and performance monitoring required by behavioral health funders, payers, and partner agencies.
Support quality alignment across behavioral health programs, including outpatient, integrated, and community-based services.
Ensure data integrity and consistent methodology across reporting frameworks.
Partner closely with data analytics, IT, and EHR teams to ensure reliable, actionable quality and performance data.
Translate complex data into clear, actionable insights for leadership, providers, governing bodies, and external stakeholders.
Prepare quality updates and reports for executive leadership and governing boards, as appropriate.
Directly supervise, coach, and develop members of the Quality Improvement team.
Establish clear expectations, workflows, and performance indicators for QI staff.
Foster a collaborative, high-performing team environment focused on continuous learning and improvement.
Travels within designated service areas.
All other duties assigned.