Director Quality Improvement & Population

TrueCare•San Marcos, CA

2d•$120,551 - $186,854

About The Position

The Director focuses on population health management, including preventive care, chronic disease management, care coordination, and addressing social determinants of health (SDOH) to reduce disparities and optimize resource utilization. They lead quality improvement initiatives, such as clinical process enhancements and patient safety efforts, while fostering a culture of continuous improvement. Leveraging data analytics, they monitor performance, prioritize initiatives, and align programs with organizational goals. By collaborating with community partners, engaging patients, and educating staff, the Director ensures the department delivers innovative, patient-centered care that advances TrueCare’s mission.

Requirements

Bachelor’s degree in nursing from an accredited college
A minimum of five (5) years’ clinical nursing experience.
Previous experience leading quality improvement and/or change management processes.

Nice To Haves

Master’s in Public Health from an accredited institution preferred.
1 to 3 years of experience leading a quality improvement program preferred.
Familiarity with Lean, Six Sigma, Model for Improvement, and other quality improvement frameworks.
Additional certification in Lean Six Sigma preferred.
Additional certification or coursework in patient safety and quality desired.

Responsibilities

Develop and implement programs for preventive care and chronic disease management
Prioritize and coordinate outreach efforts to engage patients assigned to TrueCare by health plans who have not yet received services, ensuring alignment with population health goals.
Address social determinants of health (SDOH) to improve outcomes and reduce health disparities.
Use risk stratification and patient segmentation to identify and prioritize interventions for high-risk populations.
Drive efforts to enhance clinical processes, improve patient safety, and meet regulatory standards.
Monitor and improve performance on quality metrics, including patient satisfaction and clinical outcomes.
Implement PDSA cycles and other improvement methodologies to test and scale new processes.
Use data analytics to monitor performance, identify trends, and guide decision-making.
Work with Enterprise Analytics and other stakeholders to develop dashboards and reports to track quality and population health outcomes and communicate progress to stakeholders.
Work with clinical and operational leaders to ensure initiatives are integrated into workflows and care delivery.
Partner with Diversity, Equity, and Inclusion (DEI) and Health Equity subject matter experts to ensure strategies are informed, impactful and meets broader organizational goals.
Build partnerships with community organizations to address health needs and expand resources for patients.
Serve as the primary liaison for population health initiatives to external healthcare partners, providers, and applicable regulatory and credentialing organizations, ensuring alignment with TrueCare’s goals and standards.
Participate and lead in efforts to transition TrueCare into a professional risk and advanced payment environment, focusing on strategies that reward exceptional clinical care, service excellence, and quality improvement.
Work closely with payers to manage and optimize pay-for-performance and quality incentive programs, ensuring TrueCare maximizes opportunities to enhance care quality while meeting financial targets.
Monitor and report on the performance of pay-for-performance initiatives and quality incentive programs, leveraging data analytics to inform strategies for improvement
Lead efforts and manage applications for Patient-Centered Medical Home (PCMH) accreditation, ensuring adherence to required standards and guidelines.
Ensure compliance with regulatory requirements and prepare for accreditation reviews.
Align department efforts with the standards of agencies such as CMS, NCQA, HRSA, DHCS and other agencies.
Lead, mentor, and develop the Quality Improvement and Population Health team.
Provide education and training for staff to build a culture of continuous quality improvement and patient-centered care.
Establish systems for continuous feedback loops to refine programs and processes based on outcomes and staff/patient input.
Use stakeholder feedback to prioritize initiatives and develop actionable proposals for review and approval.