Manager, Quality Operations

Summit Health•Houston, TX

1d•Remote

About The Position

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. Location: Join our Team to work remotely in the Houston area! Our Value Based Care Operations team is central to our model of care and works hand in hand with primary care providers to change the local landscape of care delivery. As a Manager, Quality Operations at our organization you will be a key partner implementing value-based care capabilities across a network of primary care medical clinics. Could this be you? In this role, you will partner with Practice Operations and Clinical Leadership to drive value-based contract & quality performance across the market. You will collaborate with VillageMD market teams and practice staff to integrate analytic, ancillary and operations capabilities to manage patient populations against improvements in the ‘Quadruple Aim’ of healthcare: better outcomes, lower cost and an improved patient and clinician experience. This oversight will require you to design, monitor and continually improve processes and the team that supports our providers in value-based care, managing to cost and revenue targets. It is also expected that you drive engagement between patients and clinicians.

Requirements

Prior, hands-on experience with value-based care initiatives and/or positively influencing quality outcomes
Ability to demonstrate a consistent track record of both autonomous and team-facilitated execution with a sense of personal accountability for delivering results
High emotional intelligence including the ability to craft relevant relationships and successfully navigate diverse partner groups will be integral to success in this role
Ability to work alongside physicians and their care teams in a patient and provider-centric manner to effect change and improve processes and outcomes
Ability to quickly gain credibility and establish the required relationships to influence and generate results
Developing and owning relationships with key stakeholders while maintaining clear lines of communication to ensure alignment for shared implementation goals and outcomes
Relevant experience performing under pressure with a strong sense of urgency and attention to detail
A consistent track record of leadership including the ability to achieve results with and through others
A talent for balancing critical thinking with hands-on execution
A desire to be accountable for owning problems, with a strong results-orientation
Excellent presentation, interpersonal and relationship-building skills
Finesse in partnering with physicians on change management initiatives
The knowledge to validate data directly tied to population health and value-based care
Experience to drive change
Bachelor’s Degree in business, healthcare administration or a relevant field required
5 years experience in the healthcare industry, preferably with exposure to healthcare consulting or start-up environment
Experience with Population Management and Value-Based Care operations, including Medicare, Medicaid and Commercial lines of business
Validated ability to implement data into practice; respond to analytical insights with strategies and solutions that impact the provision of care; evidence-based decision-making skills
Direct experience working with physicians including the ability to use data to influence physician behavior
Demonstrated experience scoping, initializing, and operationalizing large-scale initiatives
Superior relationship management and talent development skills
Consistent record of working with and through others to influence desired outcomes
Experience managing geographically dispersed teams and a desire to contribute to others’ success through influencing their personal and professional growth
Proficiency with Microsoft Excel, PowerPoint, and Word required
Experience working with electronic medical records and healthcare financial and operational data and reporting is strongly preferred
Working knowledge of primary care practice workflows and processes
Must be willing and able to commute to practices throughout the Houston metropolitan area

Responsibilities

Assist in the growth and ongoing success of adherence and quality initiatives at the market level
Provide guidance and direction to the market’s quality plan, partnering with clinical and operational leader to identify ongoing opportunities for process improvements, advising on clinic-based action plans and changing operational priorities
Operationalize processes pre-visit, during the visit, and post-visit in partnership with Practice Operations leaders to achieve better quality addressal and gap closure at the point of care
Collect, analyze, and interpret clinical and operational data to track the effectiveness of quality initiatives and identify workflow improvements at the market or practice level
Monitor and report on key quality indicators such as HEDIS metrics, patient experience and care coordination metrics.
Utilize change management best practices to drive improved quality data documentation and workflow improvement
Lean on subject matter expertise in payer contracts to develop a market operating plan to achieve quality targets across different patient populations (Commercial, Medicare Advantage, ACO Reach)
Partner with analytics to produce and improve upon measurement of quality performance across different value-based contracts
Develop strategic and operational solutions for improving quality, while reducing the cost of care delivered
Identifying quality measure improvement opportunities to drive strong performance under value-based contracts
Partner with clinical teams to provide training and education on QI processes, standards of care, and any relevant requirements