Manager, Quality & Value-Based Programs

OneOncology•Nashville, TN

56d

About The Position

The Manager, Quality and Value-Based Programs leads cross-functional efforts to drive innovative, efficient, and patient-centered care delivery through the integration of quality improvement, regulatory compliance, and value-based care initiatives. This role collaborates across departments and with executive leadership to develop, implement, and optimize best-practice models that support care transformation, regulatory reporting, and strategic program outcomes.

Requirements

Bachelor’s degree required.
Minimum of 5 years management experience in Healthcare Setting
Strong organizational and communication skills are essential.

Nice To Haves

Master’s degree in relevant field preferred
Registered Nurse with Oncology experience preferred
QPP/MIPS reporting experience required
Certification in Oncology Nursing is required if Registered Nurse

Responsibilities

Works in a collaborative, cross-departmental fashion to facilitate patient-centric care that is innovative, efficient, scalable, patient-safety focused and of high quality.
Works as part of a cross-functional team to establish methods for design, development, and implementation of care transformation activities, care management applications/systems, and regulatory/outcomes reporting.
Builds and leads effective strategies to support the effective delivery and management of key projects.
Responsible for integration and implementation of best practice models that support VBC, Quality, and Regulatory programs.
Collaborates with leaders within the organization to develop strategic plans/approaches for achieving specific program goals.
Develops, implements, and maintains tracking methods to monitor progress related to identified key outcomes continually.
Proactively provides strategic consultation and coordination for the prioritization of major areas of opportunity, incorporating both internal best practices as well as external developments.
Evaluates VBC and Regulatory program changes and impact on program service delivery or model design suggesting modifications as needed to ensure successful patient outcomes as well as meet organizational financial goals/targets.
Works closely with executives and directors to develop and implement standard processes and procedures that assure readiness and achieve initiative(s) success.
Leads the identification and oversight of standard data collection, analysis, reporting and monitoring of essential operational and clinical areas of focus related regulatory issues and recommends methods for process improvement based on performance results.
Creates a durable infrastructure model and tools for continuous improvement.
Serves as the organizational expert for regulations, rules, and best practices regarding regulatory requirements.
Works in collaboration with CAO, CMO, Executive/Director Leadership, Compliance Office and Physician Leadership teams to develop specific program goals and infrastructure to align with organizational goals.
Manages programs through creating project plans, management tools, and reporting capabilities.
Develops and initiates a plan to educate departments on relevant regulatory program requirements.
Creates and evaluates policies and procedures as they relate to federal, state, and local regulations as well as regulations regarding organization accreditations.
Assists in organization-wide accreditation application and renewal processes.
Identifies potential regulatory adherence risks and develop strategies to mitigate them.
QPP portal management and annual MIPS reporting.