Director of Quality Improvement/Population Health

The Director of Quality Improvement/Population Health will lead efforts to ensure efficient and effective operations through all parts of the organization. They will ensure high clinical performance by identifying, developing, and implementing evidence-based clinical pathways and protocols. They will support the efforts of and work collaboratively with the CEO and CMO to support the strategic objectives of the organization.

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and Paid Time Off including sick time.

Responsibilities:

• Develop and manage key performance indicators for assigned practices to enhance care coordination, managing chronic diseases, and improve overall community health.
• Maintain comprehensive population health strategy aligned with the organization mission and goals.
• Work closely with healthcare providers, community organizations and stakeholders to coordinate care and address the social determinants of health.
• Prepare and present reports on population health metrics to leadership team and stakeholders.
• Deliver and coach on foundational programs including patient messaging, same day visit processing, standing orders, pre visit planning, team-based documentation, quality outreach campaigns, and annual wellness visit workflows.
• Develops workflows and protocols to ensure high performance in various quality program participation such as payer-specific programs and MIPS. Implements these under the direction and with the support of the CMO.
• Oversees the reporting of quality data to insurance companies and applicable organizations (ACO, CIN).
• Organizes and oversees efforts to analyze high-risk populations by data mining our systems and connecting them to the proper resource for further assistance (i.e. Care management, appointment scheduling, clinicians, medical assistants, etc.).
• Design work plans, workflows and processes by which these programs would be managed.
• Evaluate cost of care, identify outliers, design cost interventions.
• Optimizes clinical process, reduces waste, and improves patient care in collaboration with managers and CMO.
• Communicate and assist with developing necessary policies and procedures to aide in implementation.
• Collaborate with training teams on creation and rollout of educational materials.
• Design and analyze performance and outcomes reporting for clinical programs.
• Track progress of action plans, present outcomes to peers, the leadership and outside partners.
• Stay current on evolving ACO program requirements
• Responsible for additional population health management tasks and initiatives defined by management.
• Supporting a cultural that promotes outstanding patient satisfaction, employee engagement and quality.

• This position is required on site 3-4 days per week, minimum.
• Ability to demonstrate flexibility and a positive attitude in a high-case load, rapidly changing priority work environment.
• Ability to cultivate strong professional client-service rapport
• Must be experienced in a physician’s office or equivalent combination of training and experience.
• Must possess strong leadership and team management skills.
• Must have skills and knowledge of word processing, spreadsheets, and report management.
• Skilled in developing and maintaining clinical quality assurance.
• Must possess strong analytical and problem-solving skills.
• Ability to interpret, adapt, and apply guidelines and procedures.
• Ability to use good reasoning and judgment and react calmly in emergency situations.
• Ability to establish and maintain effective working relationships with patients, medical staff, coworkers and the public.
• Ability to read, write and communicate effectively orally and in writing.
• Proficient in the operation of electronic medical records, and computer keyboard.
• Must be able to stand for extended periods of time.
• Must be able to occasionally lift and carry up to 20 pounds.
• Must be a Team player (maintain respectful co-worker relationships).
• Must be able to maintain strict confidentiality.

Education: Bachelor’s Degree in; Nursing, Public Health, Healthcare Administration, Business or a related field.

Experience: Preferred to have experience in a medical office, nursing home, or inpatient facility. Exposure to quality programs and reporting is highly desired. Focus on care coordination or chronic disease management preferred.

Mental and Physical Requirements: Must possess the physical and mental abilities that are mostly sedentary with occasional standing, walking, reaching. Daily and repetitive data entry may cause nerve problems unless ergonomic techniques are used. Periodic stress occurs from handling many calls and dealing with patient requests.

Conditions: The position requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies, labs, hospitals and other members of the public on a regular basis. The position may cause exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinical environment.