Director - Quality Programs - ACO - FT - Days - MHS
Memorial Health Care System
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary The Accountable Care Organizations (ACO) Quality Programs Director leads enterprise-wide clinical quality performance across Memorial Health Network (MHN), Broward Guardian ACO, and other federal and commercial shared-risk programs. This role sets the strategy and drives execution of quality performance initiatives under dual-sided risk contracts, improving outcomes across employed and community physicians within Broward Health and Memorial Healthcare System. Responsibilities Provides oversight for the design, delivery, and evaluation of education and training related to population health and ambulatory care quality improvement tools, methodologies, and best practices. Co-leads the development and implementation of state-of-the-art clinical and operational tools that promote best practices, including evidence-based practice guidelines and standardized clinical policies. Provides leadership, strategic recommendations, and program management for population health and ambulatory focused clinical quality improvement initiatives to achieve MHN and Broward Guardian ACO population health clinical quality and pharmacy goals. Provides leadership and full accountability for clinical quality performance supporting over 2,500 providers in dual-risk and value-based agreements. Leads and drives the quality committee, including development, governance, and execution of quality improvement initiatives across the network. Co-leads the selection and implementation of a data integration, aggregation, and quality reporting platform to support initiatives across MHN, Broward Guardian ACO, and employed physician groups. Designs, implements, and improves an enterprise-wide quality performance and patient safety program. Designs and delivers targeted education and training to enable leaders, providers, and operational teams to effectively interpret and apply quality data to drive sustained performance improvement. Builds, and leads teams and programs for risk coding optimization, EHR documentation improvement, Quality Improvement Plans (QIPs), enterprise quality education, and performance tracking, reporting, and corrective action processes. Education and Certification Requirements: Masters (Required). Pharmacist License (PS LICENSE) – State of Florida (FL). Registered Nurse Compact License (RN LICENSE COMPACT) – Compact RN Multistate. Registered Nurse License (RN LICENSE) – State of Florida (FL). Additional Job Information Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. This role does require specialized knowledge of a business line. Required Work Experience: A minimum of ten (10) years combined experience in either direct patient care or quality management with at least 5 years of leadership experience. A minimum of three (3) years of leadership experience in a Medicare Accountable Care Organization and/or Clinically Integrated Network inclusive of employed or consultant work supporting large independent medical groups in participation of in an ACO or CIN. Previous experience in Hierarchical Coding Categories coding and documentation preferred. Other Information: Additional Education Info: Degree in a Healthcare related field. Working Conditions And Physical Requirements Bending and Stooping = 0% Climbing = 0% Keyboard Entry = 60% Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 0% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 0% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 0% Repetitive Movement Hand/Arm = 0% Running = 0% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Depth Perception = 60% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Latex = 0% Computer Monitor = 60% Domestic Animals = 0% Extreme Heat/Cold = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift Primarily for office workers - not eligible for shift differential Disclaimer This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. Veteran’s Preference We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. #J-18808-Ljbffr
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