Prevea Health, Inc
DIRECTOR OF QUALITY
Located in Northeast Wisconsin, just two hours north of Milwaukee and just minutes from Lake Michigan, Green Bay has something for everyone. In fact, our four beautiful seasons can fulfill nearly every recreational interest. Green Bay has excellent public and private schools, including a state university and a private college. With a population of more than 230,000, Green Bay offers all of the amenities of a “big city”, with professional sports and first-rate theater events. Residents also pride themselves on the area’s small town friendliness.
To take care of people with passion, pride and respect
Providing exceptional care for our patients as well as recognizing the value of your co-workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient’s needs; relate to all in a friendly, accepting manner; communicate in a positive and professional way to patients and co-workers; use time effectively and efficiently; and demonstrate an overall high level of performance.
GENERAL SUMMARY OF DUTIES
The Director of Quality is responsible for providing direction within the Quality Department for Quality initiatives, utilization management, disease management and population health in conjunction with the organization’s strategic plan. Reporting to the Chief Quality Officer, this role is accountable for leading programs, optimizing clinical performance, driving quality outcomes and maximizing financial performance in conjunction with established goals. This position is a key contributor in developing programs, processes, and systems that improve clinical quality measures.
In partnership with Chief Quality Officer and Chief Operating Officer, design and implement programs and processes throughout the continuum of care to ensure successful integration of strategic and quality improvement initiatives and goals while focusing efforts on coordination of Population health initiatives
Coordinate, facilitate and implement best practice strategies for various quality goals and metrics
As part of Project managing and providing oversight of quality initiatives, develop a framework to assess quality metrics using key indicators and present progress and outcome reports as needed to key stakeholders
Lead, develop, manage and mentor staff within the Quality department working toward the improvement of clinical outcomes (Initiatives, Data Analysts, Care Navigation and Epic Optimization)
Develop and articulate the vision for the population health strategy including the development of high performing, integrated population health solutions for customers
Work collaboratively with operations to ensure successful implementation of population health initiatives
Collaborate and partner with Chief Medical Officer in developing, monitoring and evaluating physician performance and action plans related to quality metrics and goals
Responsible for current and future oversight of program initiatives such as MACRA regulations, existing and new Pay for Performance initiatives, Medicare based incentive programs, and goals established with other local and national programs (examples: Wisconsin Collaborate for Healthcare Quality (WCHQ) and American Medical Group Association (AMGA))
Responsible for oversight of quality accreditation programs (examples: Accountable Care Organization (ACO) and Patient Centered Medical Home (PCMH)
Oversee the analysis and monitoring of quality, cost reimbursement and utilization trends with information accessible through various analytical tools and resources (example: Wisconsin Health Information Organization (WHIO)). Identify problem areas, develop strategies, and recommend action plans for resolution in an effort to meet organization goals
Direct the development of, and facilitate the analysis of, organization-wide scorecards which may incorporate clinical, financial, utilization, or patient satisfaction measures
Facilitate the collection of performance measures and report progress toward goals, including the development of appropriate triggers for determining when a variance from a target warrants further research or quality improvement initiative
Educate providers and other organizational departments regarding quality improvement initiatives and goals in an effort to improve of outcomes
Hires, trains/orients, and supervises assigned staff. Develops standards of performance, evaluates, and develops staff. Initiates and/or recommends personnel actions
Develops and recommends the departmental labor, operational, and capital budgets. Ensures department functions are within budgetary parameters
Other duties as assigned
TYPICAL PHYSICAL DEMANDS
Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and other such office equipment as necessary. Vision must be correctable to 20/30 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.
TYPICAL WORKING CONDITIONS
Work is performed in an office/clinic environment and may require interaction with patients. Involves frequent telephone contact with employees and patients. Interaction with others is constant and interruptive. Requires working under stressful conditions or working irregular hours. Flexibility needed to accommodate occasional meetings which fall outside the hours of 8-4:30. Frequent travel to various work sites required.
To apply go to www.prevea.com; click on careers or send your CV to Deb Mauthe, SR VP-Human Resources, Prevea Health; firstname.lastname@example.org