Director Of Quality Improvement

Position Overview: 

The Director of Quality Improvement (QI) in the Population Health Department, in conjunction with the Senior Director of Population Health and the Director of Care Management, is responsible for the direction, development, and coordination of all activities and functions of population health, with an emphasis on Quality Improvement work. This position facilitates an environment where quality and process improvements are part of the everyday culture within the organization. Such efforts include developing both short and long-term plans for population health strategies and overseeing transformation from fee-for-service to value based care in collaboration with other Ryan Health leadership. Directs data analytics and reporting for both internal and external initiatives and develops programs to review and evaluate patient care and outcomes. This work ensures the provision of high quality, service-orientated care delivery model in pursuit of clinical excellence and is carried out in support of the mission and goals of Ryan Health. 

Essential Functions: 

• Directs and manages all aspects of the Quality Improvement/Population Health initiatives, in collaboration with appropriate medical leadership and administrators 

• In collaboration with Senior Director of Population Health, designs and implements short and long-term strategy for Quality Improvement & Population Health at Ryan Health 

• Assists Population Health Coordinator with developing and evaluating programs aimed at addressing social determinants of health. 

• Maintains relationships with external organizations and contracted business associates 

• Monitors and supports development and maintenance of Population Health related data sources and trends, including dashboards, registries; work with IT to maximize HIT solutions 

• Supports the Population Health Coordinator and site implementation leads to ensure adaptation of new workflows and creating an agile culture 

• Supervises population health team that includes Informatics Analyst, QI analyst, Coding Analyst, Population Health Coordinator, Patient Experience Specialist, AmeriCorps team members, and others 

• Oversees the Network’s utilization of Population Health & QI related software (e.g., DRVS, eCW) and serve as liaison with vendors 

• Oversees the reports developed for QI committees, administration, Board of Directors, morbidity and mortality and Pharmacy and Therapeutics (P&T) committees, and others as needed 

• Oversees efforts to maximize revenue opportunities related to Managed Care payors, MSHP, CHIPA, PCMH, and other value-based programs; this will include reducing utilization, improved HCC coding, identifying cost reduction opportunities related to patient care 

• Collaborates with QI/Population Health team and other members of leadership to support reaccreditation efforts related to PCMH, Joint Commission, and other regulatory bodies 

• Oversee the efforts to complete clinical component of the Unified Data Systems (UDS) report 

• Acts as representative of Population Health Department at both internal and external functions 

• Supports other Population Health activities throughout the network as per the direction of the Senior Director of Population Health, Chief Medical Officer, Chief Financial Officer, or President & CEO 

Minimum Experience and Skills Required: 

• Bachelor’s Degree in a relevant field. 

• Minimum 3 years of Quality Improvement, Care Management, or Population Health experience. 

• Minimum of two years supervisory experience required. 

• Requires strong analytical ability to solve complex problems. 

• Must be knowledgeable about Patient Centered Medical Home guidelines and other federal and local quality standards 

• Must possess advanced interpersonal skills to effectively interface with all levels of staff as well as external business-related associates, auditing and accreditation agencies, and Executive Staff. 

• Expert at professional writing to prepare reports/documents for internal presentations as well as presentation to various governance boards and conferences.  

• Advanced planning, organization, analytics and business acumen are required to understand and present the implications of various decisions. 

• Proven track record of organization, attention to detail and ability to respond promptly to requests, anticipate organizational needs, and maintain efficient office operations. 

• Strong computer literacy with proficiency in standard office software/hardware such as Microsoft Word, Excel, Outlook, PowerPoint. 

• Working experience with electronic medical records software.  

Education, Licenses and/or Certifications Required: 

• None 

 Preferred Qualifications: 

• Masters in public health or related field. 

Competencies Required: 

Customer Service:   

• Professional, courteous and respectful attitude in dealing with patients. 

• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient served (if applicable). 

• Commits to exceeding expectations of the patient.  

Cooperation/Teamwork 

• Works well with others. 

• Contributes input to improve outcomes. 

• Asks others for opinions and feedback; provides feedback in a tactful respectful way; 

Minimal Training Time: 

 180 actual workdays introductory period 

Working Conditions: 

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

 While performing the duties of this job, the employee is frequently required to sit, talk and hear. 

 The employee is occasionally required to move about the office; use hands and fingers to feel, handle, or operate office equipment.  

 Specific vision abilities required by this job include close vision and the ability to adjust focus.  

 Work Environment 

The work is primarily in a mental health clinic and/or general primary care setting which includes the unpredictability in behaviors of individuals and acute and chronic infectious diseases which may be contagious.  Adequate preparation and precaution is necessary.   

 Disclaimer 

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.  This position may be required to perform other duties.  If such work becomes a permanent and regular part of the job, a new description will be prepared.   

 Equal Opportunity Employer 

Ryan Health is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law.  We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.