Hybrid Quality Improvement Manager en Adirondack Health Institute

Quality Improvement Manager
 

Adirondack Health Institute (AHI) is an independent, non-profit organization that is leading the way in rural health care transformation across a nine-county region of the North Country. AHI supports hospitals, physician practices, behavioral health providers, community-based organizations, patients, and others in our region to advance equity, quality, access, and affordability of health and healthcare services.

In March 2021, AHI affiliated with the Adirondacks Accountable Care Organization (Adirondacks ACO). The Adirondacks ACO is an Accountable Care Organization in partnership with the northern New York and Adirondack’s dedicated health care professionals. The ACO is a provider-led organization that strives to ensure a future of expanded medical access with lower costs, improved efficiency and outcomes, increased patient and provider satisfaction, and overall high quality of care.

AHI and the Adirondacks ACO are seeking a Quality Improvement Manager to join our team.

The Quality Improvement Manager is responsible for advancing quality improvement initiatives that enhance the quality and efficiency of Adirondack Health Institute (AHI) and the Adirondacks Accountable Care Organization (ACO). This individual will work collaboratively with the ACO senior leadership team, including the Chief Executive Officer and Chief Medical Officer. The Manager will support the development of day-to-day activities related to ACO value-based payment contracting with designated payers. The role focuses on evaluating, monitoring, and maintaining existing risk-based and quality incentive contracts, as well as guiding the development of future risk-based contracts in collaboration with ACO leadership. The Manager will also partner with program Directors for AHI and the ACO to advance population health efforts.

This individual will develop and implement quality improvement efforts to advance transformation goals.  The Manager is responsible for developing plans to support and educate the provider community to meet the required quality metrics, as well as additional accountable care organization measures to support value-based payment performance.   

Responsibilities of the Quality Improvement Manager also include:

• Facilitating and supporting the implementation, administration, and oversight of clinical quality improvement activities to meet ACO targets, goals, protocols, and documentation requirements.
• Building and maintaining strong relationships with providers, health plans and community-based organizations to facilitate and support high quality patient-centric care, leading to positive patient outcomes.
• Support the design development, implementation and evaluation of improvements to clinical systems, processes, and communication to enhance patient and network outcomes in collaboration with the CMO, data analytics team, and all disciplines along the continuum of care and the provider community.

• Assisting with assigned negotiations of value based (including risk, pay for performance) contracts for the ADK ACO network.
• Ensuring internal and external compliance with all contract provisions, using performance tracking tools to gauge key performance indicators.

• Collaborating with partner quality teams to achieve organizational performance goals, quality and value-based payment outcomes, and compliance standards of the Adirondacks ACO.
• Engaging with and working with the provider community to achieve performance metric targets and goals through feedback, educational opportunities and practice tools to support practice transformation and population health management.

• Supporting payer relationships to strengthen current value-based agreements and prepare for future initiatives.

• Partnering with ACO program leads to support the objectives of the Adirondacks ACO through the development, implementation, oversight, and evaluation of quality initiatives/interventions identified through data analytics and patient and provider engagement, leading to practice transformation and population health management.
• Facilitating the Quality Improvement workgroup and participating in the Population Health Advisory Committee along with other associated work groups and ACO committee activities to support the patient and network outcomes.
• Providing regular quality-related reports to ACO governance, as requested.
• Fostering a culture that prioritizes and advances quality.
• Contributing to special projects as assigned.

Education & Experience: Bachelor’s degree in public health, health administration, or related field required; Master’s degree preferred. Certification in quality management preferred.  Minimum of five years’ experience in health care delivery required; minimum of three years’ experience supporting quality activities required. Three to five years’ experience in clinical settings preferred. Previous leadership and supervisory experience required.

Other Skills: Candidates must have knowledge of complex financial and operational aspects of health care reform and ACO/managed care; must have knowledge of trend analysis. Demonstrated ability to effectively interact with a variety of organizations and individuals is a must. Successful candidates will have excellent verbal and written communication skills as well as strong facilitation, presentation, and relationship-building skills. Demonstrated ability to engage in effective collaborations that share expertise, enhance quality, and improve capacity to achieve desired quality outcomes is required. Candidates must be able to adapt in a dynamic environment with changing priorities. Proficiency in spreadsheet, database, Microsoft Office applications (Word, PowerPoint, etc.) and video-conferencing applications (Zooms, WebEx, Teams, etc.) is required.

Other Requirements: The Quality Improvement Manager will have the ability to work out of the AHI office in Glens Falls or the ACO office in Plattsburgh. This individual will have the ability to work remotely, however, must have the ability to travel as required. Travel is primarily during the business day throughout the AHI and Adirondacks ACO service area. Occasional overnight travel possible. The Quality Improvement Manager will report to the CEO, Adirondacks ACO and work with leadership teams at both AHI and the ACO.

Functions include but are not limited to: must be able to write and speak clearly using the English language to convey information; hear at normal speaking levels in both person and over the telephone; walk or stand; use fingers and hands to feel objects; remain in a stationary position for extended periods. Specific vision abilities required by this job include close vision, peripheral vision, depth perception and the ability to adjust focus.  

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Position Schedule:          Full-Time; Monday through Friday with occasional travel as required.

Status:                              Exempt

Pay Range:                       $75,000 - $85,000

AHI provides a friendly and challenging work environment and a comprehensive benefits package. To apply, please visit https://ahihealth.org/careers/  and complete an online application.

AHI is an Affirmative Action EEO employer and provides opportunity for all, without regard to race, color, religion, sex, age, national origin, disability, marital or domestic violence victim status, sexual orientation, gender identity, transgender status, genetic predisposition or carrier status, military or veteran status, familial status, prior arrest or conviction record, pregnancy or related conditions, known relation or association with any member of a protected class, or any other protected class, or any other protected characteristic as established by federal or state law. AHI will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business.