Chief Population Health and Quality Officer bei Lexington Regional Health Center

Description

Lexington Regional Health Center

Title: Chief Population Health & Quality Officer (CPHQO)

Effective Date: September 8, 2025

Supervisor: Chief Executive Officer

Department: Administration

FLSA Status: Exempt

Principle duties and responsibilities

1. Serves as a senior executive responsible for leading the organization's strategic transformation toward value-based care delivery models while ensuring exceptional quality outcomes across all ambulatory and population health services. 
2. Owns the "PROCESS" component of the organization's People-Process-Plan management system, driving continuous improvement through LEAN methodology and systematic quality enhancement initiatives.
3. Leads organizational transformation from volume-based to value-based care delivery models.
4. Develops and executes comprehensive population health strategies that address social determinants of health and community wellness.
5. Establishes and maintains strategic partnerships with community organizations, payers, and health networks to advance population health goals.
6. Drives implementation of care coordination and care management programs that improve patient outcomes while reducing costs.
7. Oversees development of risk strati?cation and predictive analytics capabilities to identify and manage high-risk patient populations.
8. Champions organization-wide adoption of LEAN methodology and continuous improvement culture.
9. Leads development and implementation of quality improvement initiatives that drive measurable improvements in patient outcomes, safety, and experience.
10. Establishes and maintains comprehensive quality measurement and reporting systems aligned with organizational pillars.
11. Directs root cause analysis and systematic problem-solving for quality and safety events.
12. Ensures compliance with all quality-related regulatory requirements and accreditation standards.
13. Contributes to organizational strategic planning with focus on ambulatory growth, quality excellence, and population health transformation.
14. Develops business cases and implementation plans for value-based care contracts and population health initiatives.
15. Leads market analysis and competitive positioning for ambulatory services and population health programs.
16. Collaborates with executive team on resource allocation decisions that support strategic transformation.
17. Provides executive oversight for all Family Medicine Specialists (FMS)’ clinic locations including Lexington, Lexington Mound, Bertrand, and Elwood.
18. Ensures optimal operational performance, ?nancial sustainability, and growth of ambulatory service portfolio.
19. Directs implementation of standardized processes, work?ows, and quality metrics across all clinic locations.
20. Oversees provider recruitment, retention, and performance management for ambulatory services.
21. Leads development of new ambulatory service lines and expansion opportunities.
22. Directs the Director of Value-Based Care in implementing comprehensive care coordination and transitional care programs.
23. Oversees Community Health Worker (CHW) programs and their integration with clinical services.
24. Leads development and management of value-based care contracts with payers.
25. Establishes and monitors key performance indicators for population health and value- based care initiatives.
26. Drives implementation of care management technologies and data analytics capabilities.
27. Directs comprehensive quality and process improvement programs using LEAN methodology.
28. Oversees infection control, patient safety, and regulatory compliance initiatives (matrix responsibility with Chief Facility Safety Officer).
29. Leads implementation of evidence-based practice guidelines and clinical decision support tools.
30. Establishes and maintains quality measurement and reporting systems.
31. Directs peer review and clinical quality improvement activities.
32. Provides strategic oversight for Ridgeway Housing and its integration with healthcare services.
33. Leads community health assessment and community bene?t program development.
34. Oversees interpreter services and cultural competency initiatives.
35. Directs community outreach and health education programs.
36. Establishes partnerships with social service organizations and community stakeholders.
37. Owns the "PROCESS" component of the organization's People-Process-Plan management system.
38. Leads organization-wide implementation of LEAN methodology and visual management systems.
39. Directs continuous improvement training and capability building across all departments.
40. Establishes and maintains standard work and process documentation.
41. Leads gemba walks and process improvement activities throughout the organization.
42. Contributes to West Wall displays showcasing LEAN methodology tools and process improvement success stories.
43. Supports South Wall organizational pillar measurement and reporting for Quality and Community pillars.
44. Leads process improvement aspects of strategic initiative implementation.
45. Responsible for the following Key Performance Indicators: Quality Metrics: clinical quality indicators (readmission rates, infection rates, patient safety indicators), patient satisfaction scores for ambulatory services, quality improvement initiative completion and impact measurement, regulatory compliance and accreditation performance. Population Health Metrics: value-based care contract performance and shared savings achievement, care coordination program outcomes (reduced hospitalizations, improved chronic disease management, community health indicator improvements, Community Health Worker program effectiveness and community impact. Operational Metrics: FMS clinic ?nancial performance and growth, provider satisfaction and retention rates, process improvement initiative completion and impact, ambulatory service access and utilization metrics. Strategic Metrics: progress toward value-based care transformation goals, population health program development and implementation, community partnership development and effectiveness, strategic initiative execution within assigned portfolio.
46. Ensure patients and visitors follow current infection control guidelines. 
47. Responsible for ensuring the environment meets appropriate governing body standards. 
48. Duties that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated items, etc.) 
49. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.). 
50. Regular attendance at the assigned work location is required. 
51. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge of healthcare systems and hospital operations, individual and group behaviors, budgeting and financial management practices is typically acquired through the completion of a Master's degree in Healthcare Administration, Public Health, Nursing, or related ?eld; Doctoral degree preferred.
2. Current active healthcare professional license from the state of Nebraska preferred (MD, RN, or other clinical credential); (if Registered Nurse license from the state of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act).
3. LEAN certi?cation or equivalent process improvement training required.
4. Population health or quality improvement certi?cation preferred.
5. Minimum ten years’ progressive healthcare leadership experience with demonstrated expertise in ambulatory services management.
6. Minimum five years’ experience in population health, value-based care, or quality improvement leadership roles.
7. Proven track record of leading organizational transformation initiatives.
8. Experience with LEAN methodology implementation and process improvement.
9. Demonstrated success in strategic planning and execution in healthcare settings.
10. Core Competencies: Strategic thinking and planning capabilities with ability to translate vision into operational reality. Deep understanding of value-based care models, population health principles, and quality improvement methodologies. Proven leadership skills with ability to in?uence and drive change across complex healthcare organizations. Strong analytical and data-driven decision-making capabilities. Excellent communication and presentation skills for board, medical staff, and community audiences. Financial acumen with understanding of healthcare economics and reimbursement models.
11. Working Relationships - Internal Stakeholders: CEO and executive leadership team for strategic planning and organizational alignment, Chief Medical Officer for clinical quality and medical staff coordination, Chief Operating Officer for operational coordination and resource sharing, Chief Financial Officer for ?nancial planning and value-based care contract management, Medical staff for quality improvement and clinical program development, Department managers and staff across ambulatory services, Board of Directors for strategic reporting and governance oversight.
12. Working Relationships - External Stakeholders: Community partners and social service organizations, payer organizations for value-based care contract development and management, regulatory and accreditation bodies, professional associations and healthcare networks, community leaders and elected officials, patients and family members served by ambulatory and population health programs.
13. Ability to maintain strict confidentiality regarding protected and sensitive information. 
14. Ability to complete reports and correspondence at a professional level. 
15. Ability to immediately respond to common inquiries and complaints from patients, employees and regulatory agencies. 
16. Ability to effectively communicate with individuals from diverse backgrounds. 
17. Successful completion of required knowledge and training of standard precaution protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Works in a normal office work environment with little exposure to excessive noise, dust, temperature, etc.
2. Spends up to 60% of the day performing daily tasks sitting, both at desk for paperwork and in meetings. Required to ambulate up to 500 feet within facility for rounding with consumers and attending meetings. Will use laptop at meetings, requiring transporting laptop with to and from meetings. Will assist setting up for hospital events, such as transporting a 30-pound tote of information and supplies up to 100 feet.

Management responsibilities 

1. Responsible for Director of Value-Based Care, FMS Clinic Managers (4 locations), Director of Quality, Diabetic Education Program Manager, Cardiac Rehabilitation Program Manager, and Medical Interpreter Supervisor. 

2. Matrix Relationships: Social Workers (operational reporting to COO, functional coordination with CPHQO) and Centralized Scheduling (operational reporting to COO, functional coordination with CPHQO).

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.