Senior Director of Quality & Performance Improvement bei Partnership HealthPlan of California

The Senior Director of Quality and Performance Improvement is a key individual on PHC’s
Senior Leadership Team and is responsible for leading a growing Quality Department at
Partnership HealthPlan of California (PHC) through quality and performance improvement
activities to substantially improve the quality of care provided to PHC members.

• In collaboration with the CMO, lead the strategic direction of PHC’s quality initiatives
  organization-wide, including prioritization of efforts.
• Lead, develop, and coach the Quality and Performance Improvement staff including staff
  hiring, training, performance appraisals, goal setting, and resource allocation. Assess
  overall performance using internal and external feedback mechanisms to actively
  optimize capacity within the department while leveraging individual strengths and
  nurturing career development plans.
• Manage the Quality and Performance Improvement budget.
• Oversee PHC’s quality improvement program, ensuring all interventions are measured
  for effectiveness and efficiency, complete annual review and update of the program, and
  write annual plan.
• In collaboration with the CMO and CFO, oversee the administration of PHC’s pay for
  performance programs.
• Oversee performance improvement activities conducted by the quality department,
  including PHC’s Partnership Improvement Academy, DCHS mandated improvement
  work, performance improvement and engagement activities done with the PHC network.
• Oversee Quality department activities key to the success of inter-departmental quality
  initiatives and the achievement of organization-wide quality goals.
• Oversee PHC’s provider level quality data visualization and analysis program, the
  Partnership Quality Dashboard.
• Oversee the monitoring and improvement activities surrounding PHC’s “Internal Quality
  Dashboard” also known as the PHC Stars, to evaluate and monitor the quality of care
  provided to PHC members.
• Prepare the organization for quality and performance improvement review, survey, and
  accreditation processes by external monitoring agencies, such as DHCS, DMHC, CMS,
  or NCQA.
• Oversee the optimization of monitoring systems for collection and reporting of HEDIS
  data, including the statewide improvement projects aimed at improving performance in
  HEDIS measures.
• Oversee the Facility Site Review/Medical Record review to ensure that all regulatory and accreditation requirements are met within required timeframes and that results are coordinated with the peer review/credentialing/re-credentialing process.

Secondary Duties and Responsibilities

• Present project updates and results to PHC’s leadership team, internal improvement
  committees, physician committees, and PHC’s Board of Commissioners as appropriate.
• Oversee the coordination of QI activities and data collection for PHC’s contracted
  medical groups and providers.
• Organize and prepare all materials and serve as staff resource for assigned PHC
  committees.
• Work with assigned committees to identify barriers and design intervention strategies
  for quality and performance improvement.
• Write, review, and seek approval for policies and procedures, ensuring that both the
  departmental and organizational needs are met.
• Participate in special projects and assignments as required.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING MANAGER:

$216,303.00 - $302,824.20

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.