Hours: Monday - Friday; Full Time
Location: The Polyclinic Broadway
The Director of Clinical Quality is responsible for providing leadership and direction as well as management oversight in executing the strategic plan of The Polyclinic in regards to the delivery of quality clinical care to all Polyclinic patients. Areas of responsibility include: quality metrics and reporting, risk management, credentialing, and support for continuous improvement activities. This position reports to the Chief Medical Officer works closely with Associate Medical Director for Quality to improve the overall quality of patient care provided by the organization. A key attribute for success is the ability to effectively work across the organizational structures to achieve organizational goals.
The Director of Clinical Quality:
• Produces an annual plan that includes the goals and objectives of the Quality Department, a resourcing plan, and budget.
• Oversees and provides direction to the clinical component of the organization’s population health strategy.
• Is responsible for overseeing the process that produces reliable measurement and timely reporting of all quality metrics to relevant internal and external customer.
• Recommends quality metrics and quality goals that support the overall strategic plan of the organization.
• Recommends areas for improvement based on organizational objectives.
• Serves as a content expert regarding quality measurement and quality improvement.
• Serves as a key communicator of quality strategies and goals to management, providers and staff.
• Interfaces with health plans, government and regulatory bodies and other key external stakeholders regarding quality
• Aligns and implements quality improvement and performance programs related to health plans, contractual arrangements, incentive programs, and delegated responsibilities.
• Promotes event reporting and performance data gathering to develop and standardize on-going actionable tracking and trending of clinical performance.
• Oversees provider credentialing.
• Oversees risk management activities.
• Supports the Quality Committee.
• Mentors Quality Department staff.
• BS degree in Nursing, Business, or Healthcare Administration. Master's degree preferred.
• Relevant professional license and/or certification or additional training in quality improvement.
• Minimum of five years in a healthcare setting preferably with experience in an ambulatory medical group setting.
• Must have demonstrated experience in quality improvement, working with quality performance standards, quality metrics and measurements, including a depth of knowledge on clinical quality measures and data specifications. A working knowledge of statistics and experience with Lean methodology for process improvement is a plus.
• Experience with electronic health records, particularly Epic, and population management reporting systems is a plus.
• Demonstrated experience working with budgeting and contracts.
• Experience working with insurers/health plans.
• Experience working with physicians in quality improvement.
• Must have strong clinical knowledge base in evidence-based medicine with an ability to evaluate data, interpret findings, and clearly communicate findings and recommendations to target audiences, including but not limited to: physicians, advance practice clinicians, and staff.