Director of Quality Transformation

Overview

 As the Director of Quality Transformation, will play a crucial role in strategic initiatives that enhance clinical outcomes, optimize value-based care operations, and drive continuous quality improvement across our healthcare system. This leadership role will focus on developing and implementing innovative quality transformation strategies, leveraging data-driven insights to improve patient care, and ensuring alignment with value-based care models. The director will collaborate with clinical and operational teams to implement evidence-based practices, streamline care delivery, and enhance efficiency while meeting regulatory and accreditation standards. The ideal candidate will have a strong background in healthcare quality, performance improvement, and population health management, with a proven track record of leading transformational change in a value-based care environment. This position reports directly to Executive Director of Quality.

 

Responsibilities

 

 Strategic Leadership & Transformation- Develop and implement system-wide quality transformation strategies that align with value-based care initiatives.- Lead efforts to enhance clinical performance, patient safety, and operational efficiency through innovative quality improvement programs.- Drive a culture of continuous improvement and accountability across all levels of the organization.Quality & Performance Improvement- Oversee the design, implementation, and evaluation of quality improvement projects to enhance clinical outcomes and patient experience.- Utilize data analytics and performance metrics to identify trends, measure success, and guide decision-making for process improvements.- Partner with clinical teams to implement evidence-based best practices and standardize care delivery models.Value-Based Care Operations & Population Health- Develop and manage initiatives that optimize care coordination, reduce costs, and improve health outcomes under value-based care contracts.- Collaborate with payers, providers, and stakeholders to ensure alignment with value-based reimbursement structures and quality incentives.- Partner to ensure the integration of population health strategies to enhance preventive care, chronic disease management, and care transitions with Clinic Operations and Quality ProgramsClinical Integration and Collaboration:- Foster collaboration across multidisciplinary teams to integrate risk adjustment and quality improvement efforts seamlessly into clinical workflows.- Serve as a subject matter expert and provide guidance on risk adjustment and quality improvement strategies to clinicians, administrators, and other stakeholders.- Promote a culture of accountability, transparency, and continuous learning to support clinical integration initiatives.Innovation & Best Practices- Identify and implement emerging trends, technologies, and best practices in quality improvement and value-based care.- Foster a culture of innovation by supporting pilot programs, research, and technology-driven solutions to improve care delivery.- Develop educational programs and training initiatives to enhance staff competencies in quality improvement methodologies.Performance Reporting and Communication: - Prepare and present regular reports on risk adjustment and quality improvement metrics to executive leadership and stakeholders.- Communicate effectively with internal and external stakeholders to convey progress, challenges, and opportunities related to risk adjustment and quality improvement initiatives.

Qualifications

 

EDUCATION:Required: Bachelors degree or MBA or MHA.

 

EXPERIENCE:Required:Minimum of 5 years of progressive healthcare leadership experience. Demonstrated expertise in developing and implementing quality improvement strategies for areas of responsibility assigned to this role. Strong understanding of healthcare delivery systems, value-based care models, and payer contracts and metrics. Proven track record of successfully developing and implementing programs and services that meet or exceed risk-based contracting quality standards and deliver measurable results. Preferred: Experience working in a regulated industry or with regulatory agencies. Leadership experience preferably in a value based, ACO, or clinically integrated environment. Preferred 3 years of experience in Value-based care, a CIN, or an ACO.

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:Preferred: Relevant industry certification