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VP Healthcare Quality - Remote

Fort Lauderdale, FL
Our client is a rapidly growing integrated healthcare organization that is

We are seeking a VP of Quality  to lead the organization’s quality, accreditation, business excellence and clinical training programs.

The ideal candidate will support the facilitation of strategic goal setting, sets standards for quality throughout the organization, and leads the Quality Management/Quality Improvement Program, leads all accreditation efforts and any clinical training initiatives needed to run the business according to quality standards.

Essential Job Functions:
  • Develop and oversee quality improvement programs and strategies for the business. Assist in the application of the business’s strategic mission and vision. Identify and champion the selection of process improvement activities across the enterprise
  • Develop infrastructure and processes for application and management of activities related to National Committee for Quality Assurance (NCQA) UM Accreditation ensuring highest level of accreditation
  • Responsible for driving performance improvement for Call Center Operations, Intake Operations, Utilization Management, Care Coordination and Care Delivery metrics and processes and other quality improvement opportunities as needed
  • Oversee the development and implementation of enterprise wide and market specific process improvement programs
  • Review and present results of quality interventions for clinical and operational performance improvements and identify organizational risks to executive management
  • Develop and ensure consistent, reliable, and valid application of data collection and analysis for priority performance measures
  • Review and analyze cost benefit and return on investment analyses for organizational resource allocation and recommend action plans
  • Develop and oversee development of training content and initiatives related to clinical operations and Quality programs
  • Maintain a comprehensive Quality Management program that assures all regulatory and accreditation standards are captured and that appropriate performance levels are maintained
  • Establish strategic direction of quality program and facilitate tracking of measurable strategic goals
  • Evaluate quality management practices and oversee implementation of corrective actions as appropriate
  • Implement and continuously improve enterprise process and document management practices
  • Serve as head of the Quality Committee and play an integral role in the UM and Compliance Committees
  • Lead organizational accreditation efforts and serves as key point of contact for external audits
  • Establish and oversee the internal quality audit function
  • Serve as a member of the executive team and participate in strategic planning at the enterprise level
  • Create and maintain the Enterprise Balanced Scorecard
  • Keep current with pertinent regulations, guidance documents, enforcement trends etc.
  • Establish and maintain the quality department’s operating budget
  • Provides direction and support to internal performance improvement activities
  • Manages the patient and provider satisfaction surveys on an ongoing basis; analyzes and reports the findings and facilitates action planning to continuously improve satisfaction
  • Directs ongoing audits of organizational files to assess accuracy and completeness of accreditation data, effective adherence to Humana and CMS requirements, where applicable
  • Bachelor's degree in healthcare or related clinical field required
  • Master's in Business Administration preferred
  • 10+ years of healthcare operations experience including, quality and process improvement experience
  • Experience with NCQA accreditation preparation and auditing
  • Demonstrates broad practical knowledge and experience in healthcare management programs such as Lean and/or Six Sigma
  • Requires excellent communication skills, verbal and written, with the capability of articulating quality management concepts to all levels of the organization
  • Demonstrates strong influencing skills at the executive level
  • Efficiently manages change and reacts with understanding, perspectives, tools, and technique to make change seamless and effortless
  • Accomplishes tasks by considering all areas involved accurately
  • Effective critical thinking and problem-solving skills using solid judgment and flexibility
  • Ability to facilitate cross-functional teams across departments, and amongst leaders of organizations
  • Demonstrated ability to achieve budgeted goals and positively influence program development outcomes
  • Demonstrated success with project management and performance improvement
  • Demonstrated ability in lead change in a quality capacity. Strong understanding and ability to critically review clinical and Quality Systems
  • Proven ability to manage multiple complex projects
  • Strong interpersonal, influencing, communication and presentation skills
  • Demonstrated understanding and application of adult learning principles
  • Prior experience in a senior leadership role setting strategic direction for the company's quality & regulatory policies and procedures is desired
  • Skilled in human relations, conflict resolution and negotiation
  • Active RN, PT or OT License required
  • Certified Professional in Health Care Quality (CPHQ) preferred
  • Lean Six Sigma a plus
Contact information:
Max Populi, LLC
4628 Bayard Street, #207
Pittsburgh, PA 15213-2750
Tel: (412) 567-5279
Fax: (412) 567-5198
e-mail: jobs@maxpopuli.com
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