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Healthcare Vice President - Quality
Location:
Warwick, RI
Description:
Integrated Healthcare Partners (IHP) is a not-for-profit organization working in partnership with the RI Executive Office of Health and Human Services (EOHHS) as well as with local managed care organizations (MCOs), e.g., Neighborhood Health Plan (NHP) and United Healthcare (UHC). IHP is comprised of eight (8) participating providers including five (5) Community Health Centers and four (4) Community Mental Health Centers. IHP works in partnership with our participating providers to improve individual and population health outcomes, decreasing unnecessary medical spend, and connecting individuals to high quality services and supports for 30,000 covered lives. General Responsibilities: The Vice President of Quality - Medical Director is responsible to participate in the implementation of IHP's strategic road map, HSTP plan, and quality initiatives under the direction of the CEO of IHP. Based in Rhode Island, this remote position will work in partnership with certain board committees and staff and visit local facilities and attend meetings. The incumbent will support IHP's mission to positively impact both quality of services provided and total cost of care for its attributed members. Additionally, the incumbent will assist in the development and implementation of annual and long-range Quality Improvement Plans that directly align with meeting key deliverables for Total Cost of Care Shared Savings as well as HSTP Incentive revenue for all IHP participating providers. Key responsibilities include ongoing risk assessment with clear mitigation strategies, routine updates to IHP Accountable Entity Dashboard, quality assurance and review of programs impacting IHP's success, staff and leadership development, Board development, performance evaluation and clinical and organizational goals and objectives for improvement, done in conjunction with the CEO of IHP, certain Board Committees, the Leadership team, and staff. As part of this role, the incumbent will serve as a clinical resource for IHP and will focus on innovative approaches for improving the quality, efficiency, and appropriateness of care delivered. This role will work in conjunction with the CEO of IHP as well as across IHP's Accountable Entity participating provider site medical/associate medical directors, and site leadership. The incumbent will be responsible for providing recommendations and assist in driving initiatives targeted on improving individual and population-based health outcomes and driving down unnecessary medical spend. Lastly, the incumbent serves as the manager to IHP's Clinical Healthcare Analyst. The incumbent ensures that all key deliverables and responsibilities of the Clinical Healthcare Analyst are met in a timely manner. Significant Job Functions: Reviews actionable data at individual and population-based levels for opportunities to improve health outcomes and drive down TCOC. This includes: Reviewing member lists and ensuring they are actively engaged in care Reviewing data including but not limited to: Pharmacy, Avoidable ED, Labs, Radiology Assists in leading Clinical Leadership Committee and driving HSTP project initiatives and programming Works across the AE to launch impactful programming using clinical expertise e.g. integrated care, SUD treatment, MAT programming with a focus on Alcohol Related Disorders, SDOH and linking to appropriate interventions and supports, and other areas of focus Develops and assists rolling out Provider Scorecard and the Incentive Program Policy Development and Implementation as needed Assure the development, implementation, and adherence to all policies and procedures pertinent to the operations of IHP. Develop and maintain protocols that drive improved health outcomes and meet key deliverables for IHP for each performance year. Responsible for the implementation and for reporting efficaciousness of new policies, procedures, and/or programs that improve quality and health outcomes for all attributed members. Other duties as agreed upon by CEO of IHP and the incumbent Required Qualifications: Physician Assistant, Nurse Practitioner, or MD/DO Full, unrestricted RI license Excellent written, oral, and presentation skills Collaborative leader with experience developing, implementing, and evaluating innovative clinical programs that have successfully improved quality and efficiency of care Recent eight to ten plus years of experience in health care delivery, insurance, managed care, and quality. Knowledge of, and/or experience with, the US Public Health Service Community Health Programs, CMS Regulations, and RI state regulations and policies. Physical Effort/Environment: General office environments & remote. No extreme physical demands. Transportation needed for limited on location meetings. Work Schedule Demands: Remote Part time (20 hours, plus) with ability to attend meetings in Rhode Island area as needed. Wednesdays are required. Evenings and some weekends necessary for meetings, conferences, etc. Communication Skills: Exceptional oral and written skills needed. Proficient in health management terminology, including information and billing systems terminology, contractual language, tort language, some medical terminology, financial terminology, and federal and state public health program terminology. Salary Range: $120,000 to $125,000 annual salary, with bonus potential to $12,000. Confidentiality of Information. Full access to information.
Company:
Complete HR Solutions
Posted:
December 26 2023 on ApplicantPool
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More About this Listing: Healthcare Vice President - Quality
Healthcare Vice President - Quality is a Executive VP Job at Complete HR Solutions located in Warwick RI. Find other listings like Healthcare Vice President - Quality by searching Oodle for Executive VP Jobs.
Healthcare Vice President - Quality is a Executive VP Job at Complete HR Solutions located in Warwick RI. Find other listings like Healthcare Vice President - Quality by searching Oodle for Executive VP Jobs.