Vice President, Enterprise Quality

Description

Position at Healthmap Solutions

Company Background

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Position Summary

The Vice President of Enterprise Quality ensures that all products and services offered by Healthmap Solutions (Healthmap) provide the highest level of clinical value to customers and the company. The Enterprise Quality, VP is responsible for driving and overseeing the company’s quality program through the development and implementation of initiatives and projects that align with the company’s strategy and goals.

Responsibilities

• Lead a multidisciplinary team to work collaboratively across Healthmap departments to identify best practices and achieve business targets
• Drive quality outcomes to improve member outcomes while achieving cost avoidance targets
• Work closely with the Clinical Operations and Product teams to identify opportunities for enhanced provider and member engagement
• Oversee all aspects of the company's quality program, including internal and customer-facing activities and information
• Directly responsible to maintain NCQA Accreditation for Healthmap’s Population Health Program (PHP)
• Maintain continuous reaccreditation readiness for Healthmap’s PHP
• Remain up to date with NCQA’s PHP Standards and Guidelines while providing education and oversight to Healthmap employees
• Lead Quality-related delegation functions for all clients
• Work in close collaboration with Compliance to ensure all Delegation responsibilities are met
• Work with department leads to develop quality assurance (QA) processes that are clear, reproducible, and enforceable
• Provide guidance and feedback for new technology features and functionality, ensuring alignment with regulatory and customer requirements
• Lead continuous improvement activities throughout the organization, and identifying opportunities for improvement, in collaboration with clinical and administrative personnel, based on market trends and/or internal experience and business needs
• Facilitate discussions with the Scientific Advisory Board, the Chief Medical Officer, and other key personnel to define evidence-based care recommendations and clinical tools to optimize the clinical effectiveness of the program
• Perform other related duties as necessary and as assigned
  
  

Requirements

• A Masters degree or higher in Quality Management, Regulatory, Public Health, Healthcare Management, or other applicable fields is strongly preferred
• Strong working knowledge of NCQA and other requirements applicable to Healthmap
• Clinical background preferred, but not required with appropriate experience
• 10 years of experience in healthcare quality assurance
• At least five (5) years senior leadership experience in VP or higher role in fast paced dynamic environment
  
  

Skills

• Excellent presentation skills, interpersonal skills as well as excellent written and verbal communication skills to the target audience
• Strong relationship-building skills, prioritization, and solutions-oriented
• Strong strategic thinking, critical thinking, analytical ability, verbal and written communication skills to the target audience
• Ability to effectively respond to questions from groups, executive leaders, and external parties
• Metrics-driven ability to understand key goals from the program and understand reporting results to communicate areas of opportunity to physicians and/or office staff for behavior modifications
• Proficiency in identifying operational issues, recommending, and implementing strategies to resolve problems inclusive of short-term tactical actions and long-term strategic plans
• Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
  
  

Travel

Limited Travel, scheduled per needs of the business

Americans with Disability Specifications

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.