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Supervisor, Quality Performance / Job Req 755277523

Alameda Alliance for Health
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PRINCIPAL RESPONSIBILITIES:

Supervisor, Quality Performance  

The Supervisor, Quality Performance, plays a critical operational role in advancing the goals of the Quality Improvement and Health Equity (QIHE) program. Under the oversight of Quality Improvement Leadership, this position is responsible for implementing high-impact quality initiatives, managing complex, cross-functional projects, and supervising a team to ensure the achievement of key performance indicators (KPIs) related to health outcomes, member engagement, and regulatory compliance.

Principal responsibilities include:

  • Develop and implement operational QIHE program activities as assigned, such as Healthcare Effectiveness Data and Information Set (HEDIS)/Managed Care Accountability Set (MCAS), Alliance Pay-for-Performance program, State mandated Quality or Performance Improvement Projects (PIPs), Access to Care Surveys, Clinical Safety, or other QIHE activities.
  • Train, mentor, supervise, and evaluate staff performance, fostering a cooperative team environment and motivating staff to achieve program goals and objectives.
  • Plan, organize and priortize the work of others, delegate effectively, coordinate activities and projects, follow up on work assignments and adhere to timelines.
  • Supervises the operational design, implementation, and evaluation of quality improvement projects aimed at enchancing health outcomes, member engagement, and compliance with regulatory standards.
  • Lead root cause analysis and process improvement efforts to address gaps in care and operational inefficiencies.
  • Supervises various QI projects across multiple programs requiring cross-collaboration across divisions for internal or external systems (i.e. providers, community-based organizations, hospitals, etc.).
  • Manages the QI Steering Committee and other quality meetings designated for a defined QI program.
  • Plans, develops, and implements processes for updated regulatory mandates or new quality programs (e.g. member engagement, behavioral health quality program, value-based payment programs, etc.), including quality metrics, completion of workplan activities, and monitoring.
  • Supervises the Improvement Academy by working with the Performance Improvement team to develop training content; teaching quality improvement methodology, and HEDIS/MCAS measure specifications.  
  • Collaborates on projects in the advancement of quality improvement and health equity principles, including the Alliance’s Population Health Management program and Diversity Equity Inclusion and Belonging framework.
  • Provides supervision to effectively use data and quality indicators to guide provider partners and internal staff to drive and implement interventions.
  • Compiles statistical data and write narrative reports summarizing quality improvement projects to meet state and NCQA requirements.  
  • Promote positive inter-department cooperation and participate in applicable committees or task forces. Demonstrate a positive behavior in identifying and resolving complex or out of policy operation problems.
  • Participates in the development and implementation of standard operating procedures, policies and procedures, QI materials, and trackers related to QIHE activities.
  • Perform other duties and special projects as assigned.

ESSENTIAL FUNCTIONS OF THE JOB

  • Supervises a team within the Quality Performance team, acts as subject matter expert, and provides guidance on Quality Improvement and Health Equity program activities.
  • Assists with planning,development, implementation and evaluationof QI initiatives
  • Supervises, mentors and trains assigned staff.
  • Provides proactive, strategic consultative solutions related to QI projects or portfolio that includes program development, evaluation, and monitoring.
  • Keep abreast of healthcare industry best practices and managed care regulatory requirements.
  • Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

PHYSICAL REQUIREMENTS

  • Constant and close visual work at desk or computer.
  • Constant sitting and working at desk.
  • Constant data entry using keyboard and/or mouse.
  • Frequent use of telephone headset.
  • Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
  • Frequent lifting of folders and various other objects weighing between 0 and 30 lbs.
  • Frequent walking and standing.
  • Occasional driving of automobiles.

Number of Employees Supervised:  5-7

MINIMUM QUALIFICATIONS:

EDUCATION OR TRAINING EQUIVALENT:

  • Bachelor’s degree or 4 - 7 years of equivalent work experience required.
  • Master’s degree in healthcare or public health preferred.
  • Lean or Six Sigma Certification preferred.
  • CPHQ Certification preferred

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:

  • 5 – 7 years of relevant project management and Quality Improvement experience.

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

  • Ability to work collaboratively with physicians, staff and external organizations to improve quality outcomes.
  • Strong working knowledge of health plan and delivery system operations, healthcare informatics, healthcare benefits and terminology, and medical practice operations
  • Strong communication and presentation skills, training/meeting facilitation skills a plus.
  • Solid relationship building and interpersonal skills.
  • Excellent writing, research, analytical, and time management skills.
  • Excellent coordination skills, including multi-tasking and setting priorities on work assignments.
  • Ability to organize and coordinate various activities involved in a research, collaborative and demonstration project.
  • High degree of independence, flexibility, initiative, and commitment.
  • Ability to work effectively with diverse population, both internally and externally.
  • Solid critical thinking and problem-solving skills.
  • Ability to utilize sound judgment and promptly report potential risks.
  • Ability to work in a fast paced, patient-service oriented environment.
  • Demonstrate ability to promote quality improvement through development and maintenance of standards.
  • Must handle PHI and maintain confidentiality at all levels.
  • Proficiency in Windows including Microsoft Office suite including Word, Excel, Visio, and PowerPoint.

SALARY RANGE $105,853.04 - $158,779.55 ANNUALLY

The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws. M/F/Vets/Disabled.