Director of Quality Management

Overview

Under the direction of the Senior Director of Quality and Performance Improvement (QI/PI), the Director of Quality Management is responsible for directing plan-wide and regional performance improvement initiatives, quality incentive programs, and quality improvement data visualization tools and analyses. This includes, but is not limited to strategic goal setting, program planning,budget/account management, and supervision of teams.

• Direct Partnership’s performance improvement activities, conducted by regional performance improvement teams and others in the quality department. Activities include large-scalenetwork wide initiatives, DHCS mandated improvement projects, elective improvement projects conducted with internal and external partners, and initiatives specific to engagingmembers and improving member experience.
• Assure ongoing prioritization, progress, evaluation, and monitoring of network wide and regional project portfolios to assure short term tactical plan objectives under the Partnership 5-Star Quality Strategy are achieved. Direct knowledge management processes and inventories to inform multi-year intervention strategies in quality measure scoreimprovement.
• Ensures all interventions are measured for effectiveness and efficiency, with timelyanalysis and reporting. Assures initiatives and programs are evaluated at an appropriatefrequency with comprehensive, data driven reporting, conclusions, and recommendations.
• Oversee the delivery and ongoing development of Partnership’s Partnership Improvement Academy and its associated programs.
• Direct Partnership’s Primary Care, Hospital, Perinatal, Palliative, Enhanced Case Management,and Long Term Care Quality Incentive Programs, also known as Quality Improvement Programs (QIPs). The QIPs provide financial incentives, data, and technical assistance toour provider network for meeting performance improvement targets.
• Research, develop strategies, and advise on QIP payment and incentive methodologies for enhancing existing programs to align with the Partnership 5-Star Quality Strategy. Initiatenew pay for performance programs, as needed.
• Direct the maintenance and enhancement of Partnership’s provider level quality data visualization and analysis program, the Partnership Quality Dashboard. Work closely with Quality Improvement Analysis team, other leadership across QI department and Partnership as a whole on data and measurement related activities, including the QIPs, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and programevaluations.
• Lead, develop, and coach the leadership of Partnership’s Performance Improvement teams,quality incentive programs (QIPs), and Quality Improvement Analysis teams in thehiring, training, coaching, and support of staff.
• Assure robust communication and ongoing collaboration is achieved with sponsors,stakeholders, leadership, staff, and external partners involved in performance improvement initiatives and project portfolios across the organization.
• Stay informed on key developments in the quality improvement field that impact ourprovider network, including patient-centered medical home certification criteria,meaningful use, primary care transformation best practices, and quality reporting requirements.
• Partner closely with the Director of Quality Measurement to strengthen communication,understanding, and decision-making in how changes to NCQA and DHCS measure setsinform performance improvement priorities, QIP measure development, and data visualization in Partnership Quality Dashboard (PQD).
• Foster strong partnerships between QI, Health Analytics, IT, and Population Health tofulfill data collection, reporting, and dashboard needs in achieving QI/PI deliverables andrelated organizational goals, while addressing competing priorities and assuring goodstewardship of technical resources.
• Serve as a member of QI Department and Health Services Management Teams:
  • Support Senior Director in budget management, staffing decisions, and strategic and operational planning.
  • Serves as a key contributor to maintaining and advancing progress under Partnership’s5-Star Quality Strategy and corresponding…