Program Manager-Population Health and Quality
Description
Wage Range: $87,717 - $137,114 per year
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
Provides leadership and support to improve quality performance for the EvergreenHealth clinics, which includes EvergreenHealth Primary Care Clinics, EvergreenHealth Specialty Clinics and Urgent Care. Coordinates with others, including IT, Finance, Population Health, Clinical Integration, and the clinics to ensure implementation and ongoing improvement of the quality structures, processes and outcomes necessary to achieve outstanding clinical outcomes and absolute safety.
Primary Duties:
- Partners with Ambulatory Quality Officer, EHMG Executive Medical and Operational leadership to advance Population Health initiatives and, achievement of multi-specialty quality and value-based care programs including areas of clinical quality, care optimization, performance measurement, data deployment, patient specific program implementation for risk adjustment, quality, and cost of care.
- Partners with EHMG operations teams to execute against care, quality and financial measures outlined in governmental, commercial, ACO and other FFS/enhanced FFS/Incentive based contracts.
- Responsible for the production and dissemination of various reports, dashboards, insights, and information to drive performance improvement associated with EvergreenHealth Medical Group Clinics, including Preventive Health and Health Maintenance initiatives.
- Responsible for tracking performance across various contractual models (e.g., MACRA,Medicare Advantage, etc.) and coordinating Clinical Integration, EHM Finance, IT, and administrative stakeholders to identify and address opportunities for improvement.
- Responsible for maintaining and reporting EHMG governmental quality metrics.
- Responsible for maintaining and reporting EHMG commercial insurer quality metrics.
- Coordinates production of quality-related reports, analyzes the data to identify opportunities for improvement, supports leaders and staff to develop appropriate improvement/risk mitigation plans.
- In collaboration with leadership, identifies improvement priorities and targets, sets annual goals, and facilitates improvement work as needed.
- Maintains current knowledge of public reporting initiatives and national and local clinical improvement initiatives that pertain to the EvergreenHealth Clinics.
- Decision-making regarding appropriateness of performance improvement methods, implications of data (including trends, variation, and best practice), and need for changes in process or practice.
- Works with others in a coaching and facilitator role to ensure the effectiveness of the performance improvement process.
- Organizes meetings, projects, and reports of various improvement activities.
- Coordinates the ongoing review, update and communication of quality related polices, procedures, and processes in support of achieving outstanding clinical outcomes and absolute safety.
- Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
- Bachelor’s Degree or equivalent combination of education and experience.
- 5 years of increasingly responsible quality and operations experience in a healthcare setting
- Previous experience working with quality management.
- Ability to use quality and quantitative data.
- Knowledge of quality improvement practices and methodology.
- Experience with quality performance measures, such as HEDIS, STARs, and patient experience measures.
- Experience with risk adjustment models.
DESIRED for the position:
- Certified Professional in Healthcare Quality (CPHQ)
- Clinical licensure
- Experience in an Accountable Care Organization
- Experience with Epic or other EMR’s
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
- Medical, vision and dental insurance
- On-demand virtual health care
- Health Savings Account
- Flexible Spending Account
- Life and disability insurance
- Retirement plans 457(b) and 401(a) with employer contribution)
- Tuition assistance for undergraduate and graduate degrees
- Federal Public Service Loan Forgiveness program
- Paid Time Off/Vacation
- Extended Illness Bank/Sick Leave
- Paid holidays
- Voluntary hospital indemnity insurance
- Voluntary identity theft protection
- Voluntary legal insurance
- Pay in lieu of benefits premium program
- Free parking
- Commuter benefits
- Cafeteria & Gift Shop Discount
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.