Description

Operational Excellence & Quality

•    Serves as TMPN’s organizational leader for clinical quality programs. 
•    Designs and leads quality improvement projects using Lean methodology, rapid improvement events, and evidence-based interventions. 
•    Standardize clinical workflows, SOPs, and care gap processes across all clinic locations to ensure consistent, high-quality execution
•    Oversee performance dashboards, quality scorecards, and operational reporting that drive accountability at every level of the organization. 
•    Integrates quality measures into provider workflows, compensation models, and patient experience initiatives. 
•    Partners with IT, clinic operations, and scheduling to align access and throughput with quality and care delivery goals. 

Value-Based Care & Risk Adjustment

•    Leads HCC/RAF optimization and HEDIS performance improvement across TMPN’s Medicare Advantage and risk-based populations. 
•    Drives CMS Star Rating strategy and manage health plan quality relationships. 
•    Oversee care gap closure initiatives, risk stratification programs, and population-level outreach campaigns. 
•    Monitors and responds to CMS, NCQA, and regulatory changes across quality and risk adjustment programs. 

Leadership & Stakeholder Engagement

•    Builds, develops, and retains a high-performing team across clinical performance, quality, and operations. 
•    Serves as a trusted partner and liaison between TMPN operations, physician leadership, and health plan partners. 
•    Presents performance results and strategic recommendations to senior leadership and medical staff committees. 
•    Promotes a culture of continuous improvement, data-driven decision-making, and accountability across the network. 

Experience & Educational Requirements:

•    Bachelor’s degree required. Master’s degree preferred (MBA, MPH, MHA). 
•    7 + years of progressive experience in clinical quality, population health, or value-based care operations; 
•    5 + years of people leadership experience required.  
•    Demonstrates expertise in HEDIS measures, CMS Star Ratings, and HCC/RAF optimization
•    Experience in physician practice, ambulatory care, or medical group operations. 
•    Strong understanding of CMS quality programs, NCQA HEDIS specifications, and risk adjustment models
•    Strong analytics capabilities, including experience with EMR reporting, BI platforms, and population health data tools
•    Operations experience, including Lean/A3 methodology, SOP development, and workflow standardization
•    Exceptional communication and relationship-building skills across clinical, operational, and executive audiences

Salary Range:  $142,438.00 - $210,000.00

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