Director of Quality and Population Health

Job Title: Director of Quality and Population Health

Client: Healthcare Provider Client

Location: Kokomo, IN (Hybrid)

Length: 6-month Contract-to-Hire

Summary

Under direction of the Chief Medical Officer and in close partnership with executives, site leaders, and others, the Director of Quality and Population Health (the Director) provides the leadership necessary to assure that the client stays in compliance with HRSA, UDS reporting, Joint Commission accreditation, payer quality programs, and internal clinical standards.

• Creates and sustains a high-quality, safe, clinical care enterprise,
• Sustains upper quarter performance of the clinical quality measures to which they are held accountable (Uniform Data System (UDS) Clinical Quality Measures, Health Resources and Services Administration (HRSA), Healthcare Effectiveness Data and Information Set (HEDIS) payer quality programs and internal clinical standards, as examples),
• Maximizes the client's performance in value-based payment relationships
• Positions the client to progressively improve its impact on the Social Determinants/Drivers of Health which influence the outcomes of clients.

The Director demonstrates behaviors consistent with professional standards of practice, care, and the mission, values, and goals of the client.

Essential Duties and Responsibilities

• Devises and implements the Quality Improvement Plan in accordance with the client's Mission and goals, state and federal laws and regulations, Health Resources and Services Administration (HRSA) compliance, Joint Commission and other accreditation standards.
• Facilitates and leads the Quality Improvement/Quality Assurance (QI/QA) committee.
• Administers the Quality Program: structure, committee cadence, and dashboards
• Defines quality goals, targets and expected workflows for clinics.
• Leadership and direction of members of the Quality Department using Lean, PDSA or Six Sigma tools
• Owns corrective action plans after audits, site visits, or adverse events
• Oversee the client's QI/QA programs and policies.
• Builds and supports development of standardized clinical workflows for chronic disease management, preventive care access and care coordination to assure a reliably high level of efficient clinical care across the entire JPCHC enterprise.
• Partners with nursing, providers, and site managers to close care gaps
• Standardizes rooming, immunization, lab follow-up, and referral workflows.
• Monitors documentation accuracy and supports provider feedback loops
• Maintains HRSA FTCA compliance, QA/QI program documentation, and audit readiness
• Manages incident reporting, root-cause analyses, and follow-up
• Works with compliance to reduce sentinel event risk and standardize practices
• Tracks infection control, med-safety, and safety culture metrics
• Assists in designing training for quality workflows, documentation standards, and PDSA (Plan-Do-Study-Act)
• Coaches site leaders on operationalizing quality initiatives
• Ensures protocols meet federal, state and accreditation standards
• Identifies and advises organizational leadership on staffing needs to achieve the position’s goals.
• Identifies and helps to eliminate unbeneficial variations in clinical practice.
• Directs processes to establish a culture of event detection, reporting, analysis, resolution, improvement, and learning.
• Is a student of continuous improvement and high reliability concepts and works to strengthen organizational capacity and impact with these skills.
• Participates and assists with committees, meetings, and team projects related to HRSA policy, Patient Centered Medical Home (PCMH), clinical protocols, and other relevant processes.
• Supporting Grant Management: Provides input on and assumes appropriate levels of responsibility for compliance and achievement of grant expectations related to this scope of work.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

• Masters level public health, nursing, or pharmacy training. (i.e. MPH, MSN, DNP, PharmD).
• Certified Professional in Healthcare Quality (CPHQ) preferred.
• Minimum of five (5) years’ experience as a supervisor and leader in an ambulatory care setting; primary care preferred.
• Experience and familiarity with Federally Qualified Health Center model of care.
• Experience within and knowledge of the Patient-Centered Medical Home initiative preferred
• Knowledge of concepts of disease management, population health management.
• Skilled in healthcare population-level data analysis.
• Knowledge of pay-for-performance and value-based payment programs. Demonstrated success with leading their achievement preferred.
• Experience with project management, Six Sigma, lean, or other improvement methodology. Formal certification in lean or six-sigma preferred.
• Possessing personal attributes of being highly organized, attending to detail, strong follow-up skills, taking initiative, persuasive, and mission-focused with well-developed oral and written communication skills.
• Demonstrates sound judgment, decision-making and problem-solving skills.
• Exhibits professionalism and confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
• Proficient computer skills including with Microsoft Office and electronic health records.
• Ability to travel up to 50% of the time to regional practice locations