Job Summary: The Manager of Quality is a key leadership position within Eastside Health Network (EHN). The role is chiefly responsible for three interrelated functions; administrative leadership of the Quality and Patient Experience Committee, oversight of the daily work of population health coordinator team as they support HEDIS performance, and the ongoing development and execution of our clinical quality improvement program. This position works closely with the Chief Administrative Officer (CAO)-EHN, the Director of Population Health/Care Management-EHN as well as the committee chairs and the other members of the EHN leadership team. Given the nature of this role it is essential that the individual in this role is an important influencer of strategy as well as providing leadership of daily operations.
Responsible for daily management and oversight of EHN Population Health Coordinator team. Duties include staff planning and development, annual reviews, timecards, and other management related activities.
Responsible for network performance related to HEDIS metrics and other quality related data measures for all EHN contracts. Designs and supports practice education related to HEDIS performance and best practices approach to gap closure. Participation in payor contracting process, including negotiation of metric selection and target thresholds.
Provides Administrative leadership for the Quality and Patient Experience (Q&PE) Committee in partnership with the Q&PE committee chair, CAO and the EHN BOD. Supports the strategic and tactical direction of EHN as it pertains to quality and patient experience. Engages EHN analytics team to create and report quality and patient experience metrics to be reviewed and discussed at a committee level with report out and follow-up at the EHN and EHA boards.
Responsible for maintaining EHN’s Coordinated Quality Improvement Program (CQIP) plan and structure, including routine review and submission of updates.
Responsible for the leadership and administration of the EHN quality program. Develops and maintains program in collaboration with EHN’s medical director and the chair of the Q&PE Committee, reviewing at least annually. In conjunction with EHN’s analytics department, generates annual reporting to support EHN’s quality improvement and EHN’s Funds Distribution.
Provides leadership of quality reporting in EHN Joint Operating Committees with all payors. Ability to report on data issues, outreach and gap closure plans and highlight opportunities for deeper collaboration with payors.
Oversees the production, analysis, and presentation of relevant quality data to key individuals, committees, and leaders and provides guidance on opportunities for improvement.
Assembles education for providers and leadership regarding quality and patient experience metrics and performance related to EHN contracts. Collaborates with the EHN Care Management team related to reporting of high-risk members, care gap closure, patient panel performance, etc. Defines clinical pathways for key workflows in conjunction with the committee and the medical directors.
License, Certification, Education or Experience:
REQUIRED for the position:
Bachelor’s Degree in public health, health administration, or nursing
Minimum three (3) years of experience working in an integrated health system or accountable care organization.
Minimum three (3) years of experience in Quality and/or Performance Improvement, to include knowledge of HEDIS, STARS and patient experience measures. **
Minimum three (3) years of supervisory experience
DESIRED for the position:
Master’s degree in healthcare related field
Health Information Management (HIM) Certification
Certified Professional in Healthcare Quality (CPHQ)
Knowledge of value-based healthcare principles
Experience with electronic medical records, population health data management, reporting and analysis.
Our role is to help you enjoy an active and healthy life. We support your well-being with the highest quality care and service, and always with absolute patient safety.
Our care for you is recognized by Healthgrades, which named EvergreenHealth one of America's 50 Best Hospitals for 2021 and a 100 Best Hospital for 2017-2020. The Leapfrog Group has given EvergreenHealth an “A” rating for patient safety.
We’re honored to care for you with advanced science, skill and technology. Further, our staff, physicians and volunteers embrace our organizational values of compassion, respect, excellence, collaboration and accountability. We’re your health partners, and we thank you for choosing us for your care.
Governance & strategic priorities
As a public hospital district, EvergreenHealth is governed by an elected Board of Commissioners.
We are guided by five strategic goals:
• Providing absolute safety and consistent quality care that mirrors best practice and performs at the top decile in clinical outcomes.
• Ensuring exceptional customer experiences that foster meaningful and lasting relationships.
• Supporting a culture and environment that enables all employees and healthcare p...roviders to perform at their best every day and fulfill their potential.
• Delivering innovative and accessible solutions for the growing and changing health care needs of the community.
• Improving continually our financial performance to advance our ability to serve the community