DIR REGIONAL QUALITY PERFORMANCE IMPROVEMENT in Cypress, CA at Beacon Health Options

Date Posted: 6/25/2019

Job Snapshot

Job Description

We are currently seeking a dynamic Regional Director of Quality Performance Improvement to join our team at our office in Cypress, CA.  The Director of Quality Performance Improvement is responsible for Quality and performance improvement projects, both those generated internally and those conducted in collaboration with external organizations, and oversight of related Quality Management departmental activities including data management, statistical analysis, and report writing.  Facilitates clinical and service quality improvement through data analytics and problem-solving techniques. 

Position Responsibilities:

  • Oversees performance measurement and improvement operations

  • Creates methodologies to assess P4P attainment for custom behavioral health measures

  • Leads interaction between Regional clients regarding HEDIS and QI.

  • Develops an organized system for monitoring P4Ps, SLA, PGs, etc. and performs risk assessment on attainment and develops action plans for reaching targets, trending performance over time to set benchmarks and predict attainment.

  • Helps teams in the region develop measurement plans that are concordant with Corporate measurement strategies.

  • Participate in HEDIS audits from external vendors with clients.

  • Leads HEDIS and performance improvement workgroups for the region.

  • Reports to Corporate Quality on progress of QIAs and leads regional participation in corporate HEDIS workgroups.

  • Analyzes clinical data for clinical quality improvement and leads clinical teams in intervention design and measurement.

  • Uses data sources across clinical department to improve performance on UM and CM outcomes.

  • Works with Provider Quality to improve.

  • Applies strong plan-do-check-act continuous quality improvement strategies for monitoring success of implementations.

  • Mines data regularly and is responsible for innovating new design or process improvement solutions.

  • Develops custom behavioral health measures using small tests of change and other statistical techniques.

  • Streamlines operations by defining and implementing data collection, monitoring, and evaluation to determine intervention success.

  • Facilitates workgroups for quality improvement projects.

  • Makes recommendations to the quality operations committee to improve quality of services provided to Members.

  • Determines strategies for assessing effectiveness of interventions.

  • Develops, design, and manage internal research projects and quality improvement activities.

  • Provides consultation to the organization regarding data needs and data analysis.

  • Completes formal reports documenting research efforts, methodologies, outcomes, and recommendations for ongoing research projects and quality improvement efforts, such as, but not limited to EQRO, NCQA, Member and Provider surveys, pay-for-performance reports.

  • Leads Trilogy document completion for the Region, legal entities, State direct, and Health plans.

  • Assists the Assistant Vice President of Quality in strategically implementing vision of the quality department using strategic goals and measuring success.

  • Supports the leadership in identifying opportunities for improvement that supports corporate goals and implementations.

Knowledge, Skills & Abilities:

•Knowledge of HEDIS and performance improvement metrics; building custom reports and mechanisms for evaluating program performance; skilled at excel and other statistical packages, such as SAS, STATA, SBSS.

•Works well across teams with excellent communication skills, both verbal and written.

•Innovative in project design and proven track record in project management.

•Quality management skills can be used across a variety of projects, including accreditation standards and tracking of policy and procedures.

•Proactively implements corrective action plans and measures improvement; able to achieve buy-in from multiple stakeholders.

•High level of presentation skills and ability to communicate complex measurement and quality improvement design.

•Exhibits a high level of strategic and critical thinking.

•Strong communication skills, both oral and written

•Strong presentation skills

•Proficient with Microsoft Office

Position Requirements:

Education: Master’s level education in public health, business, epidemiology, healthcare policy, or other relevant field.

Relevant Work Experience: 3-5 years mental health/substance abuse experience; experience in project management and staff supervision desired. Experience implementing large and small-scale quality improvement process. Knowledge of quality improvement and associated measurement.

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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