Mgr. of Quality and Performance Improvement - HealthNet, Inc, Indianapolis, IN, US

This position works closely with HealthNet's · Senior Leadership, Physician leadership and other Department Directors to · continuously improve patient care and operations. Provides overall direction and oversight · for Performance Improvement and Quality Management. The incumben ...

Job description

This position works closely with HealthNet's
Senior Leadership, Physician leadership and other Department Directors to
continuously improve patient care and operations. Provides overall direction and oversight
for Performance Improvement and Quality Management. The incumbent is responsible for managing
activities that improve quality, minimize risk, and ensure efficiency. Reports to HealthNet's Chief Administrative
Officer.    

Essential Functions     

Leadership:     

Accountable for strategic
planning, program development, labor management and operational leadership
of Performance Improvement and Quality Management for the organization. Develops,
implements, and evaluates the Annual Quality and Performance Improvement
Plan for the organization. Role
model, mentor and change agent for the organization. Provides leadership
and strategies for the effective and efficient utilization of medical,
clinical and administrative resources

Performance
Assessment and Continuous Improvement:     

Leads performance improvement
and quality management activities for the organization. Uses a systematic approach to evaluate processes
and human behavior to improve quality and productivity. Ensures disseminating relevant data
through appropriate leaders and structures to ensure actions are taken to
sustain or improve clinical care. Through
research, continued education, and networking, ensures HealthNet remains on
the cutting edge of Performance Improvement and Quality Management initiatives.      

Quality
Management:     

Works closely with Chief Medical
Officer and Associate Medical Director in peer review performance and
quality improvement. Collaborates closely with Risk Manager. HealthNet leader for the Board of
Directors' Quality Committee and Chairs HealthNet's Quality Council.      

Observation
and Analysis     

Makes
observations and forms trusting and respectful relationships across all levels
of staff, departments, and service lines to identify performance issues. Analyzes issues to determine reasons or
contributing factors that interfere with high performance. Formulates intervention plans to address
performance gaps.      

Implementation:     

Works closely with other leaders
in optimizing the implementation of performance improvement solutions resulting
in changes to skills, knowledge, technology, systems, or processes across the
organization. Provides training on quality and performance improvement
methodologies throughout the organization. Coordinates activities within and across departments, ensuring achievement
of accreditation standards, was well as clinical and operational excellence
across the organization.      

Evaluation:     

Selects and utilizes assessment tools to
determine if implemented solutions produce expected results. Analyzes
data and communicates quality and other clinical metrics to the Board of
Directors, Senior Leadership, Physicians, and others. Identifies necessary
reporting needs while ensuring collaboration with EMR, IT, Risk Management
and other stakeholders. Works closely with data analysts to obtain and
validate data needed for decisions related to areas of responsibility. Utilizes
data to measure outcomes of performance improvement projects throughout the
organization. Follows up with project
leaders when outcomes are not as expected

Information
Systems:     

Matrixed relationships with HealthNet
IT and EMR leadership to ensure best use of EMR software in ensuring
clinical quality, appropriate documentation of the quality of care delivered
across the organization along with clinical outcomes measurement.      

Personnel
Management:     

Ensures personnel management
accountability by fairly interpreting and uniformly applying personnel
policies and procedure. Facilitates
a continuous employee feedback process to enhance work process.     

Financial
Management:     

Accountable for department's
budget accountability with primary responsibility to control expenses
within approved budget. Beyond that, seeks and recommends potential
opportunities for cost containment, revenue generation, and analyzes
variances from budget within and outside of the department.     

Strategic
Planning:     

Works closely with Senior Leadership
in both day-to-day and annual strategic initiatives and planning. Accountable
for continually moving toward preeminence in quality, safety, and patient
satisfaction.      

Culture
Champion:     

Responsible for being a culture
champion. The incumbent must embrace and demonstrate
the culture of energy, passion and positive atmosphere while delivering
superb customer service.      

Patient Experience:      

A champion for customer service. Oversees patient satisfaction surveys for
the organization. Monitors patient satisfaction data and patient family
feedback and develops appropriate response. Conducts grievance research as needed, utilizing root cause analyses
and appropriate resolution.     

Accreditation:     

Works with others to ensure Joint
Commission, PCMH, HRSA, Meaningful Use, and other Federal and State Quality
and Performance Improvement requirements are met by the organization. Responsible for the Quality and
Performance Improvement sections of HRSA, FTCA, and Joint Commission manuals

The preceding essential function statements are not
intended to be an exhaustive list of tasks and functions for this position.
Job descriptions provide a representative summary of the major duties and
responsibilities performed by incumbents. Other tasks and functions may be
assigned as needed to fulfill the mission of the organization.     

QUALIFICATIONS/KNOWLEDGE/SKILLS/ABILITIES:     

Requires 3 - 5 years
demonstrated experience in a high impact position. 

Requires a Bachelor's degree in
health related field, with Master's degree preferred.     

Requires a strong clinical
background, typically demonstrated by an RN, CPHQ, or significant prior
experience such as quality measurement, data analysis, or performance
improvement methodologies. 

Lean Six Sigma Green Belt preferred.     

Requires demonstrated clinical
data management skills, particularly preparation, formatting, trending and
analysis.     

Requires ability to work
effectively with all levels of the organization, including Physicians, and
with other organizations.     

Prefer experience in ambulatory
health care systems. Demonstrated knowledge of performance improvement
methods and activities with demonstrated ability to lead quality
improvement initiatives.     

Requires strong communication,
negotiation, and collaboration and problem-solving skills.     

Requires ability to work
independent of supervision and the motivation to produce high quality
outcomes.     

Requires ability to be flexible
and effectively lead diverse teams, groups and programs.     

Demonstrated experience in Joint
Commission survey preparation and understanding of licensure and
accreditation requirements.     

Requires strong quantitative and
critical thinking skills with understanding of quality measurement
methodology, basic statistical analysis and survey methods.     

Requires ability to track and
perform multiple tasks, with strong organizational and interpersonal skills

Requires ability to plan and
manage the utilization of resources

Requires knowledge of computer
software applications.     

Demonstrates the ability to
think in a positive and creative manner and convert vision to tactical
plans

EVALUATION OF PERFORMANCE:    

The Manger
of Quality and Performance Improvement will receive annual performance
evaluations that rate job performance in accordance with HealthNet vision,
mission, policies and procedures. The evaluations may include, but not be
limited to, performance of many of the specific skills and abilities noted
above. The Manger of Quality and Performance
Improvement is
expected to present an exemplary professional image; maintain a positive
attitude toward work and HealthNet; display a willingness to accept and
complete assigned job responsibilities and duties; demonstrate the ability to
independently exercise judgment, supervise staff if applicable, and complete all
phases of assigned tasks or projects; and serve as a positive role model for other
HealthNet staff. 

EQUAL
EMPLOYMENT OPPORTUNITY: 

HealthNet
is an Equal Employment Opportunity Employer and employment decisions are made
without regard to race, color, sex, religion, national origin, age, disability,
sexual orientation, or any other category protected by federal, state, or local
law.