Director of Quality and Value Based Care - Hybrid Sacramento, CA jobs in United States
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California Primary Care Association · 1 day ago

Director of Quality and Value Based Care - Hybrid Sacramento, CA

California Primary Care Association (CPCA) is dedicated to leading and positioning community clinics and health centers through advocacy and education. The Director of Quality and Value-Based Care provides strategic guidance and technical expertise to support health centers in advancing clinical quality and value-based care initiatives.

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Comp. & Benefits

Responsibilities

Lead strategic planning and execution of statewide QI and value-based care initiatives
Serve as subject matter expert on federal and state quality programs such as DHCS, Covered CA, OHCA, NCQA, CMS, etc
Analyze clinical quality performance data to produce actionable reports, dashboards, and presentations that inform improvement opportunities for community health centers (CHCs)
Conduct research, analyze data, and prepare reports to support advocacy, training, technical assistance, and grant deliverables
Lead the development and execution of managed care and Medicare strategies to support health centers in maximizing contracts and transitioning to value-based payment
Serve as a subject matter expert on managed care policies, contracts, billing, clinic networks, Medicare, and performance improvement strategies
Develop and deliver training, technical assistance, and resources such as webinars, workshops, toolkits, manuals, newsletters, and web content
Ensure resources and training align with CPCA’s strategic plan, grant requirements, and regulatory/legislative/policy agenda
Build relationships with member health centers to assess needs and tailor support, resources, and technical assistance
Coordinate and facilitate Peer Networks, Task Forces, and Technical Advisory Committees, including developing agendas, presentations, and content, and ensuring content alignment with CPCA priorities
Cultivate partnerships with managed care plans, agencies, stakeholder groups, and grant funders
Represent health centers in stakeholder committees, advisory groups, and advocacy efforts with managed care plans, agencies, and partners
Represent CPCA and health center interests with professionalism at local, regional, state, and national forums and events
Support grant development and management, including proposal writing, managing contracts, and ensuring compliance with funder requirements
Advocate for health centers by engaging with policymakers and responding to policy proposals
Collaborate with internal staff and external partners to analyze and respond to legislation, regulations, and policy guidance (e.g., All-Plan Letters)
Support the Association's strategic plan
Attend and participate in required Association meetings
Travel for state, regional, and national conferences, training, and site visits by air and ground transportation
Reports regularly to supervisor
Other duties as assigned

Qualification

Quality ImprovementValue-Based CareData AnalysisManaged Care ContractingPopulation HealthHealthcare Data AnalysisMicrosoft OfficeCommunication SkillsProblem-SolvingOrganizational SkillsTeam Collaboration

Required

Bachelor's degree in public health, healthcare administration, nursing, or related field
Minimum of 7 years of experience in quality improvement, population health, value-based care, Medicare, or related areas within primary care, public health, or healthcare organizations
Knowledge of state and national quality measures such as UDS, HEDIS, MCAS, and QI initiatives/methodologies, population health, and health care data analysis
Strong knowledge of managed care contracting, billing, Medicare, provider networks, performance improvement strategies, and value-based care models
Advanced problem-solving, critical thinking, time management, and organizational skills with keen attention to detail
Skilled in leading high-level meetings and trainings with diverse stakeholders, using inclusive facilitation techniques
Proven ability to work independently, manage priorities, and meet deadlines in a fast-paced, cross-functional environment
Excellent written and verbal communication skills, including effective proofreading
Demonstrated professionalism, confidentiality, and interpersonal effectiveness with staff, members, boards, and partners
Collaborative team player with experience working across departments and with senior leadership
Proficient in Microsoft Office, virtual communication tools, and web-based platforms
Ability to travel for state, regional, and national conferences, training, and site visits by air and ground transportation
Ability to maintain residence in California and commute to the office in downtown Sacramento multiple times a week

Preferred

Master's degree
Experience with community health centers, member-driven associations, or non-profit organizations

Benefits

100% employer-paid medical, dental, vision, life, and AD&D insurance
5% employer retirement contribution
Generous paid time off: 15 vacation days, 12 sick days, 2 floating holidays, plus 18 paid holidays (including a December 24th - January 1st Winter Break)
Monthly stipends: $50 for cell phone and $50 for internet
Parking benefits
Employee Assistance Program (EAP) and voluntary benefits, including pet insurance, Aflac, and FSA options

Company

California Primary Care Association

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CPCA recognized a voice representing the interests of California community clinics and health centers and their patients.

Funding

Current Stage
Growth Stage
Total Funding
$25M
2020-10-20Debt Financing· $25M

Leadership Team

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Francisco J. Silva, Esq., MBA
President & CEO
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Sonja Spowart (CPA)
Chief Financial Officer
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Company data provided by crunchbase