Apply on Employer Site

Partnership HealthPlan of California · 1 day ago

Manager of Quality Incentive Programs

Fairfield, CA

Full-time

Hybrid

Mid, Senior Level

$119K/yr - $154K/yr

4+ years exp

Partnership HealthPlan of California is responsible for managing healthcare quality incentive programs. The Manager of Quality Incentive Programs oversees various quality improvement initiatives and leads a team to ensure effective implementation and evaluation of these programs.

Health CareInsuranceNon Profit

Culture & Values

Responsibilities

Provides oversight, mentoring, and coaching to the QIP team in the following areas:

Development and implementation of communication plans and presentations to PHC’s leadership and physician committees

Strategic leadership to all QIP programs including experience formulating objectives and priorities and implementing plans consistent with long term views/vision. Capitalizes on opportunities and effectively manages risks

Provides direction to the planning, implementation, and evaluation of all components for quality incentive programs

Provides advice and support on quality incentives programs run through other PHC departments, such as, the pharmacy 340B QIP, the mental health QIP, and the specialty QAIP

In conjunction with the PHC leadership team and community stakeholders, develops other pay for performance programs, as needed

Works collaboratively with IT and Health Analytics departments on the data systems to support regular measurement and feedback on the QIP measures

Researches and advises on program, payment, and incentive methodologies for quality incentive programs

Models data-driven leadership, ensuring interventions are measured and evaluated for efficacy and impact

Understands and exhibits expert knowledge in the various components of the QIPs

In conjunction with the Director of QI/PI and the CMO, oversees the development, implementation, and evaluation of the Provider Data Portal:

Works with PHC departments, business analysts, and providers to gather business requirements through observation, interviews, and facilitated questions

Works with business analysts, vendors, and IT department to develop prototypes for the portal

Oversees the testing, implementation, long-term management, and continuous improvement of the portal

Oversees the data integrity and reporting from the portal by ensuring data management and validation processes are in place

Provides direction to the team on all aspects of the portal

Leads a high performing team:

Supports the development of the QIP and Provider Portal teams by establishing clear goals, expectations, and metrics to ensure that they are used to continually motivate staff and support meeting department goals and objectives

Hires, trains, coaches, supports, and directly supervises QIP staff. Regularly assesses staffing needs and advocates for additional staff as required

Serves as member of QI Department and Health Services Management Teams:

Supports QI Department Director in budget management, staffing decisions, and strategic and operational planning

Collaborates with department director and QI management team to ensure alignment of efforts across the department. Helps develop and manage communication feedback loops so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices) informs QIP and Data Portal priorities, and vice versa

Collaborates extensively with QI staff in Redding office to foster alignment and cohesion across QIP, provider data portal, and other QI department functions

Attends Health Services Management Team meetings and stays informed of critical work across Health Services department. Advises of Health Services department strategy and continually assesses and adjusts operational plan of QIP team to support this larger strategy

Works with other directors and managers across the QI department and PHC as a whole on data and measurement related activities, including the Quality Improvement Program, PHC Stars Dashboard, provider reporting tools, and internal dashboards and program evaluations

Stays informed on key developments in the quality improvement field that impact our provider network, including patient-centered medical home certification criteria, meaningful use, primary care transformation best practices, and quality reporting requirements

Stays informed of key developments and research in the area of Pay for Performance

Assures that processes for Quality Improvement projects are HIPAA compliant and implements any needed changes or upgrades

Accepts other responsibilities as determined by the needs of the QI Department

Qualification

Data analyticsHealthcare quality dataProject managementQuality Improvement ProgramsCommunication skillsAnalytic thinkingOrganizational skillsTeam leadership

Required

Bachelor's degree is required

At least four (4) years of experience in project management related to healthcare

Prior supervision of staff is required

Advanced data analytic skills

Knowledge of healthcare quality data

Understanding of improvement measurement and analysis using run charts (trending data over time), and making decisions based on these data

Valid California driver's license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business

Strong written and oral communication skills

Strong organization skills to work on multiple projects simultaneously within established time frames

Ability to plan, implement, and report on quality management projects

Strong analytic and critical thinking skills

Preferred

Master's degree in healthcare is strongly preferred

Benefits

401(k)

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Flexible schedule

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Parental leave

Professional development assistance

Referral program

Retirement plan

Tuition reimbursement

Vision insurance

Company

Partnership HealthPlan of California

Partnership HealthPlan of California is a non-profit community-based health care organization that contracts with the state to administer Medi-Cal benefits through local care providers to ensure Medi-Cal recipients have access to high-quality comprehensive cost-effective health care.

Founded in 1994

Fairfield, California, USA

1001-5000 employees