About the Organization
Cone Health is a not-for-profit healthcare network serving multiple counties, including a comprehensive range of facilities such as hospitals, ambulatory care centers, outpatient surgery centers, urgent care centers, a retirement community, and numerous physician practices. In 2024, the organization launched the Value-Based Care Institute to focus on improving community health and redefining success beyond financial metrics.
Role Overview
The Executive Director of Quality Programs & Services will lead quality initiatives within the value-based care framework, ensuring high standards and continuous improvement.
Key Responsibilities
- Develop and execute strategies for quality initiatives.
- Align quality goals with organizational objectives and industry best practices.
- Performance Measurement & Reporting
- Oversee performance measurement systems.
- Generate reports on performance outcomes and areas for improvement.
- Establish quality assurance processes.
- Develop metrics to assess program effectiveness.
- Lead the development of new programs and services.
- Focus on care gap closure, HCC coding quality, and RAF score optimization.
- Quality & Safety Improvement Initiatives
- Identify and mitigate risks related to quality of care and patient safety.
- Implement quality improvement initiatives.
- Lead a team of quality specialists and program managers.
- Oversee budgeting for quality programs.
- Collaboration & Stakeholder Engagement
- Foster collaboration with internal and external stakeholders.
- Promote a culture of continuous learning and improvement.
- Technology and Data Analytics
- Leverage technology for process efficiency.
- Analyze data to guide quality programs.
- Ensure compliance with relevant laws and standards.
- Prepare for audits and assessments.
- Develop educational programs on value-based care principles and quality improvement methodologies.
Qualifications
- Required Education: Bachelor's degree with a clinical background in Nursing or Pharmacy is preferred or extensive experience in value based care data analytics.
- Preferred Education: MBA or MHA.
- Required Experience:
- 10+ years in population health management, care coordination, or healthcare program development.
- Expertise in population health strategies and value-based care models.
- 3+ years in value-based care, CIN, or ACO.
- Preferred Experience: Experience in a regulated industry or with regulatory agencies.
- Licensure/Certification: Registered Nurse or Physician preferred; Certified Professional in Healthcare Quality (CPHQ) preferred.
Skills & Abilities
- Strong leadership, communication, and interpersonal skills.
- Strategic thinking and innovative problem-solving abilities.
- Project management skills and knowledge of relevant laws and regulations.
- Commitment to diversity, equity, and inclusion.
Conditions of Employment
- Maintain licensure/certification.
- Meet annual mandatory requirements.
For more information, you can contact Mike Hill, Senior Leader Healthcare Executive Search, at mike.hill@us.forvismazars.com.
