Director of Quality Transformation - Cone Health : Job Details

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Overview: As the Director of Quality Transformation, will play a crucial role in strategic initiatives that enhance clinical outcomes, optimize value-based care operations, and drive continuous quality improvement across our healthcare system. This leadership role will focus on developing and implementing innovative quality transformation strategies, leveraging data-driven insights to improve patient care, and ensuring alignment with value-based care models. The director will collaborate with clinical and operational teams to implement evidence-based practices, streamline care delivery, and enhance efficiency while meeting regulatory and accreditation standards. The ideal candidate will have a strong background in healthcare quality, performance improvement, and population health management, with a proven track record of leading transformational change in a value-based care environment. This position reports directly to Executive Director of Quality.Responsibilities:Strategic Leadership & Transformation

• Develop and implement system-wide quality transformation strategies that align with value-based care initiatives.
• Lead efforts to enhance clinical performance, patient safety, and operational efficiency through innovative quality improvement programs.
• Drive a culture of continuous improvement and accountability across all levels of the organization.

Quality & Performance Improvement

• Oversee the design, implementation, and evaluation of quality improvement projects to enhance clinical outcomes and patient experience.
• Utilize data analytics and performance metrics to identify trends, measure success, and guide decision-making for process improvements.
• Partner with clinical teams to implement evidence-based best practices and standardize care delivery models.

Value-Based Care Operations & Population Health

• Develop and manage initiatives that optimize care coordination, reduce costs, and improve health outcomes under value-based care contracts.
• Collaborate with payers, providers, and stakeholders to ensure alignment with value-based reimbursement structures and quality incentives.
• Partner to ensure the integration of population health strategies to enhance preventive care, chronic disease management, and care transitions with Clinic Operations and Quality Programs

Clinical Integration and Collaboration:

• Foster collaboration across multidisciplinary teams to integrate risk adjustment and quality improvement efforts seamlessly into clinical workflows.
• Serve as a subject matter expert and provide guidance on risk adjustment and quality improvement strategies to clinicians, administrators, and other stakeholders.
• Promote a culture of accountability, transparency, and continuous learning to support clinical integration initiatives.

Innovation & Best Practices

• Identify and implement emerging trends, technologies, and best practices in quality improvement and value-based care.
• Foster a culture of innovation by supporting pilot programs, research, and technology-driven solutions to improve care delivery.
• Develop educational programs and training initiatives to enhance staff competencies in quality improvement methodologies.

Performance Reporting and Communication:

• Prepare and present regular reports on risk adjustment and quality improvement metrics to executive leadership and stakeholders.
• Communicate effectively with internal and external stakeholders to convey progress, challenges, and opportunities related to risk adjustment and quality improvement initiatives. Qualifications:

EDUCATION:Required:Bachelors degree or MBA or MHA.EXPERIENCE:Required:Minimum of 5 years of progressive healthcare leadership experience. Demonstrated expertise in developing and implementing quality improvement strategies for areas of responsibility assigned to this role. Strong understanding of healthcare delivery systems, value-based care models, and payer contracts and metrics. Proven track record of successfully developing and implementing programs and services that meet or exceed risk-based contracting quality standards and deliver measurable results.Preferred: Experience working in a regulated industry or with regulatory agencies. Leadership experience preferably in a value based, ACO, or clinically integrated environment. Preferred 3 years of experience in Value-based care, a CIN, or an ACO.LICENSURE/CERTIFICATION/REGISTRY/LISTING:Preferred:Relevant industry certification

Seniority level

• Seniority levelDirector

Employment type

• Employment typeFull-time

Job function

• Job functionQuality Assurance
• IndustriesHospitals and Health Care

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