Area Quality Leader

Job Title: Area Quality Manager

Job Location: Onsite, Santa Clara, CA

Annual Salary: $200,000 - $250,0000 USD

Additional Variable Compensation: Yes

Benefits: Yes

Essential Responsibilities

• Drives clinical quality and safety programs.
• Responsible for the strategic development, planning and control of health plan and hospitals quality programs.
• Leads the implementation of compliant programs at the facility, including associated alliance hospitals and other non-KFH facilities. 
• Facilitates the development of programs and processes that meet regulatory requirements. 
• Focuses on organization-wide systems and processes for improvement, including clinical quality management, risk management, AR&L and patient safety activities in collaboration with clinical and administrative personnel. 
• Serves as Patient Safety Officer for assigned hospitals. 
• Oversees and facilitates internalization and monitoring of Regional Sub-regional Services. 
• Ensures practitioner review and oversight meets internal standards. 
• Responsible for quality program oversight, associated medical staff issues, member concerns and grievances to ensure submission to accreditation and regulatory bodies are timely and accurate; and ensures that processes supporting submissions are reliable.
• Facilitates health plan assessment of quality programs at the medical center including MDQR. 
• Develops strong collaborative leadership relationships with TPMG, external regulatory agencies, accreditation bodies, employer groups. 
• Has joint accountability to develop systems and corrective action plans for the facility to meet regulatory compliance.

Qualifications

Education

Masters degree in Business, Health Care, Public Administration or related field.

Experience

• Minimum ten (10) years of experience in clinical and management roles in a health plan or multi-faceted health care system and multi-provider settings.

License, Certification, Registration

• N/A

Additional Requirements:

• Thorough knowledge of quality assurance, quality improvement, utilization review, risk management, and accreditation and licensing requirements including The Joint Commission, NCQA, Knox-Keene Act, Federal HMO Act, CMS, Cal-OSHA, Public Employees Medical and Hospital Act, HIPAA and Medi-Cal regulations and standards.
• Track record achieving superior results that demonstrate performance improvement and quality and service outcomes.
• Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

• Clinical license such as RN or Pharm. D preferred.

What are the 3-4 non-negotiable requirements of this position?

• Must have director level experience as this is a Sr. Director level position 
• Must have experience leading quality departments - direct oversight 
• Must have RN or Pharm D Large hospital experience or multi-site experience Inpatient experience

What are the nice-to-have skills?

• CPHQ Certification 
• HRO experience 
• Lean principals experience 
• Experience with Joint Commission and CMS