Sr. Manager of Performance Improvement

Overview :

Under the direction of the Director of Quality and Performance Improvement (QI / PI), the Senior Manager of Performance Improvement is responsible for key initiatives within the QI / PI Department : the Partnership Improvement Academy and its associated programs;

strategic, organization-wide, and region-specific improvement initiatives; focused quality improvement projects; internal (Partnership staff / departments) quality improvement consultation and training,

specifically related to integrating improvement strategies key to Partnership’s Medicare Dual Special Needs Plan (D-SNP) in concert with those already established under Partnership’s long standing Medi-Cal business line;

primary liaison to DHCS Quality for mandated Performance Improvement deliverables

Responsibilities :

Oversees the Partnership Improvement Academy and associated programs : n partnership with department director and performance improvement staff, determines

vision and goals of Academy and its various programs.

Oversees the portfolio of work and ensure appropriate timelines, staffing, and

resources

Provides input and guidance to project managers and coordinators on program goals,

standards, infrastructure, recruitment, curriculum, faculty, sequencing, and evaluation

Builds Academy programming, staffing, and resources to better meet the needs of

Partnership’s provider network.

Develops Academy infrastructure, including website and newsletter presence, coaching

standards and expectations, event planning tools, participant intra-net sites, program

dashboards, etc.

Manages portfolio of improvement projects. These include large-scale, organization and

network-wide initiatives, as well as more targeted / focused interventions designated region

and / or per DHCS mandated improvement efforts.Works with project sponsor, project manager, and improvement team to determine

scope, aim, measurement set, and change development / implementation.

Ensures appropriate timelines, staffing, and resources across project portfolio.

Provides guidance on improvement methodology and its application to each project

Creates and manages mechanism for prioritizing and monitoring progress across project

portfolio.

Collaborates closely with Manager of Analytics and analytics team to create robust

measurement and data analytics plan across projects.

Collaborates with HEDIS Manager on HEDIS-related interventions. These

interventions will be led by the HEDIS Manager, but the Sr. Manager of Performance

Improvement should understand how they fit into the larger portfolio of improvement

projects and function as an Improvement Advisor (directly or via a delegate IA) as

needed.

Maintains robust communication with stakeholders throughout projects, from inception

to conclusion.

Oversees internal (within Partnership) Quality Improvement training and consultation : n partnership with department director and performance improvement staff, determines

vision and goals of internal improvement work.

Collaborates with Senior QI Medicare Program Manager and others allocated to the

CMS Medicare STARS quality program to drive achievement of an optimal STARS

rating.

Ensures there is active communication between PI staff conducting D-SNP and MediCal quality improvement interventions and activities to help navigate overlap and

reduce duplication of efforts.

Ensures staffing and resources to support internal improvement goals.

Leads Performance Improvement team to create and implement training curriculum

focused on building improvement capacity across Partnership departments

Ensures all QI department staff have proficient improvement knowledge and

capabilities

Provides improvement advisement on department-specific improvement projects.

Creates and manages monitoring and communication plan for internal quality

improvement work.

Acts as Quality Department’s primary liaison for DHCS-designated work : Serves as Partnership’s primary liaison to DHCS Quality in managing ongoing

mandated performance improvement activities and state-wide collaborations.

In partnership with other PI Managers, submits DHCS mandated work according to

required timelines.

Clarifies language and requirements when there is ambiguity or confusion

Communicates with PI Managers about deliverable progress.

Communicates with Quality Department Leadership regarding progress, barriers, etc.

Attends DHCS webinars, collaborative calls, etc and report back accordingly

Other performance improvement leadership : Serves as QI methods trainer and improvement advisor to provider practices

participating in Academy programs and to internal improvement teams.

Advises staff across department on development and execution of quality improvement

projects.

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.

Assists in creating compelling visuals, maps and abstractions that clearly and simply

communicate QI principles, processes, and progress.

Leads a high performing team : Hires, trains, coaches, supports, and directly supervises performance improvement

staff. As Performance Improvement portfolio of work increases, determines staffing

needs and advocate for additional staff as required

Supports development of direct reports and other department staff by establishing clear

goals, expectations, and metrics on all projects.

Serves as member of QI Department and Health Services Management Teams : Supports QI Department’s Senior Director and Director of Quality Management in

budget management, staffing decisions, and strategic and operational planning.

Collaborates with senior QI leadership and QI management team to ensure alignment of

efforts across the department. Help develop and manage communication feedback loops

so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices)

informs Performance Improvement priorities and vice versa.

Collaborates extensively with regional leadership in designated Partnership region and

work with QI leaders and staff to foster alignment and cohesion across regionally

driven PI activities.

Attends Health Services Management Team meetings and stay informed of critical

work across the Health Services department. Advise of Health Services department

strategy and continually assess and adjust operational plan of Performance

Improvement team to support this larger strategy.

Works with other directors and managers across the QI department and Partnership as a

whole on data and measurement related activities, including the Quality Improvement

Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and

program evaluations.

Secondary Duties and Responsibilities

Accepts other responsibilities as determined by needs of the QI Department

Qualifications :

Education and Experience

Bachelor’s degree is required; Master’s degree in healthcare or public

health is strongly preferred. Minimum of four (4) to five (5) years of

management experience required. Experience should include managing

multifaceted quality and performance improvement projects. Practice

coaching, program design, and project management experience is

desired. Experience working in primary care, safety-net clinics, and / or

with vulnerable populations is desired. Special knowledge of primary

care transformation tactics, such as building blocks, panel

management, team-based care, access improvement, etc. is desired.

Special Skills, Licenses and Certifications

Ability to lead and motivate teams and motivate superior performance

and the professional development of department staff. In depth

knowledge of improvement methodologies such as the Model for

Improvement, Lean, or Six Sigma. 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

Partnership policy are required to operate a vehicle and travel for

company business.

Performance Based Competencies

Strong written and oral communication skills. Excellent interpersonal

skills to communicate with Partnership provider network and different

Partnership departments. Ability to teach and coach diverse healthcare

staff on quality improvement and practice transformation. Ability to

lead interactive, skills-based training. Skills at facilitation, consensus

building, and identification of concrete action steps

Work Environment And Physical Demands

More than 50% of work time is spent in front of a computer monitor.

When necessary, the ability to lift, carry, or move manuals and reports,

weighing up to 25 lbs. Must be able to work in a fast-paced

environment and maintain courtesy and composure when dealing with

internal and external customers. Ability to function effectively with

frequent interruptions and direction from multiple team members.

All HealthPlan employees are expected to :

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;

Maintain safe practices; and

Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE :

$(phone number removed) - $(phone number removed)

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.

The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.