Clinical Quality Manager – Population Health

4 hours ago

🚗 Michigan – Remote

Although this job is listed in Michigan, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

🏥 Clinical Operations

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Bon Secours Mercy Health

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Healthcare Insurance

Bon Secours Mercy Health is a leading health care organization committed to transforming health care delivery and services through strategic innovation and compassionate care. Operating hospitals and clinical sites in the U. S. and Ireland, the organization focuses on extending health care access, improving patient outcomes, and enhancing value through emerging technologies and strategic partnerships. With a commitment to service and stewardship, Bon Secours Mercy Health also prioritizes enhancing the quality of life for underserved communities while advocating for sustainability. The organization’s initiatives include digital innovation, diversified growth through investments and partnerships, and providing high-value care across its core clinical operations.

10,000+ employees

Founded 2018

⚕️ Healthcare Insurance

📋 Description

• Leads system-wide population health projects and initiatives: identifying appropriate interventions and strategic solutions, leading change management planning efforts on assigned projects with the initiative owner(s), developing implementation plans and operational workflows, communication with stakeholders and executive leadership, anticipating change management needs, and plans for mitigating barriers. • Provides subject matter expertise regarding value-based quality measures to system-level leaders, including enhancing value-based contract performance with the identification and validation of clinically relevant data. • Leads the overall development, implementation, and delivery of the Population Health Clinical Quality strategic plan, including support of additional value-based lives, strategic growth, and identification of gaps across the continuum of care, while maintaining alignment with the overall ministry goals. • Directs and leads a team of Population Health Coordinators in defined workflows to support quality outcomes and performance within BSMH’s value-based care programs. • Maintains operational oversight and accountability for Population Health patient outreach activities including affiliate provider partnerships and vendor management.

🎯 Requirements

• Current RN License in the state in which they are working or covered by compact (preferred) • Certified Professional in Healthcare Quality (CPHQ) (preferred) • Project Management Professional (PMP) (preferred) • Lean Six Sigma (preferred) • BSN or Bachelors, Healthcare or related field (required) • MSN or Masters, Business, Healthcare Administration or related field (preferred) • 7 years of business/healthcare experience in leadership, healthcare quality, and project management with proven career progressions. • Experience in managed security service provider (MSSP), National Committee for Quality Assurance (NCQA), Centers for Medicare & Medicaid Services (CMS), Healthcare Effectiveness Data and Information Set (HEDIS) (required) • 10 years' experience in business/healthcare leadership, healthcare quality, and project management with proven career progressions (preferred) • Familiarity with Bon Secours Mercy Health systems and processes (preferred) • EPIC (preferred)

🏖️ Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support