• AVP, Population Health Mgmt

    Location US-CA-Los Angeles
    Job ID
    2018-7285
    Category
    Management
  • Overview

    Drives population health, clinical quality & safety programs. Responsible for the strategic development, planning & control of population health & quality programs & for leading the implementation of the compliant programs at the clinics. Facilitates the development of programs & processes that meet regulatory requirements. Focuses on organization-wide systems & processes for improvement, including clinical population health, quality management, risk management, AR&L & patient safety activities, in collaboration with clinical & administrative personnel. Facilitates health plan assessments of quality programs. Develops strong collaborative leadership relationships with external regulatory agencies and accreditation bodies. Has joint accountability to develop systems & corrective action plans for the facility to meet regulatory compliance.

    Responsibilities

    1. Responsible for leading the design of reliable systems that support evidence based optimal care in ambulatory setting. Implements & monitors population health & disease management programs & processes across the continuum of care.
    2. Facilitate the transition to Population Health Care Management. Provide leadership in the adaptation of information technology and implementation, change management, performance assessment, and coalition building.
    3. Monitors & assesses clinical quality & service trends, external environment & internal practices, & makes recommendations to develop/adjust strategy to meet the changing business & market conditions.
    4. Supports & oversees the use of evidence based guidelines, criteria & other clinical tools to reduce variation in clinical practice & to optimize clinical outcomes. Evaluates performance through the development/maintenance of statistical processes, control charts & regulatory databases.
    5. Directs accreditation, licensing, & regulatory activities & ensures compliance in all applicable settings, including but not limited to NCQA, The Joint Commission, DMHC, DHS, Medi-Cal, Cal-OSHA, & CMS. Implements sustainable systems for meeting accreditation, regulatory & licensing requirements. Assigns direct accountability for the oversight within the quality department & ensures operational integrity for performance.
    6. Ensures that facility policies, practices, & procedures comply with administrative, legal & regulatory requirements of health plan, health plan contracts & governmental & accrediting agencies. Identifies new legislations’ effect on Hospital/Heath Plan & leads programs that ensure alignment with new legislation.
    7. Accountable for comprehensive infection control programs for surveillance prevention, data analysis & reporting, & control of infections across the medical group & environmental support departments & serves as a liaison for infectious disease & the Department of Public Health.
    8. Perform other related duties as assigned.

    Qualifications

    1. Master's Degree in business, health care, public administration or related field required.
    2. Minimum 5 years of experience in clinical and management roles in multi-faceted health care systems and multi-provider settings.
    3. Clinical license such as RN or Pharm. D preferred.

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