Cone Health is a not-for-profit healthcare network serving multiple counties, including a comprehensive range of facilities such as hospitals, ambulatory care centers, outpatient surgery centers, urgent care centers, a retirement community, and numerous physician practices. In 2024, the organization launched the Value-Based Care Institute to focus on improving community health and redefining success beyond financial metrics.
Role Overview
The Executive Director of Quality Programs & Services will lead quality initiatives within the value-based care framework, ensuring high standards and continuous improvement.
Key Responsibilities
Strategic Leadership
Develop and execute strategies for quality initiatives.
Align quality goals with organizational objectives and industry best practices.
Performance Measurement & Reporting
Oversee performance measurement systems.
Generate reports on performance outcomes and areas for improvement.
Quality Assurance
Establish quality assurance processes.
Develop metrics to assess program effectiveness.
Program Development
Lead the development of new programs and services.
Focus on care gap closure, HCC coding quality, and RAF score optimization.
Quality & Safety Improvement Initiatives
Identify and mitigate risks related to quality of care and patient safety.
Implement quality improvement initiatives.
Departmental Management
Lead a team of quality specialists and program managers.
Oversee budgeting for quality programs.
Collaboration & Stakeholder Engagement
Foster collaboration with internal and external stakeholders.
Promote a culture of continuous learning and improvement.
Technology and Data Analytics
Leverage technology for process efficiency.
Analyze data to guide quality programs.
Regulatory Compliance
Ensure compliance with relevant laws and standards.
Prepare for audits and assessments.
Education & Training
Develop educational programs on value-based care principles and quality improvement methodologies.
Qualifications
Required Education: Bachelor's degree with a clinical background in Nursing or Pharmacy is preferred or extensive experience in value based care data analytics.
Preferred Education: MBA or MHA.
Required Experience:
10+ years in population health management, care coordination, or healthcare program development.
Expertise in population health strategies and value-based care models.
3+ years in value-based care, CIN, or ACO.
Preferred Experience: Experience in a regulated industry or with regulatory agencies.
Licensure/Certification: Registered Nurse or Physician preferred; Certified Professional in Healthcare Quality (CPHQ) preferred.
Skills & Abilities
Strong leadership, communication, and interpersonal skills.
Strategic thinking and innovative problem-solving abilities.
Project management skills and knowledge of relevant laws and regulations.
Commitment to diversity, equity, and inclusion.
Conditions of Employment
Maintain licensure/certification.
Meet annual mandatory requirements.
For more information, you can contact Mike Hill, Senior Leader Healthcare Executive Search, at mike.hill@us.forvismazars.com.