VP Quality Management - PCHP

Company: Parkland Health & Hospital System
Location: Dallas
Posted on: March 14, 2025

Job Description:

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion.Primary PurposeResponsible for working collaboratively with Parkland Community Health Plan's (PCHP) Chief Medical Officer, Marketing, Provider Relations, and Quality Management to plan and implement projects and programs to improve health outcomes for our members within the community.Accountable for four (4) foundational elements:

• Population health and care transitions using data driven clinical decision making to advance efficient, effective, and safe care of defined populations.
• Use of health data and analytics to help guide data-driven decision making and identify quality improvement initiatives.
• Clinical transformation that designs and executes the strategic direction to achieve stated goals.Education
  • Bachelor's degree in business, public health, nursing, social work, or related discipline required.
  • Master's degree in public health preferred.Experience
    • Five (5) years of leadership experience with population health and quality management required.
    • Three (3) years of experience with Texas Medicaid, Medicaid and/or a Medicaid managed care organization required.
    • Experience with culturally and linguistically appropriate services (CLAS).Equivalent Education and/or Experience
      • Seven (7) years of leadership experience in Population & Quality Management may be considered in lieu of a bachelor's degree.Certification/Registration/Licensure
        • Current and unrestricted licensure as a RN or Social Worker in the State of Texas preferred.Skills or Special Abilities
          • Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms.
          • Demonstrated ability to coach and influence for results.
          • Excellent people skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization.
          • Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals.
          • Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups.
          • Strong time management skills with the ability to manage multiple demands and respond to rapidly changing priorities.
          • Knowledge of CLAS standards.
          • Proficient Microsoft Office and computer skills.Responsibilities
            • This person provides subject matter expertise in equitable strategies, community health & engagement, advocacy, and related data analytics.
            • Supports the engagement of diverse partnerships and collaboration to advance the mission and work of the organization.
            • Assists the quality team with setting and achieving long-term and short-term strategic goals including health plan accreditation.
            • Monitors, coordinates, and communicates the strategic objectives of quality improvement across the organization to optimize performance/results.Population and Quality Management
              • Execute systemwide quality improvement projects that reduce disparities and improve health outcomes.
              • Responsible for developing and implementing integrated models of care management programs and services that control medical costs, create clinical efficiencies, and improve member health.
              • Ensures appropriate focus of activities, integration with cross-functional stakeholders and seamless execution.
              • Ensures that all assigned programs demonstrate appropriate synthesis of insights from data, clinical evidence, operational realities and payer trends and anticipated evolution.
              • Provides an integrated framework to promote best in class quality of care including patient safety, clinical effectiveness, and performance improvement.
              • Facilitating or supporting projects aimed at advancing and aligning the quality strategy and tactical workplan to improve health outcomes among specified populations.
              • Evaluating existing data and managing the planning, design, implementation, training, evaluation, and reporting of specified quality initiatives.
              • Oversees coordination of data collection, reporting of uniform and integrated measurement systems that support the quality assurance and performance improvement programs.
              • Leads and drives population health efforts and programs, clinical and continuum integration, provider performance improvement and education, and the organization strategic direction toward clinical and integration and superior value-based performance.
              • Works to identify opportunities for continuous improvement, standardization, and improvement in member health outcomes.
              • Collaborates on community outreach and engagement programs activities and assists in the development of content and methodologies.Regulatory
                • Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations.
                • Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards.
                • Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary.
                • Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary.
                • Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies.Fiscal Management and Operating Budget
                  • Operationally responsible for the financial performance of assigned area(s).
                  • Promote activities to achieve operational efficiency.
                  • Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets.
                  • Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs.
                  • Manage staffing levels within established targets.Talent Management
                    • Recruit and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve.
                    • Promote and support a culturally welcoming, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work.
                    • Accountable for orientation, ongoing education and training, and competency verification for all employees.
                    • Ensure Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends.
                    • Timely completion of employee performance appraisals.
                    • Conduct regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan.
                    • Mentor, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent.
                    • Ensure employee engagement survey participation rates and results meet established targets.
                    • Mandatory requirements are completed timely by employees.
                    • Required licensure, certification, and/or registry are current and in good standing for all employees.
                    • Employee performance is monitored and managed. Consult with the Office of Talent Management as appropriate regarding employee performance concerns and disciplinary action.Professional Accountability
                      • Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
                      • Adheres to organizational policies, procedures, and guidelines.
                      • Completes assigned training, self-appraisal, and annual health requirements timely.
                      • Adheres to hybrid work schedule requirements.
                      • Attends required meetings and town halls.
                      • Recognizes and communicate ethical and legal concerns through the established channels of communication.
                      • Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
                      • Maintains confidentiality at all times.
                      • Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies.Job Accountability
                        • Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of PCHP.
                        • Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
                        • Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure proper understanding.
                        • Develops and monitors annual budgets that ensure the department has the necessary funds to carry out the goals and objectives that have been established for the department.
                        • Develops, implements, monitors, and revises annual goals and objectives for the department that support the missions and objectives of PCHP.
                        • Selects, trains, schedules, motivates, supervises, and evaluates employees making recommendations for disciplinary actions up to and including termination, to ensure maximum utilization of individual and group capabilities. Ensures that assigned employees receive opportunities to further their knowledge.
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Keywords: Parkland Health & Hospital System, Dallas , VP Quality Management - PCHP, Executive , Dallas, Texas