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
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