Director Quality & Clinical Informatics - Summit Medical Group

Summit Medical Group is recruiting for a Director of Quality & Clinical Informatics.

Examples of Duties (List does not include all duties assigned)

• Establish quality, population health, and PCMH activity goals and objectives and ensure that targets are achieved.
• Identify department standards and establish clearly defined methods for staff to apply, defining procedures in conjunction with operating staff.
• Establish and maintain controls and documentation procedures.
• Identify relevant quality-related training needs and deliver training.
• Collates and analyzes performance data and harts against defined parameters.
• Build Supervise staff in carrying out review and audit processes.
• Bring together staff of different disciplines and drive the group to plan, formulate comprehensive quality, population health and infection prevention procedures.
• Persuade reluctant staff to adapt their way of working to incorporate improvement ideas.
• Promote quality, population health and performance improvement throughout the organizat
• Establish chart audit c
• Monitor quality of clinical care through chart and process audits.
• Prepare audit summaries for review by committees, CEO, and others as requested.
• Review audit findings and corrective action plans with clinical staff including clinicians.
• Identify and implement relevant quality and population health related training needs; coordinates and participates in new hire traini
• Coordinate and provide ongoing staff training including required annual trainings, corrective action plans and policy revisions.
• Assist the Quality Committee in the compilation of data for quality measures, recognition and performance monitoring, maintains log of outcome reports, and designs and delivers improvement plans as necessa
• Submit audit results to accrediting agencies (NCQA, MCO, CMS, etc.) and serve as the subject matter expert when nee
• Recommend corrective action when an audit finds non-compliance with protocols, procedures or job standa
• Proactively raises audit findings and corrective action plans to the Quality Committee.
• Review annual Quality score audits for VBC contracted arrangements; responsible for submission of disputes when needed.
• Adheres to established company policies and procedures, including the Corporate Compliance Plan, and follows state and federal regulations, such as OSHA and HIPAA guidelines.
• Perform duties in a professional manner while exhibiting a courteous and cooperative demeanor to co-workers, management, and the p
• Performs other appropriate duties as assigned.

Experience

• Minimum of 5 years or more clinical experience in a primary care clinic, medical clinic, or hospital.
• Minimum of 5 years of primary care or hospitality quality measure management experience.
• Minimum of 3 years clinical documentation improvement and/or data validation.
• Minimum of 3 years in a supervisory healthcare role.

Certification/License

• Certified Professional in Healthcare Quality (CPHQ) certification preferred
• PCMH Certified Content Expert preferred

Education

Minimum of bachelor's degree in healthcare with active clinical license, or license eligibility in the state of Tennessee, or greater than 5 years' experience in a related position.