Under the direction of the Director of Quality and Performance Improvement (QI/PI), the Senior Manager of Performance Improvement is responsible for key initiatives within the QI/PI Department: the Partnership Improvement Academy and its associated programs; strategic, organization-wide, and region-specific improvement initiatives; focused quality improvement projects; internal (Partnership staff/departments) quality improvement consultation and training,
specifically related to integrating improvement strategies key to Partnership’s Medicare Dual Special Needs Plan (D-SNP) in concert with those already established under Partnership’s long standing Medi-Cal business line; primary liaison to DHCS Quality for mandated Performance Improvement deliverables

• Oversees the Partnership Improvement Academy and associated programs:
  • n partnership with department director and performance improvement staff, determines
    vision and goals of Academy and its various programs.
  • Oversees the portfolio of work and ensure appropriate timelines, staffing, and
    resources
  • Provides input and guidance to project managers and coordinators on program goals,
    standards, infrastructure, recruitment, curriculum, faculty, sequencing, and evaluation
  • Builds Academy programming, staffing, and resources to better meet the needs of
    Partnership’s provider network.
  • Develops Academy infrastructure, including website and newsletter presence, coaching
    standards and expectations, event planning tools, participant intra-net sites, program
    dashboards, etc.
• Manages portfolio of improvement projects. These include large-scale, organization and
  network-wide initiatives, as well as more targeted/focused interventions designated region
  and/or per DHCS mandated improvement efforts.
  • Works with project sponsor, project manager, and improvement team to determine
    scope, aim, measurement set, and change development/implementation.
  • Ensures appropriate timelines, staffing, and resources across project portfolio.
  • Provides guidance on improvement methodology and its application to each project
  • Creates and manages mechanism for prioritizing and monitoring progress across project
    portfolio.
  • Collaborates closely with Manager of Analytics and analytics team to create robust
    measurement and data analytics plan across projects.
  • Collaborates with HEDIS Manager on HEDIS-related interventions. These
    interventions will be led by the HEDIS Manager, but the Sr. Manager of Performance
    Improvement should understand how they fit into the larger portfolio of improvement
    projects and function as an Improvement Advisor (directly or via a delegate IA) as
    needed.
  • Maintains robust communication with stakeholders throughout projects, from inception
    to conclusion.
• Oversees internal (within Partnership) Quality Improvement training and consultation:
  • n partnership with department director and performance improvement staff, determines
    vision and goals of internal improvement work.
  • Collaborates with Senior QI Medicare Program Manager and others allocated to the
    CMS Medicare STARS quality program to drive achievement of an optimal STARS
    rating.
  • Ensures there is active communication between PI staff conducting D-SNP and MediCal quality improvement interventions and activities to help navigate overlap and
    reduce duplication of efforts.
  • Ensures staffing and resources to support internal improvement goals.
  • Leads Performance Improvement team to create and implement training curriculum
    focused on building improvement capacity across Partnership departments
  • Ensures all QI department staff have proficient improvement knowledge and
    capabilities
  • Provides improvement advisement on department-specific improvement projects.
  • Creates and manages monitoring and communication plan for internal quality
    improvement work.
• Acts as Quality Department’s primary liaison for DHCS-designated work:
  • Serves as Partnership’s primary liaison to DHCS Quality in managing ongoing
    mandated performance improvement activities and state-wide collaborations.
  • In partnership with other PI Managers, submits DHCS mandated work according to
    required timelines.
  • Clarifies language and requirements when there is ambiguity or confusion
  • Communicates with PI Managers about deliverable progress.
  • Communicates with Quality Department Leadership regarding progress, barriers, etc.
  • Attends DHCS webinars, collaborative calls, etc and report back accordingly
• Other performance improvement leadership:
  • Serves as QI methods trainer and improvement advisor to provider practices
    participating in Academy programs and to internal improvement teams.
  • Advises staff across department on development and execution of quality improvement
    projects.
  • Stays informed on key developments in the quality improvement field that impact our
    provider network, including patient-centered medical home certification criteria,
    meaningful use, primary care transformation best practices, and quality reporting
    requirements.
  • Assists in creating compelling visuals, maps and abstractions that clearly and simply
    communicate QI principles, processes, and progress.
• Leads a high performing team:
  • Hires, trains, coaches, supports, and directly supervises performance improvement
    staff. As Performance Improvement portfolio of work increases, determines staffing
    needs and advocate for additional staff as required
  • Supports development of direct reports and other department staff by establishing clear
    goals, expectations, and metrics on all projects.
• Serves as member of QI Department and Health Services Management Teams:
  • Supports QI Department’s Senior Director and Director of Quality Management in
    budget management, staffing decisions, and strategic and operational planning.
  • Collaborates with senior QI leadership and QI management team to ensure alignment of
    efforts across the department. Help develop and manage communication feedback loops
    so work from other areas (i.e. QIP programs, HEDIS, analytics, regional offices)
    informs Performance Improvement priorities and vice versa.
  • Collaborates extensively with regional leadership in designated Partnership region and
    work with QI leaders and staff to foster alignment and cohesion across regionally
    driven PI activities.
  • Attends Health Services Management Team meetings and stay informed of critical
    work across the Health Services department. Advise of Health Services department
    strategy and continually assess and adjust operational plan of Performance
    Improvement team to support this larger strategy.
• Works with other directors and managers across the QI department and Partnership as a
  whole on data and measurement related activities, including the Quality Improvement
  Program, Partnership Stars Dashboard, provider reporting tools, and internal dashboards and
  program evaluations.

Secondary Duties and Responsibilities

• Accepts other responsibilities as determined by needs of the QI Department

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE:

$156,741.30 - $203,763.69

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.