Vp-Quality & Member Experience-Presbyterian Health Plan

Presbyterian Healthcare Services Albuquerque , NM 87102

Posted 3 weeks ago

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

Job Description

Education:

Essential:

  • Bachelor Degree

Other information:

Bachelors Degree required, Masters preferred. 5 years of Quality leadership experience preferably within a health plan

environment

Summary:

This position will report to the President of Presbyterian Health Plan. She/he will provide primary leadership over PHPs Quality and Member Experience programs, and be expected to partner directly with PHP Chief Medical Officer to achieve PHP quality aims. This position will also coordinate their work with PHS quality programs and leadership. She/he will be a key member of PHP leadership team which is inclusive of other Vice Presidents across PHP. It is also critical that this position work closely with the Chief Medical Officer, in a dyad type relationship where together, there is coordination of our quality, clinical, and health management programs across PHP

Responsibilities:

KEY RELATIONSHIPS:

  • Reports to: President, Presbyterian Health Plan

  • Direct reports: Director of Member Experience, Director of Population Health, Administrative Assistant

  • Other key Relationships: PHP Chief Medical Officer, PHP Leadership Team (Vice President level leadership team), PHS Chief Medical and Clinical Transformation Officer, Fluent Leadership, Data and Analytics Leaderships, PHS Population Health Leadership, PHS Quality Leadership, PHS Chief Digital Officer, PHS Senior Vice President and Chief Information Officer, PHS Senior Vice President and Chief Innovation Officer

RESPONSIBILITIES:

  • Direct and administer two divisions of PHP: Member Experience and Quality.

  • Oversight of Member Experience requiring development and deployment of strong analysis and insights into the experiences of our members, accountability for member surveys, obtaining deep insights from our members through member forums, formation of member research and insight tools, and formation of strategic initiatives.

  • Oversight of Quality programs includes the functions of NCQA Accreditaton, Quality of Clinical Care, Critical Incident Management, Community Health, and Wellness and Health Education. A key focus area will be the development of our annual and long-range Quality plans, and directly coordinating and collaborating with PHS Quality teams leadership on all quality aspects, including such initiatives as patient and member safety.

  • Leading the selection of PHPs quality measurement system, including selection of measures, benchmarking, and target setting.

  • Leading the identification of opportunities for improvement and the development of high reliability processes that produce sustainable results.

  • Key participant and driver in variety of external and internal audit and compliance reviews, including for example Medicare program audits.

  • Collaboration across many departments and with many key leaders across PHP and PHS, including PHPs Chief Medical Officer and PHSs Vice President of Quality.

  • Work closely with clinical and system leadership to implement new programs, technologies and strategies that improve health plan operations and care delivery across the entire care continuum.

  • Developing analytics to measure and improve on key member experience and quality initiatives, to reinforce a discpline around gathering facts and data to achieve PHPs quality and experience initiatives and targets.

  • Providing advice, direction and counseling to the President of PHP.

  • Preparing and leading strong, insightful, and strategic level presentations and summaries for a variety of Boards and Committees.

  • Representing the best interests and brand of Presbyterian in the community and with key stakeholders, including for example, employer purchasers, New Mexico Coalition for Healthcare Value, State of New Mexico Human Services Department, among many others.

Benefits

Benefits are effective day-one and include:

  • Competitive salaries

  • Full medical, dental and vision insurance

  • Flexible spending accounts (FSAs)

  • Free wellness programs

  • Paid time off (PTO)

  • Retirement plans, including matching employer contributions

  • Continuing education and career development opportunities

  • Life insurance and short/long term disability programs

About New Mexico

New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

NW123

#CB


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Medical Director Clinic APC Employee Health Occupational Med Presbyterian Northside

Presbyterian Healthcare Services

Posted 3 weeks ago

VIEW JOBS 6/24/2019 12:00:00 AM 2019-09-22T00:00 About Us Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans. We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. Job Description Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: 10 Hour Days Location: Presbyterian Northside Education: Essential: * Master Degree Other information: * Current unrestricted New Mexico registered nurse license * New Mexico certification as a nurse practitioner * Masters degree in occupational health or nursing * 1 year occupational health experience and familiarity with regulations from both Workers¿ Compensation and OSHA preferred * Licensure and ability to conduct DOT exams * Current CPR certification Summary: APC clinical lead of Employee Health whose job is to assure that the clinic achieves its goals in the areas of clinical quality, employee safety, satisfaction of employed and volunteer patients, and to assure the success, satisfaction and coordination of care of the providers at the clinic. Must work very closely and collaborate with the Clinic Manager who has accountability for clinic operations. Provides professional occupational health nursing services following established standards and practices. Benefits Benefits are effective day-one (for .45 FTE and above) and include: * Competitive salaries * Full medical, dental and vision insurance * Flexible spending accounts (FSAs) * Free wellness programs * Paid time off (PTO) * Retirement plans, including matching employer contributions * Continuing education and career development opportunities * Life insurance and short/long term disability programs About New Mexico New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great. Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC. New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Presbyterian Healthcare Services Albuquerque NM

Vp-Quality & Member Experience-Presbyterian Health Plan

Presbyterian Healthcare Services