Executive Director of Quality Program & Services - Forvis Mazars US Executive Search Practice : Job Details

About the Organization

Cone Health is a not-for-profit healthcare network serving multiple counties, including a comprehensive range of facilities such as hospitals, ambulatory care centers, outpatient surgery centers, urgent care centers, a retirement community, and numerous physician practices. In 2024, the organization launched the Value-Based Care Institute to focus on improving community health and redefining success beyond financial metrics.

Role Overview

The Executive Director of Quality Programs & Services will lead quality initiatives within the value-based care framework, ensuring high standards and continuous improvement.

Key Responsibilities

• Develop and execute strategies for quality initiatives.
• Align quality goals with organizational objectives and industry best practices.

• Oversee performance measurement systems.
• Generate reports on performance outcomes and areas for improvement.

• Establish quality assurance processes.
• Develop metrics to assess program effectiveness.

• Lead the development of new programs and services.
• Focus on care gap closure, HCC coding quality, and RAF score optimization.

• Identify and mitigate risks related to quality of care and patient safety.
• Implement quality improvement initiatives.

• Lead a team of quality specialists and program managers.
• Oversee budgeting for quality programs.

• Foster collaboration with internal and external stakeholders.
• Promote a culture of continuous learning and improvement.

• Leverage technology for process efficiency.
• Analyze data to guide quality programs.

• Ensure compliance with relevant laws and standards.
• Prepare for audits and assessments.

• Develop educational programs on value-based care principles and quality improvement methodologies.

Qualifications

• Required Education: Bachelor's degree with a clinical background in Nursing or Pharmacy is preferred or extensive experience in value based care data analytics.
• Preferred Education: MBA or MHA.
• Required Experience:
• 10+ years in population health management, care coordination, or healthcare program development.
• Expertise in population health strategies and value-based care models.
• 3+ years in value-based care, CIN, or ACO.
• Preferred Experience: Experience in a regulated industry or with regulatory agencies.
• Licensure/Certification: Registered Nurse or Physician preferred; Certified Professional in Healthcare Quality (CPHQ) preferred.

Skills & Abilities

• Strong leadership, communication, and interpersonal skills.
• Strategic thinking and innovative problem-solving abilities.
• Project management skills and knowledge of relevant laws and regulations.
• Commitment to diversity, equity, and inclusion.

Conditions of Employment

• Maintain licensure/certification.
• Meet annual mandatory requirements.

For more information, you can contact Mike Hill, Senior Leader Healthcare Executive Search, at [email protected].