VP Quality

Job Details

Job Description

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Lead initiatives to transform organizational culture, promoting a focus on quality, member-centered care, and operational efficiency Engage and inspire staff at all levels to embrace and contribute to the organization's quality improvement initiatives.
• Champion a culture of continuous improvement, encouraging innovation and efficiency in processes.
• Lead cross-functional initiatives between all lines of business.
• Work collaboratively with executive leadership to align quality improvement goals with the organization's overall mission and objectives.
• Provide visionary leadership to the Quality Team fostering a culture of accountability, continuous learning, and performance excellence.
• Implement evidence-based practices to improve clinical quality, patient safety, service delivery, and member satisfaction.
• Develop and maintain an expert level of knowledge of Medicare Stars and State quality programs.
• Monitor, analyze, and report on quality metrics, identifying areas for improvement and implementing performance improvement plans.
• Foster a culture of member-centricity throughout the Health Plans ensuring that member needs and expectations are met or exceeded.
• Collaborate with internal and external stakeholders, including providers, members, regulatory agencies, vendors and community organizations, to drive quality improvement efforts.
• Communicate the organization's quality vision and achievements to stakeholders through presentations, reports, and other communication channels.
• Represent the organization at industry conferences, meetings, and other forums to share best practices and learn from others in the field.
• Utilize data and advanced analytics to identify trends, opportunities, and areas for improvement.
• Maintain a positive work environment that supports self-direction; provide a structure to optimize experience, skill, knowledge and capability of the team.
• Monitor Quality Management progress on corporate goals and objectives.

Competencies (Knowledge, Skills, and Abilities Required):

• Knowledge and experience with regulatory bodies
• Strategic Leadership
• Strong strategic thinking and problem-solving skills.
• Exceptional leadership and team-building abilities.
• Excellent communication and interpersonal skills.
• Ability to develop and implement long-term quality improvement strategies.
• Visionary leadership that aligns with organizational goals and regulatory requirements.
• In-depth knowledge of Medicare Stars, Medicaid HEDIS measures, and other relevant quality metrics.
• Excellent verbal and written communication skills.
• Strong interpersonal skills to effectively collaborate with internal and external stakeholders.
• Ability to present complex information in a clear and compelling manner.
• Strong problem-solving skills to address quality-related challenges.
• Ability to make informed decisions based on data and evidence.
• Commitment to improving patient outcomes and experiences.
• Ability to integrate member-centered care principles into quality improvement strategies.

Work Shift

Worker Sub Type

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.