JOB DESCRIPTION:           

To provide leadership for UTMB primary care practices, adult and pediatrics, with the responsibility for ensuring that medical practice meets the standards of the institution. The Community Based Clinic (CBC) Community Value Base Care Director will collaborate with the UTMB Health Directors and School of Medicine Administrator of Primary Care Services, UTMB’s population health goals, and other services to implement the strategic goals for the value-based care model for primary care. In addition, participate in the achievement of criteria determined by government and commercial contracts and other areas of population health and quality. Responsibility for all primary care practices to integrate across the continuum and facilitate the delivery of quality health care in alignment with institutional priorities. 

ESSENTIAL JOB FUNCTIONS:

• Facilitates alignment between improvement initiatives and the organizations strategic plan; directs the day to-day execution of the strategies and tactic necessary to successfully improve the outcomes and results of the organization.
• Responsible for maintaining the CBC system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures and reporting to administrative team.
• Works closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by Chief Physician Executive, Associate Chief Physician Executive, and/or the CBC CMO
• Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring, and statistical analysis.
• Focuses on better healthcare value and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.
• Serves as lead facilitator among key stakeholders in program development to ensure effective implementation, compliance, and contractual arrangements to fulfill regulatory requirements, communication, and monitoring of designated programs.
• Lead the development, definition, and implementation of program outcome measures along with ongoing reporting and monitoring processes to continually assess program effectiveness, identify areas of over and under-utilization in specific populations, and identify opportunity for program development.
• Remain current of new value base care/population health trends and best practices and incorporate into UTMB care.
• Develop and implement innovative systems and processes that improve staff and patient quality and safety.
• Coordinate with institutional leaders to manage and report key performance indicators and other quality metrics as identified.
• Organize Quality and Risk Management meetings.
• Make recommendations to the CBC administrative team based on best practice and current regulatory standards.
• Conduct internal audits.
• Active ambulatory care practitioner with eligibility or certification by a board recognized by the American Board of Specialties. Expectation is to be in clinic treating patients five half-day sessions per week. Participation in evening and weekend phone call coverage and attend any meeting deemed necessary by the Medical Director.

MINIMUM QUALIFICATIONS:

The Quality Director of CBC must have a M.D. or D.O. degree and a current license to practice medicine in the State of Texas. The candidate will have demonstrated leadership capabilities within their service line and be able to work collaboratively and effectively with other clinical departments and administrative staff within UTMB. The CBC Quality Director must also demonstrate commitment to the advancement of the UTMB quality initiatives. Active ambulatory care practitioner with eligibility or certification by a board recognized by the American Board of Specialties.

PREFERRED QUALIFICATIONS:

• Experience working in an academic health system or integrated healthcare delivery system
• Experience with Medicare, Medicaid, or commercial value-based payment models
• Experience implementing or supporting CMS alternative payment models
• Regulatory and contractual requirement management experience
• Master’s degree in Healthcare Administration, Public Health, or Health Care Transformation or
  Two (2) years of relevant experience in the management of population health-related programs such as health system management, health plans, or public health or Project or program management experience, including program/project development, implementation, and monitoring.

SALARY:

Commensurate with experience.