Director, Quality & Regulatory Excellence

Tallahassee Memorial HealthCare; Tallahassee (FL); Presencial; USD 110 000 - 180 000; Tempo integral

Resumo da oferta

Tallahassee Memorial HealthCare in Tallahassee, FL is seeking a Director of Quality & Regulatory Compliance to lead cross-functional quality improvement and value-based care initiatives across our multi-specialty medical group.

You will drive performance improvement, oversee risk adjustment activities, ensure CMS/NCQA/JCAHO compliance, and partner with physicians and leaders to elevate outcomes, patient experience, and efficiency.

Qualificações

• Graduate of a school of Nursing.
• Five (5) years related experience demonstrating quality improvement/assurance skills.
• Licensed as a registered nurse (RN) in accordance with Florida Statutes (FS), Chapter 464.

Responsabilidades

• Lead quality improvement programs and performance initiatives that support organizational goals and patient outcome improvements.
• Develop, implement, and monitor quality management strategies using evidence-based improvement methodologies.
• Analyze quality, operational, financial, and population health data to identify trends and gaps.
• Oversee value-based care programs including Medicare Advantage, MSSP, ACOs, and pay-for-performance initiatives.
• Develop strategies to maximize quality incentives and contract performance.
• Partner with physicians and clinical leaders to improve quality metrics and patient outcomes.
• Create provider performance scorecards and dashboards to support accountability and improvement.
• Lead population health initiatives focusing on chronic disease management and transitions of care.
• Ensure compliance with CMS, NCQA, Joint Commission, HIPAA and other regulations.
• Coordinate quality reporting and regulatory submissions.

Conhecimentos

Quality improvement

Regulatory compliance

HEDIS

STAR Ratings

MIPS

Risk adjustment

Provider performance

Population health

Data analytics

Formação académica

RN licensure

BSN preferred

Descrição da oferta de emprego

Tallahassee Memorial HealthCare in Tallahassee, FL is seeking a Director of Quality & Regulatory Compliance to lead cross-functional quality improvement and value-based care initiatives across our multi-specialty medical group.

You will drive performance improvement, oversee risk adjustment activities, ensure CMS/NCQA/JCAHO compliance, and partner with physicians and leaders to elevate outcomes, patient experience, and efficiency.