Senior Vice President, Enterprise Quality Outcomes & Performance Management

Austin Community College; Maryland; Remote; USD 90,000 - 150,000; Full time

Job summary

An established industry player is seeking a Senior Vice President to lead initiatives in quality outcomes and performance management. This pivotal role involves enhancing integrated care through proactive provider engagement and population health management. You will focus on quality-driven care and cost-effectiveness, ensuring compliance with national standards like HEDIS. Join a team dedicated to empowering communities and making a significant impact in healthcare. This position offers a remote work option, competitive benefits, and the opportunity to shape the future of healthcare services.

Benefits

Health Insurance - no premium for employee coverage

Flexible Spending Accounts

Paid Time Off (PTO) of 24 days

12 paid holidays

401k with 5% employer match & immediate vesting

Qualifications

• 10+ years of leadership experience in managed care or healthcare environments.
• Experience with value-based care, population health, and quality improvement.

Responsibilities

• Implement programs for quality-driven care and member health.
• Determine quality metrics aligned with national standards.

Skills

Leadership in managed care

Population health management

Quality improvement

Value-Based Care (VBC)

HEDIS performance

Education

Master’s Degree in Healthcare

Master’s Degree in Public Health

Master’s Degree in Health Administration

Master’s Degree in Business Administration

Job description

Senior Vice President, Enterprise Quality Outcomes & Performance Management

Office Location: Remote based within North Carolina and will require travel throughout Trillium’s Catchment area and in-person attendance at business events and meetings throughout the year.

Make an Impact

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

What We’re Looking For

Trillium Health Resources has a leadership career opportunity for a Senior Vice President, Enterprise Quality Outcomes & Performance Management (SVPEQO). This position is a critical leadership role responsible for implementing programs and initiatives leading to a competitive, integrated care managed care organization focused on quality-driven care, member health, and cost-effectiveness. Under the leadership of the Chief Clinical Operations Officer (CCOO), the SVPEQO will facilitate enterprise cross-functional initiatives required to achieve Clinical & Quality Effectiveness through proactive provider network engagement, robust population health management, exceptional HEDIS performance, Continuous Quality Improvement (CQI), and a strong emphasis on Value-Based Care (VBC).

On a typical day, you might:

• Determine relevant and measurable quality metrics aligned with national standards (e.g., HEDIS, CMS Star Ratings), emphasizing outcomes over process.
• Prioritize population health by focusing on proactive care management for chronic conditions, preventative services, and addressing social determinants of health.
• Explore opportunities to integrate VBC and CQI into quality-based payment programs.
• Partner with Network, Med Econ, VBC, and Clinical Services to identify high-value providers by market analysis or score-carding.

Employee Benefits:

• Typical working hours are 8:30am-5pm
• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within the first year of employment
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications:

Education: Master’s Degree in Healthcare, Public Health, Health Administration, Human Services related field, or Business Administration related field.

Experience: Minimum of ten (10) years of combined progressive leadership experience in a managed care or health care environment, with a focus on value-based care, population health, and quality improvement including: at least five (5) years of experience with a managed care organization, at least five (5) years of supervisory experience, at least five (5) years of experience leading or directing interventions on HEDIS measures, or applying NCQA accreditation standards, or other regulatory requirements, at least three (3) years of experience implementing health care strategy at the health plan level, and at least two (2) years of experience successfully implementing value-based care programs.

Preferred Experience: Previous LME-MCO experience; Supervision of enterprise work streams or product service line management.

License/Certification: Fully licensed by the State of North Carolina as a LCSW, LPA, LCMHC, LMFT, RN, NP, PharmD, MD, or DO.

Must have a valid driver’s license and be able to travel to a Trillium office location and within catchment as required.

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an updated resume in the Talent Community profile.

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.