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The corporate director is directly responsible for leading the operations for the CareVio care management team. The corporate director develops strategic goals for care management with the Population Health Leadership Team and implements within the CareVio business unit.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Serves as an important member of the Population Health leadership team, ensuring that programming and population-based interventions are driving success in quality, cost, and contract performance.
Directs and manages all care management functions and quality and performance improvement activities for CareVio to ensure compliance with financial risk contracts, sub-delegation agreements, regulatory and accreditation standards.
Promotes integration with and support of clinical enterprise in the Medical Group and other affiliated practices.
Provides direction to the project management team and CareVio operations.
Collaborates with the Population Health and legal team to develop and approve contract language related to care management responsibilities in all contracts.
Collaborates with the Population Health leadership team to develop programming and interventions to target specific populations.
Manages and maintains all Departmental contracts, including, but not limited to, sub-delegation agreements, risk contracts, vendor contracts and Accountable Care Organization (ACO) contracts. Risk contracts are of substantial financial value, placing revenue and quality at risk for possible significant gain or loss.
Using industry standard performance improvement methodologies, develops and implements strategies for pursuing opportunities identified by data analytics, audits, and other methods.
Serves as quality & performance improvement expert lead for CareVio operations.
Collaborates with the project management team and data analytics team to assess performance to contract requirements and utilizes data to drive operational improvements. Creates action plans as necessary to address contract, regulatory and/or accreditation requirements.
Works collaboratively with key stakeholders including leadership teams in a variety of settings such as acute care, ambulatory practices, skilled nursing facilities, inpatient rehabilitation facilities, home healthcare agencies, state agencies, federal agencies, etc.
Works independently on projects/reports as directed by the Vice President of Population Health Operations.
Performs assigned work safely, adhering established departmental safety rules and policies. Reports to Vice President of Population Health Operations in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as assigned.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Master's Degree in Business Administration, Hospital Administration, Health Care Administration or related field.
Three to Five (5) years' experience in quality and/or performance improvement in healthcare related setting and/or managing federal quality contracts
An equivalent combination of experience and education may be substituted.
KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:
Knowledge of quality and performance improvement methodologies
Knowledge of computer systems, including MS Office
Knowledge of state and federal healthcare quality requirements
Ability to manage, coordinate, and implement projects with an interdisciplinary team of professionals
Ability to plan, organize and coordinate programs and projects.
Ability to plan, research and analyze activities and services.
Ability to identify, analyze and evaluate problems and recommend/effect solutions.
Ability to lead accreditation survey activities and processes.
Ability to work collaboratively in pursuit of common goals
Ability to create and manage performance improvement action plans
Ability to exercise judgement, tact and diplomacy.
Ability to maintain confidential information, materials and files.
Skill in oral and written communications.
Internal Number: JR56321
About ChristianaCare Health System
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.