Manager Quality & Risk

Welcome to CommonSpirit Health Mountain Region

CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

Overview

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

The Manager is responsible for the oversight of the assigned department including, but not limited to: clinical quality performance, member engagement, and quality compliance and reporting. This position will oversee the department in an efficient manner to ensure timely and compliant quality and risk management services resulting in quality patient care and improved physician performance in Value Based contracts. The Manager consults and collaborates with the PHSO National Quality and Risk team, other managers, departments, physicians, administration and healthcare workers regarding departmental activities or initiatives. This position leads or participates in quality and process improvement projects related to department functions. The Manager is responsible for all performance management activities, including hiring, training or disciplinary issues. This position will conduct, lead,facilitate,or participate in staff meetings, and interdepartmental meetings. This position reviews documentation or utilization data for the purposes of reporting, trending, quality improvement or validation of compliance as indicated. The Manager guides department operations according to the organizational objectives, standards of practice and Federal and State Regulations and accrediting body active within the team.

Qualifications

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• Bachelor's Degree or experience equivalent required
• 3 to 5 years experience in outpatient clinical / operations experience or 2 years of frontline supervisory experience
• 2 years of frontline supervisor experience
• Knowledge of CMS, NCQA and other outpatient accreditation requirements
• EMR/Outpatient management platform experienceBudgeting experience
• Knowledge of value based reimbursement models of payment
• Demonstrated ability to work closely with interdisciplinary partners in the management of identified patient populations.
• Overseeing a mix of clinical, operational, and business activities related to that team.
• Demonstrated ability to implement specific program goals including high priority project redesign efforts required to improve performance.
• Excellent computer skills and ability to learn new systems.Strong organizational (time management) and interpersonal skills.
• Ability to demonstrate effective supervisory skills, including developing clear performance expectations, hiring, coaching, conflict management, evaluating, resolving performance problems, and group facilitation.
• Ability to handle multiple priorities with strong attention to detail.
• Ability to communicate effectively using written and verbal skills. Proficient in email communications and internet usage along with basic use of office support platforms including documentation, spreadsheets and presentation software programs.
• Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost).
• Knowledge of the content, intent and application of federal and state standards and regulatory requirements as well as accreditation requirements pertaining to matters within designated scope of responsibility.
• Ability to work autonomously within a matrix environment without direct supervision or support.
• Demonstrated experience with the bu