Section Chief Quality and Value Based Care

The Section Chief for Quality and Value-Based Care for INTEGRIS Health Medical Group is a senior clinical executive responsible for leading and integrating quality improvement, patient safety, and value-based care performance initiatives across the medical group in alignment with the broader health system’s strategic objectives. This role focuses on optimizing clinical outcomes, patient experience, and financial performance under complex value-based contracts while ensuring regulatory compliance and supporting population health goals within a multi-specialty, system-affiliated care environment.

Strategic Quality and Value-Based Care Leadership

• Lead the development and execution of a unified quality and performance improvement strategy that aligns medical group initiatives with the health system’s quality goals, population health priorities, and value-based reimbursement contracts (e.g., ACOs, Medicare Advantage, commercial VBCs).
• Collaborate closely with health system leadership, including the Chief Physician Executive, PHSO leadership, population health teams, and finance to ensure alignment and integration of clinical quality initiatives and data analytics.
• Serve as a clinical quality liaison between the medical group and the health system to promote standardization of care protocols, best practices, and quality metrics reporting.

Performance Management & Quality Improvement

• Drive improvements in clinical quality measures, patient safety, care coordination, and patient experience across multiple specialties within the medical group.
• Oversee quality reporting and improvement activities related to VBC contracts, including HEDIS, STAR ratings, MIPS/MACRA, and health plan pay-for-performance programs.
• Participate in root cause analyses, clinical audits, and risk mitigation efforts to reduce variation, prevent adverse events, and enhance care delivery efficiency.

Data Analytics and Reporting

• Partner with health system analytics and IT departments to develop real-time dashboards and reports that track performance against quality and financial targets.
• Use data to identify care gaps, optimize risk adjustment coding, and inform clinical decision-making to maximize contract performance and patient outcomes.
• Ensure timely submission of required quality and compliance data to payers, regulatory bodies, and accreditation organizations.

Regulatory Compliance and Accreditation

• Oversee compliance with all applicable federal, state, and payer regulations and standards.
• Support preparation for and response to external audits, accreditation reviews (e.g., Joint Commission, NCQA), and contractual performance assessments.
• Maintain up-to-date knowledge of evolving healthcare quality and reimbursement policies to guide the medical group’s response to regulatory changes.

Leadership, Collaboration & Culture Building

• Build and mentor a multidisciplinary quality team within the medical group and foster strong partnerships with physicians, nurse leaders, care managers, and administrative staff.
• Promote a culture of continuous quality improvement, patient safety, and accountability aligned with the health system’s mission and values.
• Facilitate training and professional development programs focused on quality improvement methodologies, VBC education, and clinical documentation excellence.

REQUIRED QUALIFICATIONS

EXPERIENCE: 
•    At least 7–10 years of progressive leadership experience in quality, population health, or value-based care programs within a health system or large multi-specialty medical group.
•    Must have served at least 1 year as a Section Chief for IHMG
•    Demonstrated success managing quality initiatives tied to value-based contracts, risk-sharing agreements, and population health strategies.
•    Experience with multi-specialty care delivery and integrating quality efforts across diverse clinical disciplines.

EDUCATION: 
•    Master’s degree in Nursing, Healthcare Administration, Public Health, or related field required or in pursuit.
•    Doctor of Medicine (MD) degree or Doctor of Osteopathic Medicine (DO) degree

SKILLS: 
•    In-depth knowledge of healthcare quality measurement, value-based reimbursement models, and population health management.
•    Strong analytical skills with the abilit