About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

Location: Join our Team to work remotely in the Houston area!

Our Value Based Care Operations team is central to our model of care and works hand in hand with primary care providers to change the local landscape of care delivery. As a Manager, Quality Operations at our organization you will be a key partner implementing value-based care capabilities across a network of primary care medical clinics.

Could this be you?

In this role, you will partner with Practice Operations and Clinical Leadership to drive value-based contract & quality performance across the market. You will collaborate with VillageMD market teams and practice staff to integrate analytic, ancillary and operations capabilities to manage patient populations against improvements in the ‘Quadruple Aim’ of healthcare: better outcomes, lower cost and an improved patient and clinician experience. This oversight will require you to design, monitor and continually improve processes and the team that supports our providers in value-based care, managing to cost and revenue targets. It is also expected that you drive engagement between patients and clinicians.

How you can make a difference

• Assist in the growth and ongoing success of adherence and quality initiatives at the market level

• Provide guidance and direction to the market’s quality plan, partnering with clinical and operational leader to identify ongoing opportunities for process improvements, advising on clinic-based action plans and changing operational priorities

• Operationalize processes pre-visit, during the visit, and post-visit in partnership with Practice Operations leaders to achieve better quality addressal and gap closure at the point of care

• Collect, analyze, and interpret clinical and operational data to track the effectiveness of quality initiatives and identify workflow improvements at the market or practice level

• Monitor and report on key quality indicators such as HEDIS metrics, patient experience and care coordination metrics.

• Utilize change management best practices to drive improved quality data documentation and workflow improvement

• Lean on subject matter expertise in payer contracts to develop a market operating plan to achieve quality targets across different patient populations (Commercial, Medicare Advantage, ACO Reach)

• Partner with analytics to produce and improve upon measurement of quality performance across different value-based contracts

• Develop strategic and operational solutions for improving quality, while reducing the cost of care delivered

• Identifying quality measure improvement opportunities to drive strong performance under value-based contracts

• Partner with clinical teams to provide training and education on QI processes, standards of care, and any relevant requirements

*This list of responsibilities is not meant to be all inclusive as other duties and responsibilities within the scope of this position may be assigned

Skills for success

• Prior, hands-on experience with value-based care