Director, Performance & Data Strategy

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Job Description:

The Director, Performance & Data Strategy (Director) leads a team of clinical, quality, health systems and practice support professionals dedicated to Colorado Community Health Alliance (CCHA) contracted primary care medical providers (PCMPs). Reporting to the Vice President, Government Programs, the Director will oversee and provide subject matter expertise to support CCHA’s performance and data strategy to meet the goals of the organization. Partnering closely with analysts and leaders from Informatics, Technical Program Management and Healthcare Economics, to monitor program clinical, quality, and financial performance. The Director will identify data driven solutions to ensure the delivery of comprehensive, cost-effective, quality care that improves the Health First Colorado (Colorado’s Medicaid Program) Member and Provider experience. Strong presentation, written and leadership skills are required. Position may include evening hours to accommodate practice needs.

Essential Functions:

• Creates data-driven strategies utilizing clinical best practices to drive organizational efforts to achieve State Medicaid Agency of Quality Program, Key Performance Indicators, and Performance Standards
• Serves on the CCHA leadership team and represents CCHA in internal and external data, quality improvement, network and performance committees
• Works with Clinical and Data Analytics teams to develop and implement reports, dashboards, and other data requests to support performance
• Guides CCHA on how best to interpret and use data to drive action in a manner that is easy to understand and facilitates improvement at all levels
• Work with the Clinical and Data Analytics teams to evaluate population health strategies and interventions of all programs
• Responsible for organization and primary care network HEDIS improvement strategy with specific focus on data collection and process improvements
• Adheres and contributes as appropriate to ad-hoc and contract deliverables and audit requirements related to data, outcomes and quality measures
• Ensures data integrity and accuracy for deliverables, including the design and execution of peer review
• Collaborates with Program Officer to ensure quality metrics and data priorities align with state initiatives and priorities
• Partners with VP, Government Programs and Network Manager to identify primary care and specialist network growth opportunities to ensure network adequacy
• Utilizes findings from the State’s PCMP Practice Assessment tool to define CCHA’s practice support model and payment strategy
• Provides management to staff and assistance in hiring decisions, performance management, coaching, and career development
• Adheres to the company’s Compliance Program and to federal and state laws and regulations
• Other duties as assigned

This position is a full-time Hybrid role. Our business hours are Monday – Friday, 8am-5pm

Travel: Up to 30% including in office expectations at least four times a month.

Knowledge, Skills and Abilities:

• Knowledge and direct experience with national quality measures and standards, including NCQA, HEDIS, NQF, CQM, eCQM, MIPS, PCMH, MU and/or HRSA UDS
• Skill in determining quality and cost impact of organization’s initiatives and developing a departmental budget and goals
• Knowledge of Medicaid, Medicare, healthcare delivery systems and value-based care programs and payment

• Excellent communication and interpersonal skills necessary to effectively interact with all levels of the organization and external entities
• Superior project management and organizational skills; able to juggle multiple projects that greatly differ in subject matter
• Strong facilitation skills for small and large group engagements
• Remain flexible in work schedule to provide the most effective and efficient support for the organization and practices
• Highly knowledgeable and experienced with the Microsoft Office Suite including but not limited to Word, Excel and PowerPoint.
• Extensive experience with building actionable reports in PowerBi

• Position may require working outside of normal business hours at times

Qualifications:

• Bachelor’s degree in Healthcare related field or equivalent experience in health care, quality improvement and data analytics
• Master’s in Business, Public Health, Public Administration, Health Administration or related field preferred
• 3-5 years of supervisory experience including work prioritization, mentoring, and conflict resolution
• 3-5 years of experience with quality improvement or value-based care payment models in a federal or state agency, primary care practice, health plan or health system.
• 3-5 years of experience developing and leading strategies to support HEDIS, CQM, eCQM, MIPS, PCMH, MU, and/or HRSA UDS
• 1-3 years of clinical and quality data manipulation, analysis, and outcome measurement
• A valid unrestricted drivers’ license
• Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures

Salary Range:

$103,480.00 - $147,825.60