Vice President Operations, Quality
Main Street Health
This job is no longer accepting applications
See open jobs at Main Street Health.See open jobs similar to "Vice President Operations, Quality" Purpose.Operations, Quality Assurance
Nashville, TN, USA
Posted on Mar 19, 2025
About Us:
Main Street Health is the nation's largest provider of value-based care focused exclusively on serving rural America. We believe in the old ways of medicine when healthcare was simpler. By partnering with local providers, we reinforce the importance of trust and relationship-driven care in rural communities. We also know that rural providers need more resources to ensure patients have access to the right care at the right time. That's why we provide our partner clinics with the staff, technology, and opportunities they need to succeed in a value-based delivery model.
About the Role:
Quality
General
We do not accept unsolicited resumes from outside recruiters/placement agencies. We will not pay fees associated with resumes presented through unsolicited means.
Main Street Health is the nation's largest provider of value-based care focused exclusively on serving rural America. We believe in the old ways of medicine when healthcare was simpler. By partnering with local providers, we reinforce the importance of trust and relationship-driven care in rural communities. We also know that rural providers need more resources to ensure patients have access to the right care at the right time. That's why we provide our partner clinics with the staff, technology, and opportunities they need to succeed in a value-based delivery model.
About the Role:
Quality
- Facilitates daily tasks necessary to report Quality programs such as HEDIS and Med Star
- Monitors Data Validity and Data Integrity for the QM processes which require identification of technical issues and correlation to accreditation and compliance standards
- Leads improvement for QM process by planning solutions based on data analysis and facilitating testing and implementation of vendor tools and processes
- Ensure accuracy of data with quality assurance processes; support reporting and analytics data integrity
- Monitor and generate productivity reports, wellness visit metrics, completion rates, and risk adjustment reports
- Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction
- Build and maintain data models and reporting systems that support that support key business decisions
- Design and deliver reports and insights that analyze business functions and key operations and performance metrics
- Examine, interpret, and report results of analytical initiatives to stakeholders in leadership, operations, technology, business development, and product teams
- Manage special research projects
- Execute processes for data intake, validation, and communication deliverables
- Develop project deliverables including requirements, workflows, and training materials as needed
General
- Strong ability to manage numerous processes and projects simultaneously
- Excellent communication and collaboration skills
- Strong problem solving, quantitative and analytical abilities
- Location: Nashville, TN (onsite at central operations)
- Skilled with Excel and PowerPoint, SQL skills preferred
- Understanding of using analytical concepts and statistical techniques: hypothesis development, designing tests, analyzing data, drawing conclusions, and developing actionable recommendations for business units
- Proven experience in a position monitoring, manipulating, and drawing insights from data
- Experience working with and creating dashboards using relevant data to inform decisions
- An entrepreneurial spirit and tenacious self-starter
- Flexible and adaptable to a fast-paced environment and constantly changing workload
- A sense of humor and a down-to-earth nature
We do not accept unsolicited resumes from outside recruiters/placement agencies. We will not pay fees associated with resumes presented through unsolicited means.
This job is no longer accepting applications
See open jobs at Main Street Health.See open jobs similar to "Vice President Operations, Quality" Purpose.