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Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And moreWork Location: Atlanta, GA
Description The Director, Quality Strategy & Programs is responsible for leading and managing the health system's participation in federal quality programs and external quality rankings, with a strong focus on compliance, performance improvement, and optimization of value-based reimbursementThis role oversees the design and execution of initiatives that ensure the organization meets or exceeds requirements for CMS quality reporting programs including Hospital Inpatient Quality Reporting (IQR), Hospital Outpatient Quality Reporting (OQR), Value-Based Purchasing (VBP), Readmission Reduction Program (HRRP), Hospital-Acquired Condition Reduction Program (HACRP), and external benchmarking and ranking programs such as Leapfrog, U.S. News & World Report, Healthgrades, and VizientThe Director works collaboratively with clinical, operational, and executive leaders to embed quality priorities into system strategy and daily practiceCMS Quality Program LeadershipProvide strategic oversight for CMS quality programs across the health system, ensuring compliance with reporting requirements and deadlinesServe as the system's subject matter expert on CMS quality initiatives, regulations, and evolving requirementsTranslate CMS program requirements into actionable strategies and operational processes across hospitals, ambulatory clinics, and post-acute care settingsLead the preparation and submission of required data for CMS quality reporting programs (IQR, OQR, HACRP, HRRP, VBP, etc.)External Quality Rankings & BenchmarkingOversee reporting and data submissions to external quality and ranking agencies (Commercial Payors, Leapfrog, U.S. News & World Report, Healthgrades, Vizient, etc.)Monitor system performance on national rankings and benchmarking programs, identifying opportunities for improvementCollaborate with leaders to develop strategies that enhance reputation, star ratings, and public rankings while maintaining transparency and integrityPresent external ranking outcomes to clinical improvement teams, highlighting risks, opportunities, and areas for strategic focusPerformance Monitoring & ImprovementMonitor system performance on CMS star ratings, quality measures, and pay-for-performance programsPartner with clinical and operational leaders to develop interventions that improve outcomes in key CMS and ranking program domainsAnalyze trends and identify opportunities to improve performance and protect reimbursementDirect teams in the use of reports, scorecards, and performance tools to track progress against CMS and external program measures Collaboration & Stakeholder EngagementCollaborate with physicians, nurses, quality leaders, and administrative teams to align CMS and ranking program initiatives with system-wide quality and safety goalsEducate leadership and frontline teams on program requirements and performance impactsServe as liaison with CMS contractors and external ranking agencies regarding quality performance, reporting, and audits Data, Reporting & TransparencyEnsure timely, accurate submission of data for CMS and external ranking programsOversee the preparation of reports and presentations that make CMS and ranking performance data meaningful for leadership, boards, and frontline stakeholdersPromote transparency of outcomes across the organization to drive accountability and improvementWork with analytic teams to evaluate how metrics align across different programs and identify key areas for improvementInnovation & Best PracticesStay current with CMS regulations, methodologies, and updates to quality and ranking programsRecommend and implement best practices that improve CMS and ranking program performanceIncorporate High Reliability Organization (HRO) principles, Lean/Six Sigma, and evidence-based strategies into program designAdvance initiatives that address CMS and external quality priorities while promoting equity and patient-centered careAdditional Duties as AssignedTravel: Travel between Operating Units may be requiredWork Type: On-Site employeeMINIMUM REQUIRED
Bachelor's degree in Public Health, Health Administration, or related field required3+ years of progressive leadership experience in healthcare quality, patient safety, or performance improvement with at least 5 years of experience in related fieldsDirect experience with CMS quality reporting programs (IQR, OQR, VBP, HRRP, HACRP, HCAHPS, Star Ratings) and external rankings (Leapfrog, U.S. News, Healthgrades, Vizient)Demonstrated success improving performance in CMS and ranking programs and driving measurable improvements in outcomesStrong understanding of healthcare regulatory requirements, pay-for-performance models, and national benchmarking methodologiesPREFERRED QUALIFICATIONS:
Master's degree in Public Health, Health Administration, or related field required5+ years of progressive leadership experience in healthcare quality, patient safety, or performance improvementCore Skills & Competencies
Expertise in CMS quality programs and external rankingsStrong analytical and problem-solving skills, with the ability to translate data into actionable strategiesExcellent communication and facilitation skills with executives, clinicians, and frontline staffLeadership experience in program management, team facilitation, and cross-functional collaborationCommitment to advancing patient safety, equity, and care excellence while protecting reimbursement and enhancing reputationJOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional DetailsEmory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
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