Director of Quality Transformation

Director Of Quality Transformation

As the Director of Quality Transformation, you will play a crucial role in strategic initiatives that enhance clinical outcomes, optimize value-based care operations, and drive continuous quality improvement across our healthcare system. This leadership role will focus on developing and implementing innovative quality transformation strategies, leveraging data-driven insights to improve patient care, and ensuring alignment with value-based care models. The director will collaborate with clinical and operational teams to implement evidence-based practices, streamline care delivery, and enhance efficiency while meeting regulatory and accreditation standards. The ideal candidate will have a strong background in healthcare quality, performance improvement, and population health management, with a proven track record of leading transformational change in a value-based care environment. This position reports directly to Executive Director of Quality.

Strategic Leadership & Transformation

Develop and implement system-wide quality transformation strategies that align with value-based care initiatives.

Lead efforts to enhance clinical performance, patient safety, and operational efficiency through innovative quality improvement programs.

Drive a culture of continuous improvement and accountability across all levels of the organization.

Quality & Performance Improvement

Oversee the design, implementation, and evaluation of quality improvement projects to enhance clinical outcomes and patient experience.

Utilize data analytics and performance metrics to identify trends, measure success, and guide decision-making for process improvements.

Partner with clinical teams to implement evidence-based best practices and standardize care delivery models.

Value-Based Care Operations & Population Health

Develop and manage initiatives that optimize care coordination, reduce costs, and improve health outcomes under value-based care contracts.

Collaborate with payers, providers, and stakeholders to ensure alignment with value-based reimbursement structures and quality incentives.

Partner to ensure the integration of population health strategies to enhance preventive care, chronic disease management, and care transitions with Clinic Operations and Quality Programs.

Clinical Integration and Collaboration

Foster collaboration across multidisciplinary teams to integrate risk adjustment and quality improvement efforts seamlessly into clinical workflows.

Serve as a subject matter expert and provide guidance on risk adjustment and quality improvement strategies to clinicians, administrators, and other stakeholders.

Promote a culture of accountability, transparency, and continuous learning to support clinical integration initiatives.

Innovation & Best Practices

Identify and implement emerging trends, technologies, and best practices in quality improvement and value-based care.

Foster a culture of innovation by supporting pilot programs, research, and technology-driven solutions to improve care delivery.

Develop educational programs and training initiatives to enhance staff competencies in quality improvement methodologies.

Performance Reporting and Communication

Prepare and present regular reports on risk adjustment and quality improvement metrics to executive leadership and stakeholders.

Communicate effectively with internal and external stakeholders to convey progress, challenges, and opportunities related to risk adjustment and quality improvement initiatives.

Education

Required: Bachelors degree or MBA or MHA.

Experience

Required: Minimum of 5 years of progressive healthcare leadership experience. Demonstrated expertise in developing and implementing quality improvement strategies for areas of responsibility assigned to this role. Strong understanding of healthcare delivery systems, value-based care models, and payer contracts and metrics. Proven track record of successfully developing and implementing programs and services that meet or exceed risk-based contracting quality standards and deliver measurable results. Preferred: Experience working in a regulated industry or with regulatory agencies. Leadership experience preferably in a value based, ACO, or clinically integrated environment. Preferred 3 years of experience in Value-based care, a CIN, or an ACO.

Licensure/Certification/Registry/Listing

Preferred: Relevant industry certification

Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.