Job Summary

Provide leadership to the direction, planning and execution of all aspects of quality, care management and population health within Lakeland Care Network, connecting organizational clinical outcomes and corresponding data analytics with performance improvement activities to improve and/or maintain health system quality with payers, external agency requirements and other quality initiatives. Develop partnerships across all levels of the care continuum, including physicians, the health system, payers and community organizations. Lead a performance improvement and care management team to administer large scale transformation of healthcare in the community. Ensure consistent, high quality service and culture while maintaining financial integrity and accomplishing the objectives and strategic initiatives of LCN and its Board.

Essential Functions

Ensure the Lakeland Care Network physician led strategic goals and objectives are successfully accomplished, using influence as the main method, by developing trusting and collaborative relationships with all Lakeland Care medical practices (employed and independent), Lakeland Regional Health System and Affiliated Services, community organizations and services, Michigan Federation Care Network (Clinically Integrated Network), Payer Entities and Vendors.

Develop, direct and execute LCN and LRHS strategic plans as they pertain to quality, care management and population health initiatives across the 3 counties of Berrien, Cass and Van Buren. Initiate new objectives which align to LCNs mission and vision. Establish data quality standards and workflows with various reporting agencies to ensure standards are met. Enforces quality data collection techniques with various reporting registries and agencies. Ensures proper transmittal of data to health system reporting registries, agencies and systems.

Lead large scale change management initiatives across the health system and community with best practice methodology as a framework and an understanding of re-engineering current systems and processes.

Serve as a leader in performance improvement and best practices initiatives, encouraging 'best of the best' mindset while championing the development and implementation of best practices and programs. Committed to the continuous improvement of the patient experience which includes patient safety, quality of care and excellent service.

Responsible for hiring, leading and developing a quality and care management team. Effectively champion LCN’s mission and values and empowers and ensures that all associates achieve the designated organizational goals. Build and maintain a high performance team culture through effective performance management, development, communication and coaching of team members resulting in a focused on developing collaborative and trusting relationships across the continuum of care and broader community to advance population health while being positive ambassadors communicating the benefits and values offered by LCN. Responsible for employee evaluation and progress toward role objectives. Identifies areas of opportunity and implements development plans to achieve successful results or indicates alternatives.

Oversee and direct quality and care management staff to ensure continual compliance with quality program(s) such as payer contracts, accreditation bodies and regulatory standards. Directs analysts in measurement and tracking of program effectiveness.

Collaborate with Data Analytics and IT to determine data needs, security requirements and analytic resources for LCN. Promote the adoption of system wide tools that enhance efficiency, convenience, access and the delivery of safe patient care. Collaborates with Information Security to formulate, implement and enforce data policies and procedures. Collaborate with Medical Staff to develop, evaluate and report provider clinical quality goals and outcomes as part of Ongoing Professional Practice Evaluation (OPPE), Clinical Integration and other physician quality/performance outcome initiatives.

Prepare and submit annual capital and operational budgets, anticipating future needs based on projected volume, workload, depreciation, environmental needs, programs and other factors. Monitor operations and budget in order to identify various variances and to research and report on causes.

Qualifications

Required

Bachelor's Degree in Business Management or a related field.

5 years of relevant experience of progressive experience in management and/or quality management.

Preferred

Master's Degree in Healthcare or related field.

Knowledge of healthcare management, quality improvement and data analytics methodologies

CRT-Project Management Professional (PMP) - PMI Project Management Institute

Physical Demands

Bilateral Carry 5 lbs: Seldom up to 10 lbs

Unilateral Carry 5 lbs: Seldom up to 10 lbs

Pushing Force 5 lbs: Seldom up to 10 lbs

Pulling Force 5 lbs: Seldom up to 10 lbs

Sitting: Frequently

Standing: Occasionally

Walking: Occasionally

Forward Bend - Standing: Seldom

Forward Bend - Sitting: Occasionally

Trunk Rotation - Standing: Seldom

Trunk Rotation - Sitting: Occasionally

Reach - Above Shoulder: Seldom

Reach - at Shoulder or Below: Seldom

Handling: Occasionally

Forceful Grip 5 lbs: Seldom

Forceful Pinch 2 lbs: Seldom

Visual Acuity ¹[None = No; Seldom = Yes]: Seldom

Primary Location

SITE - Professional Building Meadowbrook - 2550 Meadowbrook Rd - Benton Harbor

Department Name

Department of Clinical Transformation - Care - CHS

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.