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Kaiser Permanente Careers

Quality Assurance, UR & Case Management

Passion + Vision + Integrity = Excellence

Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.

Senior Vice President , National Health Plan and Hospital Quality

Location: Oakland, CA Job Number: 710309 Date posted: 06/12/2018
Description: This position serves under the direction of the Executive Vice President, National Health Plan and Hospital Quality and the Health Plan and Hospital Board of Directors Quality and Health Improvement Committee (QHIC). The Senior Vice President, National Health Plan and Hospital Quality is responsible for key critical aspects of governance oversight, health care delivery, and system improvement capabilities. At Kaiser Permanente, Quality is defined and measured along 6 dimensions: safe, effective, efficient, timely, person centered, and equitable. The position works in close partnership with national and regional leadership teams, The Permanente Federation, and the Permanente Medical Groups.
  • Care Management Institute
  • Governance, Quality Assurance, Accreditation, Regulatory and Licensure for KPHP and KFH
  • Safety Management System, Clinical Risk Management
  • Member/Patient Experience
  • Improvement Institute

    Essential Responsibilities:
  • Working in partnership with regional leaders of KFHP/KFH and in close collaboration with the Permanente Medical Groups, the SVP National Health Plan and Hospital Quality will lead
    the development of key clinical processes that will improve quality and produce value for KFHP members by:
  • Creating a national infrastructure for sharing best practices, experimentation in new models of care and strong incorporation of member/family centered care.
  • Providing direction, coordination and planning for national KFHP/KFH population care initiatives to assure Kaiser Permanente quality and service performance leads the industry.
  • Supporting the EVP, National Health Plan and Hospital Quality, to manage the structural matrix and collaborative relationship with regional quality leaders in both the Health Plan and Permanente organizations, and the ongoing relationship of CMI and regional stakeholders
  • Identifying internal best practices and ensure processes for program-wide adoption. Identifying areas where variation should be reduced by adoption of best practices.
  • Serving as program spokesperson to internal and external stakeholders and audiences
  • Leading national strategic relationships with external agencies, including the Institute for Health Care Improvement and other strategic partners.
  • Partnering with other executive change leaders of KFHP/KFH in the design, development and execution of the strategic plan including the Shared Agenda and Bold Moves.
  • Representing KFHP/KFH on the KP National Quality Committee
  • Co-leading the Care Management Institute and ensure appropriate, on-going data and standards on quality outcomes and member and community health status improvements.

  • Basic Qualifications:
  • Minimum of ten (10) years of experience in senior operational management and/or leadership role in large complex delivery systems
  • Bachelor-s degree is required
    License, Certification, Registration
  • N/A.

    Additional Requirements:
  • Demonstrated track record of identifying, developing and leading complex teams within operations line management and within all other levels of the delivery system.
  • Experience in the identification and sharing of best practices related to patient safety, health care delivery, quality.
  • Demonstrated success in implementing, executing and improving processes (i.e., redesigning of systems, developing care processes, developing and monitoring measurement systems, etc.).
  • Demonstrated collaborative and leadership skills in change management in large, complex systems.
  • Significant experience with consumers of health care, including both members and purchasers.
  • Demonstrated ability to organize and implement complex, multi-site programs to improve and assess quality of care and service.
  • Demonstrated ability to produce results in the context of complex systems.
  • Experience in a complex health care, integrated delivery or insurance industry is required.
  • Innovative and quality driven leader with broad knowledge in process improvement and a demonstrated track record in successfully developing, managing and executing significant initiatives and agendas within a complex hospital and or health plan delivery system.

    Preferred Qualifications:
  • Experience in Kaiser Permanente or similar integrated systems is highly preferred.
  • Bachelor-s degree in medicine, nursing, social work business, public health or related field is highly preferred.
  • Master-s degree in health care administration, public health, business, social work or related field is highly preferred
  • Physician, licensed registered nurse, social worker, therapist, pharmacist or clinical professional who has worked within care delivery systems is highly preferred.
    Primary Location: California,Oakland,Ordway One Kaiser Plaza Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: QA / UR / Case Management Department: 0308-30000-7697 Travel: Yes, 25 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About QA, Ur & Case Management Careers

    Careers In QA, Ur & Case Management

    As an organization, we are committed to delivering the same exemplary care no matter who you are, where you are, or what your needs. But how are those standards defined, measured, and assessed? That's where our quality assurance team comes in. Implementing the action plans and initiatives that will drive successful practices, you'll work across the organization to foster the necessary education, communication, and innovation that will enable us to operate as one KP — with our mission and goals in complete alignment.

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