South Side Healthy Community Organization Inc
Director of Quality Improvement
South Side Healthy Community Organization Inc, Chicago, Illinois, United States, 60290
About the Organization
At the South Side Healthy Community Organization (SSHCO), we believe in transforming health and scaling new models of care to build a stronger, more vibrant, and empowered community. We are a key partner in a collaborative of 13 healthcare organizations on Chicago's South Side, all united by a single mission: to improve the health and well-being of our community.
If you are guided by our core values of Integrity, Collaboration, Communication, Accountability, and Respect, we invite you to join us. We are looking for individuals who want to be part of a movement that prioritizes community needs and ensures a healthier future for all.
SSHCO provides a comprehensive suite of benefits designed to promote a well-balanced lifestyle for our employees, including medical/dental/vision insurances, a 401(k) with company match, paid time off, and tuition benefits. These benefits are designed to be affordable and competitive, helping you with your well-being, financial security, and career advancement.
Req Number ADM-25-00004
Category Population Health
Position Director of Quality Improvement
Open Date 7/21/2025
Exempt/Non-Exempt Exempt
Pay Range $135k
Full-Time/Part-Time Full-Time
Work Modality Hybrid
Shift Days
Description
Title:
Director of Quality Improvement / Clinical Performance
Reports to:
Chief Medical Officer
Position Overview:
The Director of Quality Improvement / Clinical Performance will be responsible for leading and overseeing the development, implementation, and management of quality improvement (QI) initiatives within the South Side Healthy Community Organization and Partner Organizations. This role will focus on optimizing clinical performance, improving patient outcomes, ensuring compliance with quality standards, and supporting value-based care models aimed at achieving cost-effective, patient-centered care. The Director will collaborate with key stakeholders, including clinical teams, leadership, data analysts, and external partners, to enhance the organization's clinical performance and drive quality outcomes in alignment with value-based care objectives.
Key Responsibilities: Leadership and Strategy Development:
Lead the development and execution of the organization's quality improvement and clinical performance strategy in a value-based care environment. Drive the implementation of clinical initiatives aimed at improving patient outcomes, reducing readmissions, and lowering overall healthcare costs. Establish quality improvement goals, metrics, and benchmarks aligned with industry standards, value-based care agreements, and regulatory requirements. Provide leadership to the QI and clinical performance teams, promoting collaboration across departments to ensure cohesive and effective care management.
Quality Improvement Program Oversight:
Design, implement, and continuously evaluate quality improvement programs and initiatives to drive improvements in care delivery and outcomes. Ensure ongoing monitoring and reporting of performance data to assess the effectiveness of quality improvement efforts. Identify areas for improvement based on performance data, patient feedback, clinical audits, and outcome measures, and implement targeted interventions. Support clinical teams in the adoption of evidence-based practices and clinical guidelines to optimize patient care and reduce variation.
Clinical Performance Analytics and Reporting:
Utilize data analytics tools to track and assess clinical performance metrics, such as HEDIS, STAR ratings, ACO quality measures, and other relevant performance indicators. Develop actionable insights from data to improve clinical practices, patient engagement, and care coordination. Prepare and present regular reports to senior leadership on quality improvement progress, clinical performance outcomes, and trends in value-based care.
Stakeholder Collaboration and Education:
Collaborate with physicians, clinical staff, care managers, and other healthcare professionals to implement best practices in patient care and quality management. Provide education and training on quality improvement methodologies, value-based care principles, and clinical performance optimization. Work with payers, providers, and other external partners to support the achievement of quality benchmarks and reimbursement targets tied to value-based contracts.
Regulatory Compliance and Accreditation:
Ensure compliance with federal and state regulations, accreditation standards (e.g., NCQA, URAC), and payer contract requirements related to quality and performance measures. Lead the organization's preparation for audits and reviews related to clinical quality, ensuring all documentation and processes meet necessary standards.
Innovation and Continuous Improvement:
Stay current with industry trends, regulatory changes, and emerging technologies in value-based care and quality improvement. Lead or support the implementation of innovative models of care delivery, including care coordination, telemedicine, and population health initiatives. Foster a culture of continuous improvement by encouraging innovation and the adoption of best practices across clinical teams.
Qualifications: Education:
Master's degree in Healthcare Administration, Public Health, Nursing, or related field required. Clinical licensure (RN, NP, MD, DO, etc.) preferred but not required.
Experience:
7+ years of experience in healthcare, with at least 5 years in quality improvement, clinical performance, or value-based care. Proven leadership experience in managing clinical teams and quality improvement initiatives in a healthcare setting. Strong understanding of value-based care models, clinical performance metrics, quality improvement methodologies (e.g., Plan-Do-Study-Act (PDSA), Six Sigma), and healthcare regulations. Experience with healthcare data analytics, performance reporting, and familiarity with CMS quality programs (HEDIS, MACRA, MIPS, etc.).
Skills and Competencies:
Excellent communication, presentation, and interpersonal skills, with the ability to engage stakeholders at all levels of the organization. Strong problem-solving and analytical skills, with the ability to use data to inform decisions and drive performance improvement. Proficiency in healthcare management software, EHR systems, and data analytics platforms. Knowledge of accreditation processes and regulatory requirements in value-based care settings.
EOE Statement SSHCO is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We provides equal employment opportunities to all employees and applicants without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender (including pregnancy, childbirth, and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.
Equal employment opportunity applies to all terms and conditions of employment. Our hiring and employment practices are based solely on job-related criteria and qualifications, and we strive to ensure that all employees and applicants are treated with respect, fairness, and without bias. We promote an environment where every team member can thrive, contribute their best, and reach their full potential.
If you require reasonable accommodation during the application process or throughout your employment, please contact us at hr@southsidehealthycommunity.org. We are dedicated to providing the necessary support to ensure equal access and opportunities for all individuals.
This position is currently accepting applications.
If you are guided by our core values of Integrity, Collaboration, Communication, Accountability, and Respect, we invite you to join us. We are looking for individuals who want to be part of a movement that prioritizes community needs and ensures a healthier future for all.
SSHCO provides a comprehensive suite of benefits designed to promote a well-balanced lifestyle for our employees, including medical/dental/vision insurances, a 401(k) with company match, paid time off, and tuition benefits. These benefits are designed to be affordable and competitive, helping you with your well-being, financial security, and career advancement.
Req Number ADM-25-00004
Category Population Health
Position Director of Quality Improvement
Open Date 7/21/2025
Exempt/Non-Exempt Exempt
Pay Range $135k
Full-Time/Part-Time Full-Time
Work Modality Hybrid
Shift Days
Description
Title:
Director of Quality Improvement / Clinical Performance
Reports to:
Chief Medical Officer
Position Overview:
The Director of Quality Improvement / Clinical Performance will be responsible for leading and overseeing the development, implementation, and management of quality improvement (QI) initiatives within the South Side Healthy Community Organization and Partner Organizations. This role will focus on optimizing clinical performance, improving patient outcomes, ensuring compliance with quality standards, and supporting value-based care models aimed at achieving cost-effective, patient-centered care. The Director will collaborate with key stakeholders, including clinical teams, leadership, data analysts, and external partners, to enhance the organization's clinical performance and drive quality outcomes in alignment with value-based care objectives.
Key Responsibilities: Leadership and Strategy Development:
Lead the development and execution of the organization's quality improvement and clinical performance strategy in a value-based care environment. Drive the implementation of clinical initiatives aimed at improving patient outcomes, reducing readmissions, and lowering overall healthcare costs. Establish quality improvement goals, metrics, and benchmarks aligned with industry standards, value-based care agreements, and regulatory requirements. Provide leadership to the QI and clinical performance teams, promoting collaboration across departments to ensure cohesive and effective care management.
Quality Improvement Program Oversight:
Design, implement, and continuously evaluate quality improvement programs and initiatives to drive improvements in care delivery and outcomes. Ensure ongoing monitoring and reporting of performance data to assess the effectiveness of quality improvement efforts. Identify areas for improvement based on performance data, patient feedback, clinical audits, and outcome measures, and implement targeted interventions. Support clinical teams in the adoption of evidence-based practices and clinical guidelines to optimize patient care and reduce variation.
Clinical Performance Analytics and Reporting:
Utilize data analytics tools to track and assess clinical performance metrics, such as HEDIS, STAR ratings, ACO quality measures, and other relevant performance indicators. Develop actionable insights from data to improve clinical practices, patient engagement, and care coordination. Prepare and present regular reports to senior leadership on quality improvement progress, clinical performance outcomes, and trends in value-based care.
Stakeholder Collaboration and Education:
Collaborate with physicians, clinical staff, care managers, and other healthcare professionals to implement best practices in patient care and quality management. Provide education and training on quality improvement methodologies, value-based care principles, and clinical performance optimization. Work with payers, providers, and other external partners to support the achievement of quality benchmarks and reimbursement targets tied to value-based contracts.
Regulatory Compliance and Accreditation:
Ensure compliance with federal and state regulations, accreditation standards (e.g., NCQA, URAC), and payer contract requirements related to quality and performance measures. Lead the organization's preparation for audits and reviews related to clinical quality, ensuring all documentation and processes meet necessary standards.
Innovation and Continuous Improvement:
Stay current with industry trends, regulatory changes, and emerging technologies in value-based care and quality improvement. Lead or support the implementation of innovative models of care delivery, including care coordination, telemedicine, and population health initiatives. Foster a culture of continuous improvement by encouraging innovation and the adoption of best practices across clinical teams.
Qualifications: Education:
Master's degree in Healthcare Administration, Public Health, Nursing, or related field required. Clinical licensure (RN, NP, MD, DO, etc.) preferred but not required.
Experience:
7+ years of experience in healthcare, with at least 5 years in quality improvement, clinical performance, or value-based care. Proven leadership experience in managing clinical teams and quality improvement initiatives in a healthcare setting. Strong understanding of value-based care models, clinical performance metrics, quality improvement methodologies (e.g., Plan-Do-Study-Act (PDSA), Six Sigma), and healthcare regulations. Experience with healthcare data analytics, performance reporting, and familiarity with CMS quality programs (HEDIS, MACRA, MIPS, etc.).
Skills and Competencies:
Excellent communication, presentation, and interpersonal skills, with the ability to engage stakeholders at all levels of the organization. Strong problem-solving and analytical skills, with the ability to use data to inform decisions and drive performance improvement. Proficiency in healthcare management software, EHR systems, and data analytics platforms. Knowledge of accreditation processes and regulatory requirements in value-based care settings.
EOE Statement SSHCO is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We provides equal employment opportunities to all employees and applicants without regard to race, color, creed, ancestry, national origin, citizenship, sex or gender (including pregnancy, childbirth, and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, religion, age, disability, genetic information, service in the military, or any other characteristic protected by applicable federal, state, or local laws and ordinances.
Equal employment opportunity applies to all terms and conditions of employment. Our hiring and employment practices are based solely on job-related criteria and qualifications, and we strive to ensure that all employees and applicants are treated with respect, fairness, and without bias. We promote an environment where every team member can thrive, contribute their best, and reach their full potential.
If you require reasonable accommodation during the application process or throughout your employment, please contact us at hr@southsidehealthycommunity.org. We are dedicated to providing the necessary support to ensure equal access and opportunities for all individuals.
This position is currently accepting applications.