Sr. Director, Quality Strategy

The Why Behind Wellvana:  

The healthcare system isn’t designed for health. We’re designed to change that.  We’re Wellvana, and we help doctors deliver life-changing healthcare.   

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.  

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing. 

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.    

Clarity on the Role:

The Sr. Director, Quality Strategy will be responsible for leading the development, implementation, and oversight of quality strategies in a company managing fully at-risk Medicare contracts. This role demands a strategic thinker capable of enhancing patient care quality while ensuring compliance with Medicare regulations. 

What's Expected:

1. Quality Improvement: Develop and oversee quality improvement programs aimed at enhancing patient outcomes, reducing variations in care, and achieving cost-effectiveness. 

2. Strategic Planning: Participate in strategic planning at the executive level, integrating clinical insights to drive the company's objectives in managing at-risk Medicare contracts. 

3. Regulatory Compliance: Ensure that all clinical protocols and quality initiatives comply with Medicare guidelines and other relevant healthcare regulations. 

4. Team Leadership: Direct and mentor a multidisciplinary team, fostering a culture of excellence in clinical practice and quality improvement. 

5. Stakeholder Collaboration: Collaborate with internal and external stakeholders, including physicians, healthcare providers, and regulatory bodies, to optimize clinical and quality strategies. 

6. Performance Monitoring: Monitor and analyze clinical performance data to identify trends, areas for improvement, and the effectiveness of implemented strategies. 

7. Education and Training: Provide clinical education and training to staff and stakeholders on new protocols and quality improvement initiatives. 

What’s Required:

Education (Degree/Major):

• MHA preferred; MBA acceptable

Years of Related Experience:

• Minimum of 10 years of experience improving quality metrics ideally in a Clinically Integrated Network

Skills: 

• Substantial experience in quality improvement and strategic planning in a healthcare setting. 
• Prior experience in managing Medicare contracts is highly desirable. 
• In-depth understanding of Medicare regulations, healthcare quality standards, and clinical protocol development. 
• Exceptional leadership, strategic thinking, and communication skills. Proficient in data analysis and healthcare informatics.

Additional Requirements: 

• Proven track record in leading quality improvement initiatives in a healthcare setting. 
• Strong problem-solving and decision-making abilities. 
• Commitment to evidence-based practice and patient-centered care