Section Chief Quality and Value Based Care

Strategic Quality and Value-Based Care Leadership

• Lead the development and execution of a unified quality and performance improvement strategy that aligns medical group initiatives with the health system’s quality goals, population health priorities, and value-based reimbursement contracts (e.g., ACOs, Medicare Advantage, commercial VBCs).
• Collaborate closely with health system leadership, including the Chief Physician Executive, PHSO leadership, population health teams, and finance to ensure alignment and integration of clinical quality initiatives and data analytics.
• Serve as a clinical quality liaison between the medical group and the health system to promote standardization of care protocols, best practices, and quality metrics reporting.

Performance Management & Quality Improvement

• Drive improvements in clinical quality measures, patient safety, care coordination, and patient experience across multiple specialties within the medical group.
• Oversee quality reporting and improvement activities related to VBC contracts, including HEDIS, STAR ratings, MIPS/MACRA, and health plan pay-for-performance programs.
• Participate in root cause analyses, clinical audits, and risk mitigation efforts to reduce variation, prevent adverse events, and enhance care delivery efficiency.

Data Analytics and Reporting

• Partner with health system analytics and IT departments to develop real-time dashboards and reports that track performance against quality and financial targets.
• Use data to identify care gaps, optimize risk adjustment coding, and inform clinical decision-making to maximize contract performance and patient outcomes.
• Ensure timely submission of required quality and compliance data to payers, regulatory bodies, and accreditation organizations.

Regulatory Compliance and Accreditation

• Oversee compliance with all applicable federal, state, and payer regulations and standards.
• Support preparation for and response to external audits, accreditation reviews (e.g., Joint Commission, NCQA), and contractual performance assessments.
• Maintain up-to-date knowledge of evolving healthcare quality and reimbursement policies to guide the medical group’s response to regulatory changes.

Leadership, Collaboration & Culture Building

• Build and mentor a multidisciplinary quality team within the medical group and foster strong partnerships with physicians, nurse leaders, care managers, and administrative staff.
• Promote a culture of continuous quality improvement, patient safety, and accountability aligned with the health system’s mission and values.
• Facilitate training and professional development programs focused on quality improvement methodologies, VBC education, and clinical documentation excellence.

REQUIRED QUALIFICATIONS

EXPERIENCE: 
•    At least 7–10 years of progressive leadership experience in quality, population health, or value-based care programs within a health system or large multi-specialty medical group.
•    Must have served at least 1 year as a Section Chief for IHMG
•    Demonstrated success managing quality initiatives tied to value-based contracts, risk-sharing agreements, and population health strategies.
•    Experience with multi-specialty care delivery and integrating quality efforts across diverse clinical disciplines.

EDUCATION: 
•    Master’s degree in Nursing, Healthcare Administration, Public Health, or related field required or in pursuit.
•    Doctor of Medicine (MD) degree or Doctor of Osteopathic Medicine (DO) degree

SKILLS: 
•    In-depth knowledge of healthcare quality measurement, value-based reimbursement models, and population health management.
•    Strong analytical skills with the ability to leverage clinical and financial data to drive system-level improvements.
•    Excellent leadership, communication, and collaboration skills to influence physicians and multidisciplinary teams.
•    Experience working within or alongside complex health systems and navigating organizational change.
•    Proficiency in electronic health record (EHR) systems, clinical data registries, and healthcare analytics platforms.
•    This job requires the incumbents to operate an INTEGRIS-owned vehicle OR personal vehicle (non-INTEGRIS-owned) and therefore must have a current Oklahoma State Driver’s License as well as a driving record which is acceptable to our insurance carrier.

PREFERRED QUALIFICATIONS 

EXPERIENCE: 
•    Clinical background preferred with leadership experience in complex healthcare environments.

LICENSE/CERTIFICATIONS: 
•    Certified Professional in Healthcare Quality (CPHQ)
•    Lean Six Sigma or other quality/process improvement certifications