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Pancare of Florida Inc

Chief Quality Officer

Pancare of Florida Inc, Panama City, Florida, us, 32402


At PanCare of Florida, we're committed to providing the highest standard of care to underserved communities. As our Chief Quality Officer, you'll be at the forefront of this mission, driving strategic initiatives that improve patient outcomes, enhance operational efficiency, and ensure compliance with federal, state, and industry standards. This role is pivotal in shaping the future of healthcare delivery across our organization. If you're a dynamic leader with a passion for quality and a proven track record in healthcare, we invite you to lead our efforts in making a lasting impact.

Position Responsibilities:

Facilitates alignment between improvement initiatives and the organization’s strategic plan; directs the day to day execution of the strategies and tactic necessary to successfully improve the outcomes and results of the organization.

Responsible for maintaining the facilities system-wide Quality program; to include data collection, aggregating and analyzing data, maintaining policies and procedures and reporting to administrators, Medical Staff and the Board.

Supervision and development of personnel within assigned business units.

Assesses compliance with federal, state, and industry regulatory and accreditation standards, facilitating processes to remediate and/or maintain compliance. Provides organizational education related to the regulations and standards.

Leads the coordination of local, state, federal, and accreditation surveys (HRSA, AAAHC, ADCES, etc.).

Prepare data submission and conduct routine monitoring of clinical outcomes & performance for HRSA Universal Data Set (UDS).

Works closely with Clinical and Non-Clinical teams for improvement on key performance indicators, designs processes for new initiatives, services and other targets identified by leadership.

Serves as an internal consultant to administration, staff, and physicians in the areas of regulatory, process improvement, performance monitoring and statistical analysis.

Focuses on better healthcare value and quality, including the improvement of clinical outcomes, patient experience, patient safety, costs, revenue, productivity, efficiency, employee and physician satisfaction, and process reliability.

Coordinates, manages and reports Core Measures and meaningful use measures and other quality metrics as assigned.

Collects and reports HEDIS data for the facility.

Closely monitor annual Value-Based Care and ACO performance on quality goals.

Organize all Quality Management meetings, maintain minutes and makes recommendations to the committee based on best practice and current regulatory standards.

Conduct internal audits and risk analysis as needed.

Participate in provider peer review processes and chart reviews, as necessary.

Manage and support provider peer review processes by ensuring the collection and analysis of data for provider, quality metrics, etc.

Analyzes all assigned areas for opportunities of improvement and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality i.e.: Core Measures.

Assists in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, efficiency, etc. using available information systems data. Where other data is necessary but not readily available, will design and implement appropriate data collection. Uses data from appropriate external sources, including comparative databases.

Manages performance improvement projects, flow and alignment to assure milestones and key performance indicators are met within defined parameters. Documents the results of projects, and submits other documentation as requested.

Evaluate and document the effectiveness of the quality management system.

Ensure organizational adherence to all CMS, HRSA, and AAAHC standards and regulatory requirements.

Maintain required competencies for self and all employees within the department.

Pursue professional growth and participates in a professional organization.

Applies for and maintains all clinic specific licenses, permits, registrations (CLIA Certificates of Waiver, HCCE License, Radiation Machine Registration, Biomedical Waste Operating Permit, etc.).

Overall responsibility for the Chronic Care Management and Diabetes Education program.

Travels to clinic locations as required.

Other duties as assigned.

Qualifications:

Education, Training and Years of Experience: Bachelor’s degree in nursing, healthcare or related field of study required. Master’s degree preferred. A minimum of five (5) years’ experience in a healthcare environment, preferably with experience in a FQHC or community health setting. Quality/Risk leadership experience preferred. An advanced degree in nursing, healthcare administration, or a similar field of study with a strong analytical base preferred.

We value our employees and are committed to offering a comprehensive benefits package that supports their health, well-being, and financial security. Eligible new hires can participate in our healthcare plans as early as the 1st of the month following their start date, choosing from three medical plans through Florida Blue. In addition to medical coverage, we offer dental and vision insurance, voluntary life and AD&D insurance, as well as short-term and long-term disability options. Our retirement programs include a 403(b) plan with a 6% employer match and a 3% discretionary year-end contribution, along with a 457(b) plan where PanCare matches 50% of employee contributions up to an annual cap. We also provide a generous paid time off program, including 15 days of PTO and 14 paid company holidays per year.

PanCare of Florida is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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