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Intermountain Healthcare

Nonprofit health system delivering patient care

Director, Government and External Quality Programs

Regulatory Compliance & EthicsPosted on Nov 6
Full-timeMurray, UT, USA$68.42 - $105.62 /hr

About the Job

Requirements

  • A bachelor's degree in healthcare administration, public health, nursing, health information management, health policy, business, data analytics, or a related field from an accredited institution is required; education is verified.
  • Seven years of progressive experience in healthcare quality, regulatory reporting, government healthcare programs, public reporting, value-based care, health policy, or a related field is required.
  • Three years of leadership experience, including responsibility for people, complex programs, or enterprise-wide initiatives, is required.
  • Experience interpreting federal or state healthcare regulations, quality program requirements, payment models, measure specifications, or public reporting methodologies is required.
  • Experience developing strategy and leading implementation across multiple departments, facilities, markets, or operational areas is required.
  • Experience advising senior leaders and communicating complex regulatory, clinical, financial, and technical information to varied audiences is required.
  • Experience influencing decisions and achieving results across organizational boundaries without direct authority is required.
  • Experience using quality, operational, and financial information to identify risk, prioritize opportunities, and guide improvement is required.

Responsibilities

  • Set the enterprise vision and strategy for government quality and public reporting programs, anticipate the future environment, establish strategic priorities, and align the portfolio with clinical, financial, and operational goals.
  • Shape the organization's response to evolving policy and regulation by interpreting government priorities, evaluating enterprise impact, and advising senior leaders on strategic decisions, risks, opportunities, and organizational readiness.
  • Develop organizational positions and represent the organization externally; build enterprise alignment and serve as a senior representative in government, industry, advisory, and measure-development forums to influence quality programs.
  • Build strategic partnerships with government agencies, associations, health systems, health plans, and national quality leaders to anticipate change, shape strategy, and advance shared priorities.
  • Establish enterprise standards for quality measurement and reporting, providing strategic oversight of measure interpretation, data integrity, abstraction, submission, and public reporting to ensure results are consistent, timely, and defensible.
  • Drive enterprise quality performance and financial value by mobilizing clinical, operational, financial, and technical leaders around priority opportunities and ensuring government quality programs translate into measurable improvement and optimized outcomes.
  • Establish governance and executive accountability for program risk, ensure senior leaders have visibility into performance, financial exposure, readiness, and emerging concerns, and direct the organizational response to significant reporting issues, disputes, and adverse determinations.
  • Build and lead an enterprise center of expertise, provide strategic direction to government quality reporting teams, develop leaders and subject matter experts, and ensure the organization has the talent, technology, partnerships, and resources needed for long-term success.

Desired Qualifications

  • A master's degree in public health, healthcare administration, health policy, business administration, nursing, health informatics, or a related field is preferred.
  • Experience with CMS hospital quality and payment programs, Medicaid quality programs, state-mandated reporting, or national public reporting and recognition programs is preferred.
  • Experience representing a healthcare organization on government, industry, advisory, association, or measure-development committees is preferred.
  • Experience developing organizational positions or formal responses related to proposed regulations, measures, benchmarks, payment methodologies, or public-reporting requirements is preferred.
  • Experience establishing enterprise governance, regulatory readiness, program controls, risk-management processes, or corrective-action structures is preferred.
  • Experience leading teams responsible for clinical data abstraction, measure interpretation, validation, regulatory submission, or public reporting is preferred.
  • Experience building strategic partnerships with government agencies, health plans, associations, peer health systems, or national quality organizations is preferred.
  • Experience leading a center of expertise, developing leaders and subject matter experts, and establishing succession and cross-training strategies is preferred.

About the Company

Intermountain Healthcare

Nonprofit health system delivering patient care

Intermountain Health is a nonprofit health system that provides medical care and related services across the Mountain West. It operates hospitals, clinics, a medical group, home care, telehealth, and health insurance plans, along with subsidiaries, to bring care closer to people’s homes and communities. Its care model combines direct patient services with research and education to tailor treatment and reduce costs. What sets it apart is its size and scope as the region’s largest nonprofit health system, its integration of hospitals, clinics, home health, telehealth, and insurance under one umbrella, and its mission to reinvest in care and make health more affordable. The company aims to help people live the healthiest lives possible by expanding access to care, improving quality, and reducing costs through its community-focused approach and ongoing research.

Company size
10,001+
Company stage
Grant
Total funding
$1.9M
Headquarters
Salt Lake City, UT
Founded
1975

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