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Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

JOB LOCATION

DHIP Administrative Offices RTP - 4825 Creekstone Dr

JOB SUMMARY

Reporting to the DHIP Associate Vice President for Clinical Planning and Growth and working in partnership with the DHIP Chief Financial Officer, DHIP Community Chief Medical Officer, and DHIP VP of Operations, DHIP Network Management Directors this position works directly with the Community DHIP network, practices, physicians and practice leadership. Quality Program Specialist is an individual contributor responsible for supporting the execution and performance of system wide value-based care programs, including bundled payments, shared savings contracts, and quality gap closure initiatives. This role collaborates closely with clinical, operational, and analytics teams to monitor quality performance, identify improvement opportunities, and drive adoption of standardized workflows. The position serves as a key liaison between centralized quality functions and frontline practice teams to ensure consistent execution of strategies that improve patient outcomes and contract performance.

Goals of role
- Top tier performance in targeted quality measures and gap closure rates
- Contribution to successful performance in bundled payment and shared savings programs
- Adoption of standardized workflows across supported practices
- Delivery of accurate, timely, and actionable reporting

JOB DUTIES AND RESPONSIBILITIES

Program Management – Bundled Payments

Supports implementation and ongoing management of bundled payment programs across targeted service lines
Monitors performance metrics, including cost, utilization, and quality outcomes
Works with clinical and operational teams to align workflows with bundle requirements and improve episode performance
Support quality based contract negotiations

Shared Savings Contract Support

Tracks performance against shared savings contracts, including Medicare and commercial value-based arrangements
Partners with operations, finance and analytics teams to identify drivers of cost and quality performance
Translates contract quality metrics into actionable plans for practices and providers
Identifies risks to performance and supports mitigation strategies
Work with coding and clinical to appropriately communicate risk level of patient using HCC risk coding guidelines

Clinical Gap Closure

Leads initiatives to improve quality performance, including HEDIS and Star Ratings measures
Supports practice-level strategies for clinical gap closure (e.g., preventive screenings, chronic disease management, annual wellness visits)
Collaborates with care teams and outreach functions to improve patient engagement and completion of care gaps

Data Analysis & Reporting ·

Analyzes performance data to identify trends, variation, and opportunities for improvement
Prepares structured reports and executive-level summaries highlighting key insights and recommended actions
Supports internal and external reporting requirements related to quality and value-based contracts

Clinical & Operational Engagement ·

Serves as a liaison between quality, operations, and clinical teams
Provides education and guidance on quality measures, documentation, and workflow expectations
Participates in performance reviews with practices and contributes to action planning
Connect with patients as needed to support continuity of care measures. Flag and support high risk patients for clinical intervention

Process Improvement & Standardization

Identifies opportunities to standardize quality workflows across practices
Analyses and recommendation for new program development. Provide implementation support for new programs based on a data driven strategy
Supports development and implementation of SOPs related to:
- Gap closure workflows o
- Bundle program operations
- Documentation and coding practices
Collaborates with IT/EMR teams to optimize systems supporting quality measurement and reporting
Work with leadership teams throughout the Health System, serving as a resource to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives, analyze and utilize information to develop and support management decisions.

JOB ELIGIBILITY REQUIREMENTS

Education

Bachelor’s Degree
- A Master’s Degree in Business Administration, Health Administration or related field is preferred

Experience

Minimum of 3-5 years of experience in healthcare quality, population health, or value-based care programs
Experience in an integrated delivery system or large physician enterprise
Familiarity with EMR reporting tools (Epic)
Demonstrated understanding of HCC coding
Lean or Six Sigma certification preferred
Healthcare coaching certification or experience preferred

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Quality Program Specialist

Duke University

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