Vice President, Quality Mgmt / Qualty Improvement (Finance)

Job Summary

Provides leadership and oversight of quality and performance management, reporting and improvement projects to drive quality management and quality improvement across the TriWest organization. Utilizing a command center construct where program performance and customer responsiveness is monitored, measured, forecasted and managed, the VP will lead teams in recognizing and identifying trends early and address issues with leadership effectively. Collaborates with operations and support services leadership to diagnose and resolve service and operational issues. Provides objective and diverse perspective to achieve operational excellence. Provides regular and actionable reports to senior leadership and customer leadership on identification of risks and issues, analysis of root cause(s), trends and recommendations for changes to achieve and sustain quality and performance improvements. Organizes new, complex and disparate issues into strategic and tactical performance plans, including change management. Monitors, forecasts and identifies TriWest quality and performance issues and opportunities, leads QMQI teams to create innovative solutions, and implements improvement action plans in coordination with TriWest's ePMO and business units.

Education & Experience

Required:

• Master's degree in Business Administration, Healthcare Administration, or related field
• If supporting TRICARE contract, must be a U.S. Citizen
• If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 10+ years of increasingly responsible leadership to include executive positions in Healthcare administration, management or operations
• Proven success in leading quality management and quality improvement functions within health care operations or health plans
• Proven success in influencing and supporting operations team in meeting and exceeding performance goals
• Demonstrated hands on analytical and data interpretation experience
• Demonstrated program management and program implementation experience
• Proficient in Microsoft Office, including Excel, Project and Visio

Preferred:

• Experience with Veteran Affairs and/or Department of Defense health care operations
• Experience working as a management consultant
• Lean Six Sigma Black Belt or Master Black Belt Certification

Key Responsibilities

• Accountable for delivering the organization's quality and performance management and improvement program, plans and results within time and cost requirements.
• Drives operational excellence through collaborative quality and performance assessments and improvement initiatives together with C-suite leaders, business units and customers.
• Provides TriWest C-suite and business leadership with "in-house" consulting services in the areas of quality and performance management and improvement and process and program re-engineering and integration.
• Leads the Performance Management and Quality and Process Improvement (QPI) management and staff on a wide range of initiatives of varying complexity. Ensure clarity of contract quality and performance standards, business objectives and standards, connectivity across efforts and escalation and resolution of risks.
• Defines and establishes best practices for the full portfolio of Performance Management and QPI policies, procedures, committee management and reporting, plans and initiatives to ensure alignment with contract requirements and corporate strategies and goals.

• Oversees the Performance Management and Quality and Performance Improvement department's initiatives to support TriWest's mission, strategic and operational plans, and contract compliance and performance requirements.
• Plans, organizes and manages TriWest's quality and performance briefings internally and externally.
• Establishes and provide oversight for Performance Management and QPI, including KPI/metric definition, program development, and reporting structure .
• Oversees the analysis of TriWest work processes and works towards consistent optimization of processes and functionality within cost constraints. Supports innovative, efficient and effective operational construct design, development and implementation.
• Functions as a change leader to promote the development and integration of systems thinking, customer focus, and use of improvement tools and methods for cross-functional issues. Promote appropriate use of quality concepts for problem identification, investigation, and resolution.
• Coordinates the company's quality program including monitoring, trending and reporting on quality metrics; coordinating development of analysis and reports for quality meetings; leading accreditation and certification efforts; and identifying and recommending quality improvement activities.

.:

• Partners with internal and external business partners to identify, recommend, and deploy performance improvement opportunities with a high level impact on financial performance.
• Functions as program champion for Lean Six Sigma at TriWest by developing, implementing and overseeing process improvement initiatives to provide continuous operational excellence.
• Utilizes multiple tools and methodologies (e.g. Six Sigma, Lean, Value Stream Mapping, Kaizen, Process Optimization, etc.) to analyze data and processes as a key driver of performance opportunities in alignment with TriWest's mission, vision, values, goals, strategic and operational plans, business objectives and contract performance requirements.
• Functions as a key resource and senior facilitator for departments involved with quality planning and management, performance improvement, workflow management, and re-engineering efforts.
• Performs other duties as assigned.
• Regular and reliable attendance is required.

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; good listening skills.

Creativity / Innovation: Ability to develop unique and novel solutions to problems; view change as necessary.

Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions. Proficient level of expertise and experience with Excel, Visio, Word and PowerPoint.

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.

Leadership: Successfully manage different styles of employees; provide clear direction and effective coaching.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Team-Building / Team Player: Ability to influence the actions and opinions of others in a positive direction and build group commitment. Expertise in collaboration and group facilitation.

Technical Skills: Expertise with project management, and process/program development; expertise with quality and performance metrics and analysis for driving management decision-making and process/program improvement.

Working Conditions

Working Conditions:

• Availability to work non-regular hours, including weekends
• Works remotely, with occasional travel based on business needs
• Extensive computer work with prolonged sitting

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.