Senior Clinical Quality Value Analysis Manager

Summary

Under the general supervision of the Administrative Director of Support Services the Senior Clinical Quality Value Analysis (SCQVA) Manager is responsible for developing and implementing quality and improvement strategies to enhance healthcare services and ensure compliance with regulations. This role will lead high-dollar high-impact initiatives and serve as a subject matter expert with strong stakeholder engagement with physicians and executives.
This role will work directly in conjunction with the Supply Chain Director and Supply Chain Managers to support the overall integration of supply chain operations with clinical operations. The following Supply Chain roles report to the Senior Clinical Quality Value Analysis Manager: Value Analysis and Contract Coordinator and Contracts Coordinators. Contracting execution and compliance will be shared responsibility.

Stakeholder Engagement and Leadership:

• The SCQVA has proven success in collaborating at all levels of the organizations and to build strategic relationships with key stakeholders including physicians clinical leaders executives supply chain personnel group purchasing organizations and vendors.

• The SCQVA Manager is the primary liaison with Group Purchasing Organization to manage implementation of new contracts oversee change requests and new projects and products to enhance financial savings standardization and utilization.

• Lead multidisciplinary Value Analysis teams coordinating communication project planning and executive activities.

• Direct the Value Analysis and contracting staff to drive results.

• Deliver regular updates presentations and reports to executive leadership and relevant committees such as Supply Chain Executive Committee.

Service Line Evaluation and Support:

• Evaluate and review new and existing service line requests for suppliers equipment services and technology across the organization.

• Analyze utilization data market trends and clinical input to identify opportunities for cost optimization standardization and process improvement.

• Oversee planning and implementation of product conversions new product introductions and clinical integration activities.

• Ensure alignment of supply decisions with organizational quality safety compliance and operational standards.

Quality Safety and Standardization:

• Guide the system-wide standardization of products equipment and services using validated clinical evidence and data.

• Chair or participate in Clinical Value Analysis committees to support quality outcomes and financial stewardship.

• Apply critical thinking and professional judgment to resolve complex clinical financial and operational issues.

Financial Stewardship and Analytics:

• Conduct detailed financial modeling to evaluate initiatives in terms of cost savings reimbursement incentives and quality impact.

• Collaborate with data analysts to track spend measure value realization and identify opportunities for cost avoidance and performance improvement.

• Manage savings targets and reporting for assigned service lines and initiatives in coordination with GPO partners and sourcing teams.

• Generate actionable insights and build dashboards for quality and financial metrics and report results of initiatives to the Supply Chain Executive Committee.

Change Management and Innovation:

• Lead change management efforts engaging key stakeholders in adoption of clinical and operational changes.

• Stay abreast of developments in clinical best practices supply chain innovation and regulatory trends.

• Present evidence-based proposals for innovation efficiency and clinical improvement

• Participate in strategic planning activities and contribute to thought leadership and knowledge transfer.

Education

JD; legal education preferred.

Masters Degree or above preferred: MBA MHA MPH or related field.

RN required.

Bachelors Degree required: Healthcare Administration Nursing Business Finance Life Sciences.

Certification Registration & Licensure

Certification preferred: Certified Value Specialist (CVS) Certified Value Analysis Healthcare Professional (CVAHP) Certified Professional in Supply Management (CPSM) or Certified Materials Resource Professional (CMRP)

Must possess a current or recently active RN license.

Experience

5-10 years in healthcare value analysis supply chain or clinical operations.

5 years of nursing experience with understanding of OR ICU Cath Lab and nursing worklfows.

Experience with medical/surgical products implants capital equipment or pharmaceuticals coupled with physician preference items.

Leadership in product standardization initiatives.

Support or leadership of Value Analysis Committees (VACs).

Demonstrated cost savings and utilization improvement. Cost and utilization analysis (TCO cost per case cost per procedure).

Experience in acute care hospitals or integrated delivery networks.

Experience with contracting.

Advanced excel and financial modeling coupled with spend analytics tools (GPO).

Effectively manage change and engage team members.

Responsibilities

Compliance:

Understands and manages to the regulatory and accreditation requirements
that impacts area of responsibility.

Develops and regularly audits departmental polices and processes to ensure
adherence to regulatory and reimbursement requirements.

Maintains the privacy and security of patients protected health information.

Ensures adherence to business ethics process.

Leadership:

Recruits recognizes and retains qualified and competent staff members who
reflect the organizational values.

Establishes effective lines of communication.

Develops both individuals and teams to meet the needs of the department and
organization today with an eye toward tomorrow.

Empowers the work group and holds staff accountable in performance and
behaviors and provides feedback that helps people grow.

Works with other departments to create systems approaches vs. silo
approaches.

Fosters a positive work environment by building trust.

Translates Concord Hospital health system goals into meaningful plans for the department and connects them to staffs daily work.

Positively impacts the organizations margin through the development of
strategic and tactical business opportunities.

Conducts on-time performance evaluations.

Performance Improvement:

Improves quality and performance by agreed upon measures.

Improves Service by some agreed upon measure.

Applies process improvement principles as a practical way of using the experiences of front line staff and customers to continually improve services.

Develops and supports an environment that improves safety.

Seeks change through data.

Seeks change through feedback.

Quality Management System:

Understands and is able to articulate the Quality Management System; its
principles philosophy goals and objectives.

Is able to articulate how processes under the directors control or influence link
into and interact with the organizations system of processes.

Can define how processes under the directors control or influence add value
and what has been accomplished to increase process value.

Actively supports audits and the audit process as a vital ingredient of process
improvement.

Continually measures process effectiveness to provide data and information
necessary for improvement initiatives.

Actively helps to maintain the document management system as one tool of
the QMS.

Actively helps to maintain the document control system as one tool of the
QMS.

Seeks always to ensure that product utilization conforms to product utilization
requirements.

Resource Management:

Determines appropriate levels of departmental resources such as human
financial and technical.

Manages budget to predefined ratios and effectively controls expenditures.

Effectively manages/Improves cost per unit ratios and increases net
contribution to margin.

Utilizes data to support business and/or clinical decisions. Develops
information and management reports that are meaningful to assist in
management of operations.

Develops processes to ensure appropriate reimbursement for services
provided.

Adheres to payroll and pay practices rules.

Technical/Professional Competence:

Creates and follows a personal development plan to improve leadership
capabilities.

Continuously learns and adapts areas of responsibility to emerging trends
which impact the delivery of departmental services.

Participates in and leads departmental and organizational change.

Leverages technology to drive improvement.

Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race color religion sex sexual orientation gender gender identity national origin age marital status genetic information disability or protected veteran status.

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Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process you may contact Human Resources at .

Physical and Work Requirements

The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Dictionary of Occupational Titles Material Handling Classification is SEDENTARY. The employee must regularly lift carry or push/pull less than 10 pounds frequently lift carry or push/pull less than 10 pounds and occasionally lift carry or push/pull up to 10 pounds.

While performing the duties of this Job the employee is regularly required to hear perform activities that require fine motor skills and speak. The employee is frequently required to do repetitive motion sit and walk. The employee is occasionally required to bend reach squat and stand.

Specific vision abilities required by this job include color vision depth perception far vision near vision and peripheral vision.

The noise level in the work environment is usually moderate.