Senior Manager, Clinical Research Quality Assurance (CRQA) at Kaiser Permanente - Oakland, California | Job Transparency - Job Transparency | Find Your Dream Job with Full Salary Transparency

Job Summary:
Leads the development of quality strategies in alignment with KFHP strategic priorities, mission, and vision. Oversees coordination across areas to recommend actions based on reviews of regional quality reports. Tracks industry trends and identifies new opportunities for improvement and helps establish organizational priorities. Manages the implementation of clinical quality improvement action plans and puts forth recommendations to senior leadership. Establishes key metrics and goals across teams and holds other leaders accountable for ensuring quality issues are identified and resolved. Serves as a subject matter expert for clinical quality processes and regulations for team members and creates processes and tools for others to increase their regulatory knowledge. Manages others to review and act on results of data analysis, monitor corrective action plans, and review and approve quality policies. Guides the oversight of and coordination with the functions of Quality Committees and subcommittees. Leads the annual approval of Quality Program description, work plans, and annual evaluations.

Essential Responsibilities:

Creates and advocates for developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works with leaders and employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; hires, trains, and develops talent for growth opportunities; strategically evaluates talent for succession planning; sets performance management guidelines and expectations across teams / units. Oversees implementation, adapts, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends; shares best practices within and across teams. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams; motivates teams to meet business objectives. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope; encourages development and consideration of options in decision making; fosters access to stakeholders.

Manages designated units or teams by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed; partners with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies. Aligns team efforts; builds accountability for and measuring progress in achieving results; assumes responsibility for decision making; fosters direct reports to resolve escalated issues as appropriate. Communicates goals and objectives; incorporates resources, costs, and forecasts into team and unit plans; ensures matrixed resources are fulfilling service or performance requirements across reporting lines. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams and units to operate in alignment with operational and business objectives.

Serves as the subject matter expert for clinical quality improvement processes and regulations for within departments, facilities, internal and external committees, and key stakeholders by: providing consultation on the interpretation and interaction of current policies and how they interact with the current climate, and potential changes to regulations and legislation; leading committees, projects to influence decisions on the enforcement, development of policies, or procedures of regulations and auditing processes and ensuring accountability for successful implementation of core priorities; fostering collaborative, results-oriented partnerships with practitioners, staff, and/or management across clinical and administrative roles to ensure and advise on organizational capability to remain compliant; empowering educational programs to raise awareness for current and changing regulation requirements, internal concerns, and system/database usage; and identifying systematic barriers which cause issues, and weighing practical, technical, and KP capability to develop corrective actions.

Manages the quality of care complaints and review process by: directing the grievance meetings, cases, reviews, referrals, and other mechanisms by collaborating with key stakeholders, the ombudsman, and external regulatory services; responding to and directing the preparations of all documentation, records, and information requested for specific patient case reviews; managing the process flow of investigations and claims for red flags and areas of improvement; and monitoring critical quality improvement metrics, cases, quality care incidents, and near misses according to established protocols on a periodic basis.

Leads the development of infection prevention and control programs to improve employee and patient safety by: prioritizing and managing epidemiological investigations of significant clusters of infection or serious communicable disease concerns as a part of prevention, surveillance, and outbreak management; coordinating outbreak containment efforts within the area of focus; and consulting with Administration on infection control implications of architectural design, renovation, and construction.

Manages risk management efforts by: leading corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys, and auditing surveys across departments and regions; enabling others to be compliant with internal and external polices, regulations, and legislation related to quality improvement by interpreting regulations into actionable actions; developing the processes for root cause analysis, failure mode and effect analysis, and other assessments in response to significant events, near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and developing the process for escalating high-risk issues and trends to appropriate entity for resolutions.

Manages patient safety programs and initiatives by: strategizing with relevant teams and leaders to coordinate responses and action plans to address reported significant events including safety hazards, accidents, incidents, and threats; and collaborating with key stakeholders and senior management to develop patient care and satisfaction programs which aim to improve patient flow, clinical support, patient services, and seamless transition of care.

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Senior Manager, Clinical Research Quality Assurance (CRQA)

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