Director of Quality and Value Based Care - Hybrid Sacramento, CA

Association’s Mission:

California Primary Care Association's (CPCA's) mission is to lead and position community clinics, health centers and networks through advocacy, education, and services as key players in the health care delivery system to improve the health status of their communities.

Purpose of Position:

The Director of Quality and Value-Based Care provides strategic guidance, technical expertise, and advocacy to support health centers in advancing clinical quality, population health, and value-based care and payment, including through managed care contracts and Medicare arrangements. Working with internal teams, external partners, and policymakers, this role leads quality improvement (QI) programs, value-based care initiatives, including in managed care and Medicare, and best practice adoption. The position emphasizes data-driven performance improvement, requiring strong knowledge of quality measures, data analysis, QI methodologies, population health, and value-based care within the managed care system and Medicare.

Primary Responsibilities:

Quality Improvement and Population Health Expertise

• Lead strategic planning and execution of statewide QI and value-based care initiatives.
• Serve as subject matter expert on federal and state quality programs such as DHCS, Covered CA, OHCA, NCQA, CMS, etc.
• Analyze clinical quality performance data to produce actionable reports, dashboards, and presentations that inform improvement opportunities for community health centers (CHCs).
• Conduct research, analyze data, and prepare reports to support advocacy, training, technical assistance, and grant deliverables.

Value-Based Care, Managed Care Contracting, and Medicare Expertise

• Lead the development and execution of managed care and Medicare strategies to support health centers in maximizing contracts and transitioning to value-based payment.
• Serve as a subject matter expert on managed care policies, contracts, billing, clinic networks, Medicare, and performance improvement strategies.

Education, Training, and Resource Development

• Develop and deliver training, technical assistance, and resources such as webinars, workshops, toolkits, manuals, newsletters, and web content.
• Ensure resources and training align with CPCA’s strategic plan, grant requirements, and regulatory/legislative/policy agenda.

Relationship Building and Partnership

• Build relationships with member health centers to assess needs and tailor support, resources, and technical assistance.
• Coordinate and facilitate Peer Networks, Task Forces, and Technical Advisory Committees, including developing agendas, presentations, and content, and ensuring content alignment with CPCA priorities.
• Cultivate partnerships with managed care plans, agencies, stakeholder groups, and grant funders.
• Represent health centers in stakeholder committees, advisory groups, and advocacy efforts with managed care plans, agencies, and partners.
• Represent CPCA and health center interests with professionalism at local, regional, state, and national forums and events.
• Support grant development and management, including proposal writing, managing contracts, and ensuring compliance with funder requirements.

Advocacy

• Advocate for health centers by engaging with policymakers and responding to policy proposals.
• Collaborate with internal staff and external partners to analyze and respond to legislation, regulations, and policy guidance (e.g., All-Plan Letters).

Skills and Abilities Required:

• Knowledge of state and national quality measures such as UDS, HEDIS, MCAS, and QI initiatives/methodologies, population health, and health care data analysis.
• Strong knowledge of managed care contracting, billing, Medicare, provider networks, performance improvement strategies, and value-based care models.
• Advanced problem-solving, critical thinking, time management, and organizational skills with keen attention to detail.
• Skilled in leading high-level meetings and trainings with diverse stakeholders, using inclusive facilitation techniques.
• Proven ability to work independently, manage priorities, and meet deadlines in a fast-paced, cross-functional environment.
• Excellent written and verbal communication skills, including effective proofreading.
• Demonstrated professionalism, confidentiality, and interpersonal effectiveness with staff, members, boards, and partners.
• Collaborative team player with experience working across departments and with senior leadership.
• Proficient in Microsoft Office, virtual communication tools, and web-based platforms.

Additional Responsibilities:

• Support the Association's strategic plan.
• Attend and participate in required Association meetings,
• Travel for state, regional, and national conferences, training, and site visits by air and ground transportation.
• Reports regularly to supervisor.
• Other duties as assigned.

Education and Experience:

CPCA evaluates candidates on all position-relevant skills and experience. If you’re excited about this role, but your experience does not align perfectly with every requirement, we encourage you to apply anyway.

Bachelor’s degree in public health, healthcare administration, nursing, or related field. Master’s degree preferred. Minimum of 7 years of experience in quality improvement, population health, value-based care, Medicare, or related areas within primary care, public health, or healthcare organizations. Experience with community health centers, member-driven associations, or non-profit organizations is preferred. Relevant experience may be considered in lieu of degree requirement.

Compensation : $130,882 - $138,581

Why You’ll Love Working Here:

• Hybrid work schedule (2 days in the office weekly, with an additional in-office day once per month)
• 100% employer-paid medical, dental, vision, life, and AD&D insurance
• 5% employer retirement contribution
• Generous paid time off: 15 vacation days, 12 sick days, 2 floating holidays, plus 18 paid holidays (including a December 24th - January 1st Winter Break)
• Monthly stipends: $50 for cell phone and $50 for internet
• Parking benefits
• Employee Assistance Program (EAP) and voluntary benefits, including pet insurance, Aflac, and FSA options

Association Expectation:

Due to network security and hybrid work, this position requires the employee to have a cell phone with a data plan and home internet service, both are reimbursed at a set rate each month. This is a hybrid position with all hires being required to maintain residence in California and commute to our office in downtown Sacramento multiple times a week.

Physical Demands:

The physical demands described here are representative of those that must be met 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.

• Hearing and speaking to exchange information
• Operating a computer and other office productivity equipment
• Seeing to read a variety of materials
• Bending at the waist, kneeling, or crouching
• Sitting or standing for extended periods of time
• Lifting objects up to 30 pounds
• Close vision and ability to adjust focus

Work Environment:

• Noise level is generally moderate, but at times can be noisy
• Meetings conducted in a Zoom or office setting
• Indoor varying temperature
• Employee must have available transportation and be able to commute into office

Equal Opportunity Employment:

CPCA’s workforce strives to represent California’s population, while also meeting the highest standards and qualifications of our industry.