In partnership with the operations leadership and medical group partners, develops, implements, and oversees clinical programs and strategies designed to assure cost-effective, high-quality delivery and membership satisfaction. Provides leadership and direction to departments in areas of performance related to service delivery and utilization of resources for members across the continuum which comply with local, state, and federal requirements. Implements and maintains clinical and patient care practice standards, budgets, and staff development. Participates as part of management team in formulating, implementing, and evaluating business plans/strategies for ambulatory care services and responsible for achieving both short and long term strategic, business, and financial goals/objectives.

• Responsible for the ongoing effectiveness of programs and strategies which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards, and performance measures.


• Ensures that services meet members, physicians and internal clients needs in a changing, competitive health care market.


• Leads workgroups in partnership with the operations leadership and medical group partners to direct the continuous improvement of all clinical practices, services and operations by design and implementation of systems, processes, and methods to evaluate and improve patient care.


• As part of management team, participates in the development, implementation, and evaluation of new models/methods of delivering primary care to members. Integrates work plans and produces seamless transition of care for members.


• Ensures patient care staff provide the highest quality of care and are in compliance with the Nurse Practice Act, National Committee of Quality Assurance federal, state and local requirements.


• Collaborates with physicians, nursing, and other health care providers in establishing, implementing, and maintaining patient care, quality and service standards to meet members and internal clients expectations.


• Acts as a patient advocate resolving patient care issues.


• Designs and evaluates processes to improve systems and patient care results across the multiple departments and across continuum of care. Develops studies and assures dissemination of best practices where appropriate.


• Identifies, develops, implements, and evaluates clinical guidelines and education for patient care, Guidelines clinical departments in the development of quality guidelines and operationalizes measures of compliance with those guidelines.


• Directs the management of financial plans, resources, and budgets.


• Determines the appropriate staff mix for multiple departments and manages human resources functions; develops processes to screen, interview, hire, train, and maintain the competency of all staff.


• Directs the development, implementation, and monitoring of departmental policies and procedures which support the organizations goals and business objectives.


• Collaborates with Physician Team Leaders and Department Chiefs in planning and developing the level of patient services/programs and the day-to-day operations of departments.


• Integrates outpatient services/programs with strategic business plans.


• Directs the management of human resources, labor relations, employee, and safety/risk management functions.