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Providence NE Division Chief - Primary Care, Population Health & Quality in Spokane, Washington


Providence is calling for a Division Chief for our NE WA Market located in Spokane, WA.


The Division Chief of Primary Care, Population Health, Ambulatory Quality and Medical Group Operations will be accountable for the clinical, operational, and financial management of a Medical Group Enterprise Division in collaboration with a variety of dyad administrative partner(s) in accordance with Providence Saint Joseph’s Health Mission and Values.

The position may also have a variety of functional leadership components of medical group including but not limited to:

  1. Patient experience

  2. Provider and caregiver experience

  3. Patient access

  4. Clinical Integration

  5. Ambulatory quality

  6. Population Health

This position will also be accountable for the management of Continuous Quality Improvement, Patient Safety, and Population Health and Care Model Design within the Ambulatory Care Environment. This position will have a variety of dyad administrative partner(s) and work collaboratively with numerous quality, risk management and compliance leaders within the health care system. This position will work collaboratively with other quality leaders.

This job is responsible for providing the strategic and operational leadership for a comprehensive ambulatory quality and population health program. These activities will include all aspects of preventive care, chronic disease management, ongoing patient outreach programs, applied data analytics, and transparent reporting of performance measures and improvement initiatives. The incumbent will be responsible to lead the strategic design, implementation, and management of a sophisticated ambulatory-focused quality program with strong population health management underpinnings.

This position is responsible for the development, maintenance and refinement of a comprehensive health quality program that integrates the elements of clinical practice, the Epic EMR, and emerging National, State, and commercial payer performance initiatives. This program will develop into a substantive and credible Population Health Program that aides our providers in the measurement and use of patient level information to improve the health of their patients, while improving the over health status of the community we serve. This framework will employ the tenants of the Triple-Aim of improved patient experience, cost, and quality.

Considerable work effort will be focused on developing a sustainable culture which values patient safety, clinical excellence, evidence-based medicine and continuous learning. The incumbent develops goals and strategies, monitors outcomes/results and leads initiatives to improve clinical performance at Providence ambulatory clinics and assures that safe and reliable processes are embedded into the standard work of our ambulatory clinics.

Work will be performed in close collaboration with the Medical Group Division Chiefs, Administrative Directors, Risk Management, Care Management, Credentialing, Payer Strategy and senior leaders to lead quality improvements designed to achieve highly reliable processes and outstanding clinical outcomes and to improve population health in all our clinics. Effective performance requires a high degree of professionalism and the ability to interact effectively with a wide variety of internal/external entitles/stakeholders to facilitate the development/growth of a successful patient-centered health network and to gain acceptance of recommendations regarding new programs/systems/policies and financial/performance improvement opportunities.

Essential Job Functions

This is an executive leadership role. The individual should have a history of demonstrating outstanding clinical leadership, administering clinical quality, recognizing clinical excellence to be able to distinguish clinicians that can deliver exceptional clinical and patient-centric care. The candidate should be an experienced clinical leader able to achieve outstanding patient care. This position also requires a significant amount of operational management. Candidates for this position should be familiar with all the management and operational components of ambulatory care. This position will work within an administrative dyad partner but the individual should have enough management and operational experience to work independently. This position will be required to focus and lead in a number of core competency areas that are required within a large, complex ambulatory care environment.

The Division Chief will have the following accountabilities:


  • Be supportive, responsive and accountable to clinicians and staff in pursuit of performance excellence

  • Demonstrate fair and unbiased judgment with an ability to manage change based on organizational performance goals

  • Maintain a global and balanced perspective of the needs of the whole medical group, ambulatory care environment and health system

  • Ability to lead providers and administrative staff through clinical and operational improvement projects

  • Manage conflict constructively in challenging, ambiguous environments

Clinical Service Line and Clinical Product Line Management

  • Knowledge and skills of clinical service line and clinic product line development

  • Collaboration with the clinical service lines leaders who are on point for managing the strategic development and planning for the whole health system

  • Implementation of clinical service line and clinical product line plans within the ambulatory care environment

  • Prepared to lead specific clinical services as clinical subject matter experts according to specialty.

Clinical Practice Management

  • Knowledge and management skills to enhance the clinical quality and operations of large, complex, integrated ambulatory care systems

  • Knowledge and management of provider productivity, staff productivity, revenue cycle, patient access and improving the patient experience in large, complex ambulatory care systems

  • Knowledge and management of clinical and administrative staffing and the human resource requirements for large, complex ambulatory care systems

Financial Management

  • Development and management of large financial budgets within the enterprise, approximately $100M in revenue in each division

  • Manage provider productivity, provider and staff position control systems and cost control measures in large, complex ambulatory care systems

  • Develop complex operational pro formas and work force plans for large, complex, ambulatory care systems

Operational, Clinical and Behavioral Management

  • Operational management of divisions of clinics consisting of approximately 200 providers

  • Knowledge and management skills to design, develop, and execute on small to large complex operational plans

  • Knowledge of enhancing operational efficiency using a variety of methodologies and measures

  • Recruitment and selection of outstandingproviders and staff

  • Human resource and behavioral and management of providers and staff

  • Coaching, mentoring and the develop of performance improvement plans for providers and staff

Provider and Caregiver Experience

  • Knowledge of the root causes that impact provider and caregiver experience

  • Knowledge of factors and initiatives that enhance provider and care giver experience

Patient Experience Management

  • Knowledge and skills in the measurement and management of ambulatory care patient experience

  • Knowledge and philosophy of delivering patient-centric care

Patient Access Management

  • Knowledge and management of all the components of patient access across the healthcare continuum


  • Knowledge and experience of working collaboratively within a large, matrixed, complex health system. Understanding when to lead and when to follow. Being respectful of the scope of practice within the health care system

  • Political acumen and emotional intelligence to manage and resolve difficult interdivisional conflicts within the healthcare system

Team Work

  • Skill and knowledge of working with numerous interdisciplinary teams within the healthcare system to achieve goals as a whole rather than individually

Ambulatory Quality, Patient Safety and Population Health

  • Develop a comprehensive global strategy and structure to managed ambulatory care quality and patient safety for the Physician Enterprise consistent with the Institute of Medicine’s STEEEP framework

  • Develop and maintains a culture of quality excellence and continuous quality improvement.

  • Chair the Ambulatory Care Quality Management Committee, and oversees the Ambulatory Peer Review Process.

  • Engage in “Lean” initiatives designed to improve performance for clinical areas and lead physicians in engagement and adoption of standard practices; works with operational support to engage in quality metrics and benchmarking.

  • Knowledge and skill to evaluate clinical quality adverse events as part of the ambulatory peer review process

  • Knowledge of quality measurement systems and the management of ambulatory quality performance metrics

  • Knowledge of clinical quality improvement methodologies in the ambulatory care environment

  • Lead Peer Review Committee and oversee provider peer review process

  • Work with physicians and leaders on quality programs and initiatives

  • Lead quality initiatives including defining and meeting targets in concert with the integrated delivery system

  • Report quality measures to Executive Leadership Team and local leadership

  • Plan, direct, and evaluate, through subordinate management and in conjunction with matrixed relationships with service line and hospital leadership, the operations, programs systems and resources to assure the safe and appropriate delivery of diagnostic and therapeutic patient care and achievement of core measurement scores.

  • Oversee a comprehensive quality and patient safety program; direct the development and implementation of evidence-based practice guidelines.

  • Assure compliance with the regulatory agencies in the design and execution of the program; oversee the development of policies and procedures in our clinics to assure compliance with all regulatory requirements.

  • Partner with operational leaders to develop and implement work standards/flows including daily huddles, management boards, training and certification for providers and clinical staff.

  • Develop, with involvement of nurses and physicians, an ambulatory care quality management system designed to enhance performance in quality as determined by national metric standards.

  • Evaluate and redesign information technology clinical work flow in Epic by managing registries, smart sets and best practice alerts.

  • Knowledge of Population Health methodologies

Data Analytics, Information Technology and Data Warehouse Management

  • Oversee the development of a data warehouse for the management of quality, patient safety, population management, outcomes and cost data.

  • Develop quality management and population management reports that accurately reflect performance; distributes to providers, clinics and end users on a monthly basis.

  • Manage/partner with a team of clinical informaticists and analysts who perform work such as:

  • extracting employee health record (EHR) data to report on quality/population healthcare management;

  • building disease management registries/databases and reformat/optimize ITclinical pathways within the EHR;

  • optimizing the EHR and standardizing clinical workflow to prevent system errors and maximizing population management and quality of care.

Care Model Redesign

  • Develop alternative Care Delivery models that are more effective and offer better value within Primary Care and other clinical specialties

  • Developing Care models to achieve top of license practice

  • Developing Care Models which may expand the role of other caregivers such as Registered Nurses

  • Develop Care Models that utilize other modalities such as Telemedicine

  • Implementation of Team Based Care in all specialties

  • Implementation of contemporary Primary Care models to maximize efficiency and value

  • Implement Care Models to move toward Value Based care



  • M.D. or D.O. Degree, preferably ten years in clinical practice

  • Significant leadership or management training

  • 10 years in a clinical practice, preferred

  • Preferably five years of senior medical group management and leadership

  • Management certification qualification (e.g., MMM, MHA, MBA, MPH) are desirable

  • Board certification in a clinical specialty

For information on our comprehensive range of benefits, visit:

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Leadership

Location: Washington-Spokane

Req ID: 273974