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Director Clinical Quality Outcomes (hybrid)

Health & Clinical Services
230796 Requisition #


Independence is seeking an Advanced Practice Practitioner (APP), a Nurse Practitioner or Physician Assistant, to join the clinical care transformation team; a team that works directly with healthcare systems and with primary care providers, with a focus in New Jersey. This individual will help drive improvement in quality, experience, health equity, and cost of health care. This work is achieved through collaboration across multiple Independence teams.

Candidates must have a strong sense of accountability, and passion to drive change in the way healthcare is provided. This role will report to the Senior Medical Director in Clinical Care Transformation.  


The APP will Collaborate with the Independence Population Health Team and with network primary care providers and health systems to:

Drive improved performance in NJ markets for Primary Care including:

·       Improved performance in clinical CMS Medicare and ACA STAR ratings

·       Engagement with primary care offices and organizations on initiatives which promote accurate medical coding

·       Support vendor relationships which drive population health team performance

·       Work with on value-based programs with Health Systems

Cross-Functional Teamwork Opportunities:

·       This individual will work with Independence Clinical Care Innovation Team, to support pilots and grants which focus on innovative care delivery.  

·        Work with Independence Provider Experience and Network Operation teams, focusing on enabling existing provider workflows to facilitate and improve the clinical provider experience.

·       Work with Independence Director of Health Equity to promote IHG 2025’s whole-person equitable health strategy.

·       Additional opportunities to collaborate Case and Condition Management, High Value Optimization, Utilization Management, and Quality


·       AAP must have a valid Nurse Practitioner (NP) or Physician Assistant (PA), unrestricted license to practice medicine in NJ

·       Minimum 5 years of experience working for a healthcare: provider (primary care or gerontology), payor or consulting group

·       Demonstrated ability to lead through influence to obtain results

·       Excellent written and verbal skills and ability to interact effectively with all levels of employees

·       Demonstrated effective problem-solving skills and the ability to work in a changing environment

·       Experience and ease working in Microsoft Excel, Word, Outlook, and PowerPoint

·       Residence in NJ, with a valid driver’s license

Hybrid of Choice:

Independence has implemented a “Hybrid of Choice” model which provides our associates with the flexibility to choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. However, management may require our associates to work from Independence’s physical office locations on certain occasions. This role is designated as a role that fits into the “Hybrid of Choice” model. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.


Diversity, Equity, and Inclusion

At Independence, everyone can feel valued, supported, and comfortable to be themselves.  Our commitment to equity means that all associates have a fair opportunity to achieve their full potential.  We put these principles into action every day by acting with integrity and respect.  We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace.  Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.


At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations.  For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!

Equal Employment Opportunity

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. 

Agency Disclaimer

All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process. 

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