Quality Improvement Manager

About the role

This is a Hybrid position (3 days on-site and 2 days remote). This role may require occasional adjustments to on-site requirements based on operational needs.

Responsibilities

• Provides leadership, performance coaching, mentorship, and professional development support to Quality Improvement staff while fostering accountability, collaboration, continuous learning, and high performance.
• Develops, implements, and evaluates the organization-wide Quality Improvement (QI) Program in alignment with HRSA, CMS, NCQA-PCMH, and FQHC standards.
• Performs annual review and updates to the QI Plan; integrates with Risk Management and patient safety efforts.
• Promotes a culture of quality, safety, and continuous improvement through collaboration with clinical, operational, and administrative leaders.
• Collaborates with Information Systems and Business Intelligence teams to develop reporting solutions, automate workflows, improve data integrity, and optimize data availability across systems.
• Interprets and translates complex analytical findings into actionable recommendations for executive, operational, and clinical leadership.
• Develops dashboards, performance reports, and executive-level presentations that communicate organizational performance, measure outcomes, and quality improvement priorities.
• Identifies root causes of performance variation through data validation, chart review, workflow analysis, and cross-functional collaboration to support sustainable process improvement.
• Leads multidisciplinary teams through quality improvement initiatives and drives accountability for action plans, performance targets, and project outcomes.
• Collaborates with cross-functional teams to develop action plans that improve clinical outcomes and patient experience.
• Coordinates staff training on QI methodologies, documentation standards, and regulatory updates.
• Coordinates QI Committee meetings, prepares agendas and reports, and tracks progress on quality initiatives.
• Ensures compliance with federal, state, and payer-specific quality requirements (e.g., HEDIS, UDS, CMS).
• Serves as liaison to external partners (e.g., CCALAC, CPCA, IPAs, health plans, government agencies) for quality-related activities.
• Participates in internal and external workgroups to align strategies and share best practices.
• Facilitates patient satisfaction surveys and integrates feedback into quality improvement planning.
• Supports PCMH implementation and continuous compliance with NCQA Standards, ensuring integration into clinic operations.
• Partners with care teams and population health staff to close care gaps and advance value-based care initiatives.
• Leads and supports QI initiatives using models such as PDSA cycles, workflow redesign, and root cause analysis.
• Coordinates staff training on QI methodologies, documentation standards, and regulatory updates.
• Ensures alignment with HRSA, CMS, NCQA-PCMH, HEDIS, UDS, and payer requirements while supporting continuous quality improvement across all Eisner Health clinical and administrative settings.

  Qualifications

  • Bachelor’s Degree in Healthcare Administration, Health Informatics, Public Health, or a related field, or an equivalent combination of education, training, and experience.
  • Progressive Quality Improvement, performance improvement, healthcare analytics, or population health experience in a healthcare setting, preferably within an FQHC or other ambulatory care environment.
  • Knowledge of healthcare quality, regulatory, and accreditation programs, including HRSA, HEDIS, NCQA-PCMH, UDS, and value-based care initiatives.
  • Advanced experience utilizing Electronic Health Record (EHR), population health, payer, and reporting platforms to perform data validation, analysis, reconciliation, and performance reporting, and operational decision support.
  • Demonstrated ability to extract, merge, reconcile, validate, and interpret large datasets from multiple systems and data sources to support operational and quality improvement decision-making.
  • Advanced proficiency in Microsoft Excel, including complex formulas, lookup functions, pivot tables, data modeling, and large dataset analysis.
  • Experience utilizing healthcare analytics, population health, payer reporting, and business intelligence platforms.
  • Program management and evaluation experience, or demonstrated ability to effectively lead projects, coordinate cross-functional activities, drive accountability, and achieve measurable outcomes.
  • Previous supervisory or management experience is preferred.
  • Exceptional written, verbal, and presentation skills, with the ability to effectively communicate complex data and quality initiatives to diverse audiences.
  • Strong organizational, planning, and time management skills, with the ability to manage multiple priorities and projects simultaneously.

    Benefits

    • PTO accrual rate of 7.08 hours per pay period (26 pay periods per year).
    • 9 Paid Holidays.
    • 40 hours of paid Jury Duty time per year.
    • Medical, Dental, & Vision insurance (HSA eligible PPO option available).
    • Flexible Spending Accounts (Healthcare, Dependent Care, & Transportation).
    • Employer-sponsored life insurance & long-term disability.
    • 30 free visits per year for Chiropractic or Acupuncture.
    • 301k plan with a 3% employer contribution.