Quality Improvement Manager
About the role
We are seeking a clinical Quality Improvement Manager! Southeastern, OH Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking organization dedicated to helping individuals achieve health and well-being. We provide comprehensive behavioral health, primary care, and community-based services throughout Southeastern and Central Ohio. Through an integrated, person-centered approach, we work alongside patients, families, and community partners to improve health outcomes and strengthen communities. The Quality Improvement Manager leads and supports organization-wide quality improvement initiatives. This role is ideal for candidates with experience in primary care, behavioral health, Federally Qualified Health Centers (FQHCs), community health centers, population health, or value-based care environments.
Responsibilities
- Responsible for performance management, recruitment, onboarding, and team development, including but not limited to implementing progressive discipline when necessary.
- Lead the development, implementation, and evaluation of quality improvement initiatives designed to improve clinical outcomes, patient experience, operational performance, and health equity.
- Monitor and analyze quality, utilization, and population health data, including performance on key measures such as UDS, HEDIS, value-based care metrics, and payer quality incentive programs.
- Collaborate with clinical and operational leadership to identify opportunities for improvement and develop data-driven strategies to enhance performance.
- Support quality initiatives across integrated care settings, including primary care, behavioral health, substance use disorder treatment, and care coordination services.
- Partner with the Managing Director of Behavioral Health Performance and other organizational leaders to support value-based contracting, quality incentive programs, and performance-based reimbursement strategies.
- Design and oversee data collection, reporting, and performance dashboards to monitor organizational goals and quality indicators.
- Facilitate Performance Improvement Projects (PIPs), Plan-Do-Study-Act (PDSA) cycles, and other continuous quality improvement activities.
- Monitor compliance with applicable regulatory and accreditation requirements, including HRSA, CARF, Medicaid, Medicare, state regulations, and payer quality programs.
- Conduct audits, chart reviews, workflow assessments, and gap analyses to identify opportunities for improvement and ensure quality standards are met.
- Collaborate with clinical, quality, compliance, and operational teams to develop corrective action plans and monitor outcomes.
- Support the preparation of Board, leadership, and committee reports related to quality performance, patient outcomes, and organizational goals.
- Develop and provide education, coaching, and technical assistance to providers and staff regarding quality measures, documentation requirements, quality improvement methodologies, and regulatory expectations.
- Serve as a quality improvement resource and subject matter expert for organizational initiatives.
- Promote a culture of continuous quality improvement, patient-centered care, accountability, and excellence throughout the organization.
Qualifications
- Bachelor's degree in Healthcare Administration, Public Health, Nursing, Social Work, Psychology, Health Informatics, or a related field required; Master's degree preferred.
- 3-5 years of healthcare quality improvement, clinical quality, population health, value-based care, performance management, or healthcare operations experience.
- Experience working within a primary care, behavioral health, FQHC, community health center, or integrated healthcare setting strongly preferred.
Skills
- Knowledge of quality improvement methodologies, including PDSA, Lean, Six Sigma, and Continuous Quality Improvement (CQI) principles.
- Understanding of healthcare quality reporting programs, including UDS, HEDIS, CMS quality measures, and value-based reimbursement models.
- Knowledge of regulatory and accreditation standards, including CARF