Senior Manager, Clinical Quality Management

About the role

The Senior Manager of Clinical Quality Management provides strategic leadership for the organization’s Clinical Quality Management (CQM/QAPI) program, ensuring alignment with regulatory, accreditation, and organizational goals. This role collaborates with nursing, operations, risk management, infection prevention, and compliance to drive enterprise-wide quality improvement initiatives.

Responsibilities

• Oversee quality measurement, reporting, and analysis, including clinical outcomes, patient safety indicators, and performance benchmarks.
• Partner with nursing, operations, risk management, infection prevention, and compliance to drive enterprise-wide quality improvement initiatives.
• Lead the planning, reporting, and analysis of patient safety, risk, and patient satisfaction data to the Quality Management Oversight Committee (QMOC).
• Maintain quality dashboards and executive-level reporting, translating complex quality data into actionable insights for senior leadership and governing bodies.
• Guide and mentor clinical staff, fostering a culture of high reliability, transparency, and continuous learning.
• Stay current on emerging quality, safety, and regulatory trends, incorporating best practices into organizational strategy.
• Collaborate with IT and analytics teams to optimize clinical quality data integrity, abstraction, and reporting systems.
• Support value-based care initiatives, population health strategies, and clinical effectiveness programs by integrating evidence-based practice and performance improvement methodologies.
• Collaborate with Sr Dr Risk Management on reporting potential liabilities to VP, Quality & Risk Management and Legal Department.
• Assists with a complete and thorough review and assessment of medical records related to potential or actual litigation.
• Supports activities to assure compliance with and maintenance of operational readiness for accrediting organizations and regulatory authority inspections or surveys.
• Supports the Vice President, Nursing/Quality & Risk Management in initiating and managing emergency procedures and/or recalls as needed.
• Collaborates with QRM team on effective implementation of the organization-wide Quality Management Program, including an annual review of the effectiveness of the Program.

Requirements

• A licensed clinician with at least 7-10 years of progressive experience in healthcare quality, clinical performance improvement, or patient safety, with prior leadership or management experience.
• Familiarity with OSHA, CDC, recognized standards of care for services provided by Option Care Health, and other regulatory and accrediting agency standards such as ACHC and NAHQ.
• Excellent organizational skills and ability to multi-task.
• Demonstrated experience leading QAPI/CQM programs in complex healthcare organizations (acute care, ambulatory, post-acute, or managed care).
• Advanced knowledge of CMS quality programs, regulatory requirements, and accreditation standards.
• Proven expertise in performance improvement methodologies (Lean, Six Sigma, PDSA, High Reliability Organization principles).
• Experience with clinical quality metrics, data analytics, and dashboard development.
• Strong executive communication skills, with the ability to influence clinical and operational leaders.
• Ability to write reports, business correspondence, and policy/procedures.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.
• Ability to use spreadsheets and databases as well as track, trend, and analyze data.

Qualifications

• Ability to sit at a desk, using computer and mouse for extended periods (up to 8 hr./day).
• Ability to travel by vehicle or plane up to six hours/day (at least quarterly).

Benefits

• Medical, Dental, & Vision Insurance
• Paid Time off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs

Pay

The salary range for this position is $97,113.10 - $161,862.67, based on the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Options

• Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
• E-Verify® is a registered trademark of the U.S. Department of Homeland Security.