Quality Improvement Program Manager

This position serves as a champion for Continuous Quality Improvement (CQI) and promotes a culture of quality, patient safety, equity, and health literacy throughout the organization. The QI Program Manager uses data and performance metrics to identify opportunities for improvement, coordinates quality improvement projects, and supports organizational goals related to clinical quality, regulatory requirements, value-based care, and patient-centered care.

The QI Program Manager also provides leadership for health literacy initiatives, including management of the Materials Review Committee and integration of health literacy best practices into organizational processes, patient communications, workflows, and service delivery models.

ESSENTIAL JOB FUNCTIONS

• Building collaborative relationships with interdisciplinary teams and stakeholders.
• Facilitating meetings, trainings, and quality improvement initiatives.
• Managing multiple projects and action plans simultaneously.
• Analyzing and interpreting quality and performance data.
• Presenting information to leadership, staff, and external partners.
• Developing and implementing quality improvement strategies and interventions.
• Supporting organizational compliance, reporting, and accreditation activities.
• Promoting health literacy, patient engagement, and equitable access to care.

MAJOR AREAS OF RESPONSIBILITY

Quality Improvement Leadership

• Collaborate with the Director of Quality, Chief Medical Officer and operational leaders to develop, implement and evaluate quality improvement initiatives that improve clinical outcomes, patient experience and operational performance.
• Serve as an organizational champion for Continuous Quality Improvement (CQI) principles, methodologies, and tools.
• Develop and maintain frameworks for measuring, monitoring, and improving quality across all service lines.
• Serve as project manager on quality improvement projects from planning through implementation, evaluation, and sustainability.
• Facilitate root cause analysis, process mapping, workflow redesign, and corrective action planning.
• Educate and coach staff on quality improvement concepts, performance measures, and best practices.

Clinical Quality and Value -Based Care

• Partner with providers and operational leaders to improve performance on clinical quality indicators and population health outcomes.
• Support organizational participation in value-based care arrangements and quality incentive programs by monitoring performance, identifying improvement opportunities, and implementing targeted interventions.
• Develop action plans to improve quality outcomes, close care gaps, and support achievement of performance-based reimbursement goals.
• Collaborate with clinical teams to optimize workflows, documentation, coding practices, and care management strategies that support quality reporting and patient outcomes.

Data Analytics and Performance Monitoring

• Monitor quality improvement outcomes and evaluate the effectiveness of interventions.
• Conduct audits and workflow assessments to identify trends, barriers, and opportunities for improvement.
• Prepare and present quality reports, dashboards, and recommendations to leadership and operational teams.
• Use data to drive decision-making and prioritize improvement efforts across the organization.
• Collaborate with clinical and operational teams to design and implement EHR workflows that support accurate documentation, coding, quality reporting, and patient care.
• Identify opportunities to improve data capture and reporting capabilities.

Health Literacy Leadership

• Manage and facilitate the Materials Review Committee, ensuring patient-facing materials use health literacy best practices.
• Promote integration of health literacy principles into workflows, policies, procedures, patient education materials, and communication practices.
• Collaborate with clinical, operational, and program staff to identify opportunities to improve patient understanding, engagement, access, and self-management.
• Provide guidance, and technical assistance to staff on health literacy best practices.

Regulatory Reporting and Compliance

• Participate in preparation and coordination of audits, surveys, and accreditation activities as needed
• Support annual reporting requirements, including but not limited to UDS, RSR and PCMH
• Ensure quality improvement activities align with regulatory requirements, organizational goals, and industry best practices.

Collaboration and Stakeholder Engagement

• Collaborate with internal departments, external partners, FQHC associations, and community stakeholders to support quality initiatives.
• Provide consultation and technical assistance to leaders and staff regarding quality improvement activities and performance improvement plans.
• Support development and implementation of annual Quality Management Program goals and priorities.
• Participate in cross-functional organizational initiatives that improve patient outcomes, operational effectiveness, and healthcare quality.
• Perform other duties as assigned.