Director of Quality Improvement

LSMA Management Inc • San Bernardino, CA

1d • $130,000 - $145,000 • Hybrid

About The Position

The Director of Quality Improvement is responsible for the strategic leadership, development, implementation, and oversight of the organization’s Quality Improvement (QI) Program within a healthcare Management Services Organization (MSO) environment. This role ensures compliance with applicable federal and California state regulations, including DMHC, CMS, and NCQA standards, as well as health plan contractual requirements. The Director works collaboratively with executive leadership, affiliated Independent Practice Associations (IPAs), medical groups, providers, and health plans to drive measurable improvements in clinical quality, patient safety, access to care, member satisfaction, and population health outcomes. The position requires strong analytical capabilities, regulatory expertise, and leadership skills.

Requirements

• Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field.
• Five (5) years of experience in healthcare quality improvement, managed care, or healthcare compliance.
• Two (2) years of leadership or supervisory experience.
• Strong knowledge of DMHC, CMS, NCQA, and managed care regulations.
• Advanced analytical and data interpretation skills.
• Excellent written, verbal, and presentation communication skills.
• Ability to influence cross-functional teams and provider networks.
• Strong organizational, leadership, and project management skills.
• Proficiency in Microsoft Office and healthcare data/reporting systems.
• Ability to communicate effectively and clearly in person, by telephone, and in written formats.

Nice To Haves

• Master’s degree (MPH, MHA, MBA, or related clinical discipline).
• Experience within a California MSO, IPA, or health plan environment.
• Direct experience with HEDIS, CMS Star Ratings, and NCQA accreditation.
• Certified Professional in Healthcare Quality (CPHQ).
• Current California Registered Nursing (RN) License.

Responsibilities

• Strategic leadership, development, implementation, and oversight of the organization’s Quality Improvement (QI) Program.
• Ensuring compliance with applicable federal and California state regulations (DMHC, CMS, NCQA standards) and health plan contractual requirements.
• Collaborating with executive leadership, IPAs, medical groups, providers, and health plans to drive improvements in clinical quality, patient safety, access to care, member satisfaction, and population health outcomes.
• Performing extensive data analysis.
• Managing multiple priorities and deadlines in a dynamic, fast-paced healthcare environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Director