Director of Quality

JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC. • New York, NY

2d

About The Position

The Director of Quality is responsible for developing, implementing, and maintaining a comprehensive quality improvement (QI) and performance management program for the Federally Qualified Health Center (FQHC). This role ensures compliance with HRSA requirements, NCQA Patient-Centered Medical Home (PCMH) standards, UDS reporting, and other regulatory or accreditation bodies, while fostering a culture of continuous improvement in clinical, operational, and patient experience outcomes.

Requirements

• Bachelor’s degree in healthcare administration, public health, Nursing, or related field required.
• Minimum 5 years of progressively responsible experience in healthcare quality or performance improvement, preferably in a community health center or FQHC setting.
• Strong working knowledge of HRSA, UDS, NCQA PCMH, and related regulatory requirements.
• Demonstrated ability to lead quality initiatives and manage cross-functional teams.
• Proficiency in data analysis and quality improvement tools (e.g., Excel, EHR reporting, QI methodologies). Excellent verbal and written communication skills.

Nice To Haves

• Master's degree in public health, Healthcare Administration, or related field preferred.
• A licensed Registered Nurse (RN) or Nurse Practitioner (NP) with a strong background in healthcare quality improvement will also be considered in lieu of a master’s degree.
• Experience with risk management, clinical compliance, and patient safety programs is a plus.

Responsibilities

• Directly supervises the Quality Coordinators.
• Develops Quality Assurance policies to ensure successful implementation of improvement standards.
• Serves as the primary liaison between JPA and Managed Care Organizations (MCOs), representing the organization in all quality-related engagements and ensuring active participation in MCO quality meetings. Assesses patient medical records to ensure compliance with established quality standards.
• Coordinates and ensures timely completion of the quarterly provider peer review cycle.
• Conduct on-site visits to monitor and assess the implementation of QA/QI activities, including pre-visit planning and daily huddles.
• Aggregates statistical quality assurance data, develops comprehensive narrative reports, and partners with clinical informatics specialists to support data-driven improvements.
• Collaborates with the CMO to revise the Quality Assurance and Utilization Review plan in accordance with HRSA guidelines.
• Coordinates recurring QI/QA meetings with the Quality Coordinators and Department Leads, manages meeting coordination, records minutes, tracks participation, and ensures timely follow-up on all assigned tasks and activities.
• Monitor and track performance on HEDIS and other quality measures across payer contracts.
• Identify and prioritize care gaps in collaboration with clinical and operational teams.
• Develop and implement strategies to close care gaps, including outreach campaigns, provider engagement, and patient education.
• Collaborate with clinical teams, payors, and population health staff to align quality improvement efforts with value-based care goals. Maintain up-to-date knowledge of CMS, NCQA, and payer-specific quality measure requirements.
• Assist in the reporting and analysis of quality metrics to identify trends, disparities, and opportunities for improvement.
• Coordinate with IT and analytics teams to ensure accurate and timely data capture and reporting.
• Support the preparation of documentation and evidence for HEDIS audits and external reviews.
• Contribute to quality improvement initiatives, such as PDSA cycles, root cause analyses, and performance dashboards.
• May be required to perform other duties as assigned or when necessary.

Benefits

• Be part of a mission-driven organization focused on improving patient outcomes and advancing health equity.
• Collaborate with cross-functional teams to shape the future of value-based care.
• Opportunities for growth and professional development in a dynamic healthcare environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 251-500 employees