About The Position

The Manager, Quality & Patient Safety works collaboratively to lead and establish appropriate performance management and quality improvement systems. The role is responsible for implementing and maintaining quality management programs and facilitating assigned programs with defined objectives. This includes ensuring compliance with NCQA, IHA, CMS, health plan regulations and contractual requirements, and standards and projects related to quality management, standard work, and clinical improvement initiatives. The Manager ensures or supports assessment and planning, performance measurement and monitoring, evaluation, and quality improvement in the delivery of quality patient care. The position leads safety, quality, and clinical effectiveness initiatives and cross-functional projects, and develops data-driven recommendations for leadership while balancing strategic initiatives with operational excellence.

Requirements

  • Bachelor's degree in Management, Public Health, Nursing, Business Administration, Organizational Leadership, or a related field; equivalent education and/or experience may be considered.
  • One of the listed credentials: California Registered Nurse (RN), Medical Doctor (MD), Pharmacist (PharmD), Physician Assistant (PA), or Nurse Practitioner (NP).
  • Eight years of recent, relevant experience.
  • Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring, and project management skills.
  • Knowledge of population health management practices, policies, programs, initiatives, and functions.
  • Strong written and verbal communication skills, including presentations and performance improvement reporting.
  • Ability to collaborate effectively with physician leadership, providers, and operational leaders.
  • Strong problem-solving skills and ability to develop and implement effective solutions.
  • Advanced proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint), Epic, and Midas.
  • Strong organizational skills and ability to manage multiple priorities and deadlines independently.
  • Excellent customer service skills.
  • Ability to manage confidential and sensitive information with professionalism, tact, and discretion.
  • Ability to thrive in a fast-paced environment and work effectively with people at all organizational levels.
  • Experience leading safety, quality, and clinical effectiveness initiatives with a high degree of independence.
  • Experience leading cross-functional projects, including stakeholder management, resource allocation, and project execution.
  • In-depth knowledge of applicable regulations and compliance requirements.
  • Experience with process improvement methodologies such as Lean and process transformation.
  • Knowledge of ambulatory quality metrics and programs, including HEDIS, IHA, CMS, ACOs, and other quality measurement frameworks.
  • Ability to balance strategic initiatives while maintaining operational excellence.

Responsibilities

  • Lead and establish appropriate performance management and quality improvement systems.
  • Implement and maintain quality management programs and facilitate assigned programs with specified objectives.
  • Support compliance with NCQA, IHA, CMS, health plan regulations and contractual requirements, and related standards.
  • Support assessment and planning, performance measurement and monitoring, evaluation, and quality improvement for quality patient care.
  • Train staff in quality improvement and performance improvement methodologies.
  • Evaluate staff performance, identify development needs, and address performance concerns.
  • Develop, implement, and ensure adherence to department policies and procedures.
  • Compile, analyze, summarize, and present complex data, including executive-level reports and summaries.
  • Lead safety, quality, and clinical effectiveness initiatives and cross-functional projects, including stakeholder management, resource allocation, and execution.
  • Prepare and present data-driven recommendations to leadership.
  • Balance strategic initiatives while maintaining operational excellence.

Benefits

  • Comprehensive benefits package for eligible positions
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