Quality Improvement Lead
About The Position
The Quality Improvement Lead is a clinically oriented quality improvement specialist responsible for supporting the consistent application, implementation, and monitoring of quality improvement (QI) principles under the Ohio Department of Medicaid (ODM) State Directed Payment (SDP) Program and other ambulatory quality-based initiatives. This role supports both hospital-based and professional (physician and advance practice) SDP measures and ensures that quality improvement activities are methodologically sound, data-informed, and aligned with ODM requirements. This role brings that same level of rigor to other ambulatory quality-based initiatives that are critical for Genesis and our community. The Quality Improvement Lead serves as a subject matter expert in quality improvement science, providing structure, guidance, and technical support to internal teams and participating providers. The role emphasizes standardization, rigor, and sustainability of improvement efforts.
Requirements
- Current Ohio RN License.
- BSN or Bachelor’s degree in a health-related field.
- Minimum of 3 years clinical experience in acute care or professional practice setting.
- Previous experience in quality improvement, performance improvement, or related quality-focused roles.
- Demonstrated experience applying quality improvement methodologies in a healthcare environment.
- Strong analytical, organizational, and documentation skills.
- Effective written and verbal communication skills, including the ability to explain QI concepts to clinical and operational audiences.
- Ability to manage multiple improvement activities in a dynamic Medicaid and value-based care environment.
- High level of professionalism, consistency, attention to detail, and accountability.
- Excellent computer skills and knowledge of computer software, including programs such as Word, Excel, PowerPoint, etc.
Responsibilities
- Support ODM State Directed Payment Program initiatives and other ambulatory quality-based initiatives by ensuring quality improvement activities align with approved measures for both hospital and professional services.
- Interpret quality requirements and measure specifications and translate them into clear, actionable quality improvement expectations and frameworks.
- Assist in monitoring performance data to identify gaps, variation, and opportunities where structured QI methodologies should be applied.
- Support the application of established quality improvement methodologies across initiatives, with explicit use of Key Driver Diagram (KDD) methodology, consistent with ODM’s stated intent for SDP quality improvement.
- Ensure improvement activities are designed and executed using consistent, evidence-based QI principles, including clear aim statements, key drivers, secondary drivers, and linked interventions.
- Provide methodological guidance to clinical and operational teams on problem definition, development and maintenance of Key Driver Diagrams, measure selection, intervention testing, and sustainment planning.
- Apply complementary improvement methods (e.g., PDSA cycles, Lean, Six Sigma, root cause analysis) to test and refine interventions identified through Key Driver Diagrams.
- Assist with the development, documentation, and tracking of improvement plans and corrective action plans for underperforming measures, ensuring alignment with approved Key Driver Diagrams.
- Apply clinical expertise to assess quality improvement opportunities related to care delivery, clinical workflows, and practice variation.
- Support physicians, nurses, and other clinicians by translating performance data into clinically meaningful insights that inform improvement efforts.
- Collaborate with analytics and population health teams to review and interpret performance data.
- Support appropriate application of measure specifications, attribution logic, benchmarks, and performance targets.
- Assist with the preparation of performance summaries, dashboards, and supporting documentation for internal review and reporting.
- Participate in provider-facing meetings, learning collaboratives, and workgroups to reinforce consistent use of QI methodologies.
- Support documentation, monitoring processes, and audit readiness related to quality activities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
