Quality Improvement Manager

Eisner Health Open•Los Angeles, CA

1d•Hybrid

About The Position

The Quality Improvement (QI) Manager reports to the Director of Quality Operations and plays a key role in advancing organization-wide quality initiatives. This position collaborates with the Chief Operating Officer, Chief Medical Officer, clinical teams, and operational leaders to drive quality improvement efforts that enhance patient care, ensure regulatory compliance, and support value-based performance goals. The QI Manager leads a team of QI Specialists, oversees data-informed projects, facilitates cross-functional improvement activities, and ensures alignment with HRSA, CMS, NCQA-PCMH, and payer requirements across Eisner Health’s clinical and administrative settings.

Requirements

Bachelor’s Degree in Healthcare Administration, Health Informatics, Public Health, or comparable experience and training.
Progressive experience in QI in a health care setting, preferably an FQHC.
Knowledge of relevant programs, including HRSA, HEDIS, PCMH, UDS, and MU.
Experience with an Electronic Health Record system and population management programs.
Outstanding skills in data collection, analysis, and presentation of data appropriate for the audience.
Familiarity with project management tools, word processing, spreadsheets, and database software.
Program management and evaluation experience, OR demonstrated ability to effectively manage projects, coordinate activities, and track outcomes.
Supervisory experience preferred, but candidates without formal supervisory experience will be considered if they can show competency to thrive in the role and a strong interest in developing leadership skills.
Superb written and oral communication skills, with a particular emphasis on presentation skills.
Organization and planning skills, and ability to manage multiple projects.
Must demonstrate integrity, sound judgement, leadership skills, and strong interpersonal skills.
Must be able to approach staff and providers about quality issues with tact and diplomacy.

Responsibilities

Develops, implements, and evaluates the organization-wide Quality Improvement (QI) Program in alignment with HRSA, CMS, NCQA-PCMH, and FQHC standards.
Performs annual review and updates to the QI Plan; integrates with Risk Management and patient safety efforts.
Promotes a culture of quality, safety, and continuous improvement through collaboration with clinical, operational, and administrative leaders.
Coordinates QI Committee meetings, prepares agendas and reports, and tracks progress on quality initiatives.
Ensures compliance with federal, state, and payer-specific quality requirements (e.g., HEDIS, UDS, Medi-Cal MCPs, CalAIM).
Supports audit readiness and response for HRSA OSVs, NCQA-PCMH recognition, health plan audits, and data validation reviews.
Maintains up-to-date knowledge of evolving quality standards and regulatory trends relevant to FQHCs.
Assists with preparation and submission of UDS and other quality-related reports.
Oversees QI data collection, validation, analysis, and reporting processes to ensure accuracy, consistency, and timeliness.
Utilizes EHR and population health platforms to track performance metrics and identify trends, gaps, and opportunities.
Collaborates with the informatics team to design dashboards, automate reports, and reconcile data across systems.
Informs budgeting, staffing, and pay-for-performance (P4P) strategies by analyzing provider- and site-level performance.
Leads and supports QI initiatives using models such as PDSA cycles, workflow redesign, and root cause analysis.
Collaborates with cross-functional teams to develop action plans that improve clinical outcomes and patient experience.
Coordinates staff training on QI methodologies, documentation standards, and regulatory updates.
Coordinates PCMH implementation and continuous compliance with NCQA Standards, ensuring integration into clinic operations.
Supports panel management and empanelment processes to promote provider continuity and attribution accuracy.
Partners with care teams and population health staff to close care gaps and advance value-based care initiatives.
Facilitates patient satisfaction surveys and integrates feedback into quality improvement planning.
Serves as liaison to external partners (e.g., CCALAC, CPCA, IPAs, health plans, government agencies) for quality-related activities.
Participates in internal and external workgroups to align strategies and share best practices.