Quality Manager - Practice Transformation
About The Position
The role of the Quality Manager reports to the Director of Value-Based Programs. This position is responsible for leading quality improvement activities throughout System. This position is responsible for overseeing the design, implementation, and monitoring of clinical workflows, quality measures, quality reporting, and performance improvement projects to optimize patient outcomes and organizational performance. This position supports the System’s value-based care and quality performance by ensuring compliance with regulatory requirements, optimizing clinical workflows, and driving quality improvement efforts across outpatient settings. This position serves a critical part in aligning clinical performance with internal goals and external benchmarks to enhance patient outcomes and maximize financial incentives.
Requirements
- Strong analytical and problem-solving skills with ability to surface opportunities from complex datasets.
- Detailed knowledge of health informatics systems and their application in quality improvement.
- Up-to-date knowledge of IHI frameworks and other quality governing bodies.
- Excellent communication and training abilities.
- Proficiency in quality reporting tools and electronic health record systems (EPIC experience preferred).
- Bachelor’s degree in healthcare administration, public health, health informatics, or a related field is required.
- Minimum 3 years of experience in a healthcare regulatory, health informatics, or quality improvement environment.
- Must possess analytical and data interpretation skills, strong verbal and written communication skills, and proficiency in data visualization and reporting tools.
Nice To Haves
- Familiarity with Six Sigma, Lean, and other statistical quality improvement methodologies (certification preferred).
- Master’s degree preferred.
- Previous leadership and project management experience preferred.
Responsibilities
- Maintain comprehensive knowledge of quality measures associated with value-based care programs and contracts.
- Manage multiple complex projects related to quality, process improvement, and revenue cycle.
- Analyze care gaps and performance trends to surface issues and inform targeted interventions.
- Lead health informatics efforts for outpatient quality targets.
- Drive program implementation through staff education and workflow training.
- Ensure compliance with regulatory agencies, including CMS and other governing bodies.
- Assist in the design and mapping of clinical workflows to meet quality metrics.
- Lead outpatient clinic quality improvement initiatives.
- Conduct audits, chart reviews, and performance improvement projects in collaboration with clinical teams.
- Monitor clinical outcomes and ensure alignment with internal benchmarks and payer expectations.
- Communicate and promote a culture of continuous quality improvement.
- Oversee the preparation and submission of all quality-related reports and deliverables.
- Collaborate with Revenue Cycle teams (coding, billing, CDI) to ensure data integrity and performance accuracy.
- Report on clinical quality measures and work closely with clinical leadership to drive improvements.
- Serve as a liaison with payers regarding quality program requirements, audits, and performance improvement plans.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
1,001-5,000 employees
