Quality - Quality Manager (Must have FQHC Experience)

San Diego American Indian Health Center•San Diego, CA

17h

About The Position

We are an FQHC community health center dedicated to embodying the values central to American Indian cultures. This includes respect for our patients, acknowledgement of the whole person, and a focus on working together to ensure health for the individual, and therefore the community. We invite persons of all tribes, ethnic backgrounds and walks of life to experience the comprehensive care we deliver and to contribute to the services we provide for children, youth, families, adults, and elders. The Quality Manager is responsible for leading the organization’s quality improvement activities to ensure measurable improvement in clinical quality, preventive care, and grant-required performance measures. This role oversees performance monitoring and improvement initiatives related to HEDIS, GPRA, HRSA, and grant-specific measures, and is accountable for driving sustained improvement through workflow redesign, data analysis, patient outreach strategies, and cross-functional collaboration. The Quality Manager works closely with clinical, operational, care management, outreach, and grants teams to identify gaps in performance, implement corrective actions, and ensure improvement is documented, measurable, and sustainable. This position focuses on systems improvement and performance outcomes, not direct clinical care. Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below. In addition, must perform other duties as assigned.

Requirements

Bachelor's degree from an accredited college or university in Nursing, Quality, Social Work, or other health related field preferred.
Minimum 3–5 years’ experience in healthcare quality improvement, population health, or performance management.
Some knowledge of Clinical Compliance, Best Practices, Medical Record Review, Legal Aspects of Documentation, or medical coding and billing preferred.
CPR/ BLS certification: Maintain a current Basic Life Support (BLS) certification issued by the American Heart Association (AHA), the American Red Cross, or an equivalent organization. Certification must include an in-person, hands-on skills assessment. Online-only certifications are not accepted.
Annual background checks: Consent to annual background checks as a condition of continued employment, to ensure compliance with organizational standards and eligibility requirements.
For-Cause Drug Screening: Comply with drug screening requirements when initiated by the organization for cause, to support a safe, compliant, and drug-free workplace.
Ongoing Compliance Requirements: Maintain up-to-date compliance with all required annual renewals, including professional licenses, certifications, physical examinations, TB testing, and mandatory regulatory trainings as assigned by the San Diego American Indian Health Center (SDAIHC).
Attention to detail development and maintenance of regulatory paperwork.
Ability to work independently, as well as to be part of a collaborative team.
Strong presentation skills and ability to create needed educational materials.
Excellent written and oral communication skills.
Computer competence, highly effective collaboration, written and verbal communications skills.
Attention to detail development and maintenance of regulatory paperwork.
Excellent oral and written communication skills.
Computer proficiency, including programs such as MS Office, Word, Excel, email, and internet research, required.
Must possess the ability to educate and train Compliance and Clinical standards to staff members.
Excellent time management skills
Excellent organizational skills and attention to detail.
Ability to maintain confidentiality and meticulous records.
Effective interpersonal skills.
Able to deal effectively with a diversity of individuals.
Ability to establish and maintain cooperative working relationships with all during the course of work.
Able to perform basic mathematical calculations necessary to perform the job function.
Must be reliable and extremely trustworthy.
Demonstrated proficiency in Microsoft Suite or related programs.
Able to lift/move up to 10 pounds, move from place to place.
Able to sit at a desk and work on a computer for prolonged periods.
Able to stand, bend and reach for prolonged periods.
Ability to do math, organize and prioritize workload, work effectively and efficiently under stress.
Ability to supervise, multitask, understand, and follow instructions.
Ability to proficiently read, write, speak, and understand English.

Nice To Haves

Experience in Compliance, Risk Management, Quality Management, Documentation Standards, Billing, and Coding knowledge.
Experience serving a multinational, multicultural population.
FQHC background.
Familiarity with Community Health Clinics and/or Indian Health Clinics.
ECW EHR.

Responsibilities

Oversees tracking, monitoring, and reporting of quality measures, including but not limited to:
HEDIS measures.
GPRA measures.
HRSA clinical quality measures.
Grant-specific performance indicators.
Reviews performance data regularly to identify gaps, trends, and improvement opportunities.
Ensures quality measures are calculated, validated, and reported accurately and timely.
Maintains dashboards and reports for leadership, clinical teams, and grant stakeholders.
Leads analysis of clinical and operational workflows impacting quality outcomes.
Identifies breakdowns in processes related to screening, follow-up, documentation, and patient engagement.
Designs and implements workflow changes to improve performance and close care gaps.
Ensures workflow changes are standardized, documented, and scalable across sites or departments.
Monitors post-implementation results to ensure improvements are sustained and measurable.
Partners with non-clinical patient outreach efforts to improve quality measure performance, including:
Outreach calls, reminders, and follow-up coordination.
Appointment scheduling support.
Referral follow-up tracking.
Develop protocols for patient contact when outreach is needed to close care gaps.
Works with PSRs, care coordinators, CHWs, and other teams to ensure outreach activities align with quality goals.
Monitors outreach effectiveness and adjust strategies based on results.
Partners with clinical leadership, care management, PSR, referrals, IT, and grants teams to drive quality improvement.
Aligns quality initiatives with grant requirements and funding objectives.
Coordinates with Grants and Finance teams to ensure quality performance supports grant sustainability.
Brings data-driven recommendations to leadership to address underperforming measures.
Ensures accountability across teams contributing to quality outcomes.
Supports grant-funded programs by aligning workflows and activities with required performance measures.
Monitors quality-related grant deliverables and timelines.
Provides documentation and evidence of improvement for grant reporting, audits, and site visits.
Works with program managers to remediate underperforming measures that may impact funding.
Provides training and guidance to staff on quality workflows, documentation standards, and measure requirements.
Translates complex measure definitions into practical operational steps for staff.
Supports change management efforts to ensure adoption of new workflows.
Reinforces the importance of quality improvement as a shared organizational responsibility.
Ensures quality improvement activities are well-documented and audit ready.
Maintains policies, procedures, and QI plans related to quality management.
Supports internal and external audits, site visits, and monitoring activities.
Ensures quality improvement efforts align with regulatory and grant requirements. Quality and patient safety to adopt best practices.