Job Title: Quality Improvement (QI) Manager

Department: Health Information

FLSA Status: Exempt

Reports To: Director of Health Information Systems/Chief Medical Officer

Schedule: Full-Time, Monday - Friday

POSITION SUMMARY:

Working under the supervision of the Director of Health Information Systems and Chief Medical Officer, the QI Manager is responsible for coordinating, leading and optimizing Quality Improvement initiatives across the organization in an integrated health care setting. This role combines quality improvement leadership with healthcare data analytics and informatics. The QI Manager will support data-driven clinical and operational improvement initiatives through the collection, analysis, and reporting of quality metrics. This position is responsible for coordinating PDSA cycles and change management initiatives, developing dashboards and reports, and translating healthcare data into actionable insights for leadership and clinical teams.

The QI Manager will collaborate closely with clinical leadership, operations, and the Health Information Systems team to ensure accurate reporting of regulatory metrics (including UDS, HEDIS, and other quality measures) while promoting a culture of continuous improvement across the organization.

This position also supervises the QI team and ensures alignment between quality improvement initiatives and the organization’s strategic priorities.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned which may become essential to the position.

• Assist the Director of Health Information Systems and the Chief Medical Officer, as well as other leadership, with tasks as needed to support quality and risk management functions.
• Lead, train, and support QI Coordinators, including onboarding, daily coaching, task delegation, and oversight of outreach and patient education related to QI projects.
• Develop implement and oversee Quality Improvement initiatives using structured methodologies such as PDSA cycles, performance monitoring, and root cause analysis.
• Collect, analyze, and manage quality data, ensuring accurate and timely submissions to internal leadership, external agencies, and regulatory bodies.
• Develop reports, dashboards, and performance monitoring tools using platforms such as Excel, Power BI, SQL, or other data analytics tools to support leadership decision-making.
• Partner with the Health Information Systems team to ensure accurate data extraction, data validation, and reporting workflows related to quality measures.
• Prepare and present data-driven reports and visualizations for leadership, clinical teams, and board reporting.
• Support organizational reporting requirements including UDS, HEDIS, HRSA quality metrics, and other regulatory or grant-based reporting requirements.
• Identify trends, gaps in care, and opportunities for improvement through data analysis and performance monitoring.
• Collaborate with clinical staff, operational leadership, and external partners to implement improvement initiatives that enhance patient outcomes, access to care, and operational efficiency.
• Receive and evaluate patient feedback, including grievances, assist patients through education or coordination, identifying opportunities for improvement, and integrate findings into QI initiatives.
• Attend and represent the organization in internal and external meetings, training, audits, and site visits.
• Assist leadership in developing and implementing the Annual Quality Improvement Plan, including measurable goals, benchmarks, and monitoring progress toward strategic targets.
• Support the development of internal quality communications including reports, presentations, posters, and educational materials.

BEHAVIORAL STANDARDS:

• Adhere to Policies and Procedures.
• Participate in integrated team-based systems.
• Function in a co-management environment.
• Perform duties ethically.
• Maintain client confidentiality as per HIPAA regulations.
• Demonstrate ability to re-prioritize duties as needs arise.
• Demonstrate strong time management skills.
• Be responsible for internal/external client satisfaction.
• Display flexibility in accepting, changing, and carrying out assignments.
• Be self-directed and able to organize and manage multiple tasks.
• Maintain a neat, clean, and safe work environment throughout facility.
• Perform job duties in a quality manner.

QUALIFICATIONS:

Education and Experience

Bachelor’s degree required in one of the following or a closely related field:

• Public Health
• Healthcare Administration
• Health Informatics
• Health Information Management
• Data Analytics
• Epidemiology or Biostatistics
• Nursing or Clinical Field

Master’s degree preferred in Public Health, Health Informatics, Healthcare Administration, or a related field.

Minimum 3–5 years of experience in healthcare quality improvement, healthcare analytics, health informatics, or clinical data reporting preferred.

Experience working within community health centers, FQHCs, or integrated healthcare settings is strongly preferred.

Language Ability:

Ability to communicate complex clinical, operational, and data-driven information to both technical and non-technical audiences. Ability to prepare reports, presentations, and written communications for leadership and board-level audiences.

Math Ability:

Intermediate to advanced analytical skills including ability to calculate ratios, rates, percentages, and performance metrics used in healthcare quality measurement. Ability to interpret healthcare data trends and performance indicators.

Reasoning Ability:

Strong analytical and problem-solving abilities. Ability to collect, analyze, and interpret complex healthcare data and translate findings into actionable improvement strategies.

Computer Skills:

To perform this job successfully, an individual should have strong experience with:

• Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)
• Electronic Health Record (EHR) systems
• Data reporting and analytics tools

Preferred experience with:

• Power BI or other dashboarding tools
• SQL or database querying
• Advanced Excel (pivot tables, data modeling, formulas)
• Healthcare reporting tools (Crystal Reports or similar)
• Data visualization and performance monitoring tools

Experience with healthcare quality reporting frameworks such as UDS, HEDIS, or HRSA quality metrics preferred.

WORK ENVIRONMENT:

The work environment is an indoor business office and health clinic environment. The noise level in the work environment is usually moderate with normal business office, medical equipment, computer, phone and printer noise.

PHYSICAL DEMANDS:

While performing the duties of this job, employee will regularly talk and hear. Employees will frequently stand, use hands to finger, handle or feel, and reach with hands and arms. Employees will occasionally walk, sit, climb or balance, stoop, kneel, crouch, and smell. Employees will regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 10 pounds. Close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus are required