Quality Manager

Position Summary The Quality Manager is responsible for leading, coordinating, and implementing the Quality Improvement (QI) Program for the Clinic to ensure the delivery of safe, effective, and patient-centered care.

Responsibilities include managing and analyzing quality data, preparing reports, and ensuring adherence to AAAHC standards, federal and tribal regulations, GPRA reporting, and HEDIS measures.

The Quality Manager fosters a culture of continuous improvement and participates in audits and surveys per the quality plan.

Essential Duties/Responsibilities Develop, monitor, and present internal quality measures and initiatives.

Develop, implement, and maintain the Quality Improvement Program per AAAHC accreditation standards.

Collaborate with the Compliance Manager to plan, coordinate, and facilitate Quality, Safety, and Utilization Review Committee meetings.

Lead Electronic Health Record (EHR)-based initiatives to enhance patient engagement and satisfaction.

Lead annual quality program evaluations and performance improvement projects.

Coordinate risk management, patient safety, and infection control activities.

Ensure integration and measurement of Quality requirements for compliance.

Prepare for and manage all phases of AAAHC surveys, documentation, and corrective action follow-up.

Oversee collection, validation, and submission of GPRA and HEDIS data.

Monitor performance, identify trends, and recommend interventions for improvement.

Provide regular reports on GPRA and HEDIS to leadership and committees.

Create and maintain dashboards and scorecards for key quality indicators.

Analyze data to identify gaps in care and opportunities for improvement.

Prepare monthly, quarterly, and annual quality reports for leadership, tribal council, and agencies.

Oversee patient satisfaction surveys and follow-up actions.

Collaborate with staff to design care and population health improvement initiatives.

Provide ongoing staff training on quality processes, accreditation, GPRA/HEDIS.

Review QI tools and provide technical assistance for Quality projects.

Manage incident reporting per AAAHC: tracking, investigation, and root cause analysis.

Develop and implement QI studies based on trends, events, or near misses.

Perform other duties as assigned.

Qualifications Required Education & Experience Bachelors Degree in Healthcare Administration, Nursing, Public Health, or related field.

Experience with Indian Health Service (IHS) and/or tribal health programs.

Experience managing large-scale quality improvement projects.

Preferred Education & Experience Masters Degree in Healthcare Administration, Public Health, Nursing, or a related field Certification in quality or process improvement methodologies such as Six Sigma, Lean, or Certified Professional in Healthcare Quality (CPHQ).

Licenses/Certificates Valid CPR Certification Valid California Drivers License Pre-Employment Requirements Pre-employment drug testing.

Department of Justice fingerprint clearance thro...