Manager, Quality Clinics

Job Overview

The Manager of Quality Clinics plays a crucial leadership role in spearheading quality improvement across physician practices and outpatient clinics. This position is dedicated to advancing value-based and patient-focused care models by assessing clinical data, pinpointing improvement areas, and rolling out quality initiatives that boost patient outcomes and operational efficiency. Collaboration with physicians, clinic leadership, and operational teams is key to driving continuous enhancement, aligning performance with organizational objectives, and ensuring sustainable quality care delivery.

Core Responsibilities

• Lead the adoption of value-based care frameworks within primary care and outpatient settings, ensuring they meet the organization's quality targets.
• Work alongside physicians, clinic leaders, and operations personnel to create and implement quality improvement strategies that address performance deficiencies and yield tangible results.
• Analyze clinical performance metrics such as HEDIS, Stars, ACO, and MIPS to detect patterns, scout opportunities, and formulate enhancement tactics.
• Educate and motivate healthcare providers and clinic teams regarding quality gap closures, risk coding practices, care coordination, and initiatives that improve patient experience.
• Act as the intermediary with payers, ensuring data submissions are accurate, regulatory requirements are met, and resolving any performance-related concerns.
• Collaborate with population health experts, care management, and IT staff to optimize the use of electronic medical records (EMR), registries, and dashboards for quality advancement.
• Manage quality personnel by leading recruitment efforts, providing training, and overseeing performance to support clinic and market-wide quality projects.
• Coordinate enterprise-level campaigns such as wellness visits, cancer screenings, and diabetic outreach by setting clear objectives, schedules, and accountability standards.
• Adhere to all policies and maintain consistent attendance.
• Undertake additional responsibilities as assigned.

Qualifications

• Bachelor's degree in Business Management, Healthcare Administration, Public Health, or a related discipline is required.
• A Master's degree is preferred.
• A minimum of 5 to 7 years of experience in healthcare, quality management, or data operations is necessary.
• Preferably, 2 to 4 years of experience with physician quality measures, managed care systems, EMR platforms, and clinical operations.

Skills and Knowledge

• Expertise with Google Workspace, Microsoft Office Suite, EMR systems such as Athena, and workforce management software like Kronos.
• Strong analytical capabilities to interpret clinical data, detect trends, and drive impactful quality improvements.
• Proven leadership abilities and team management skills to supervise staff and facilitate cross-disciplinary quality projects.
• Excellent communication and presentation skills to clearly convey complex quality standards to diverse audiences.
• Strong organizational and project management skills to handle multiple quality initiatives, monitor their progress, and ensure their on-time completion.