Quality Improvement Manager

Quality Improvement Manager

*This is a Hybrid position (3 days on-site and 2 days remote). This role may require occasional adjustments to on-site requirements based on operational needs.*

Salary: $85,000.00-$110,000.00

About Eisner Health:

Eisner Health is a Federally Qualified Health Center (FQHC) providing culturally competent, full life-cycle medical care, prenatal care, women's health services, dental care, behavioral health care, optometry, dermatology, case management/care coordination, supplemental services (patient benefits and enrollment, outreach), and an on-site pharmacy and lab. We are the provider of choice for more than 40,000 children, adults, and older adults in Los Angeles County each year.

Position Summary:

The Quality Improvement (QI) Manager reports to the Director of Quality Operations and serves as the organization's subject matter expert in healthcare quality analytics, data interpretation, and performance improvement. This position requires advanced analytical and health informatics expertise to integrate, validate, interpret, and translate complex data from multiple healthcare technology platformsincluding the electronic health record (EHR), population health tools, business intelligence systems, and payer portalsinto meaningful insights that drive operational, clinical, and strategic decision-making. Reference the Data Integrity, Reporting & Analytics section of the core job responsibilities section. This position requires demonstrated competency in all Data Integrity, Reporting & Analytics functions outlined within the Core Job Responsibilities section. These responsibilities are essential to the role and are not considered preferred or optional qualifications.

The QI Manager collaborates with the Chief Operating Officer, Chief Medical Officer, clinical leadership, Information Systems, and operational teams to lead organization-wide quality improvement initiatives that improve patient outcomes, optimize workflows, ensure regulatory compliance, and advance value-based performance. This role oversees a team of Quality Improvement staff, leads cross-functional improvement projects, develops and monitors performance metrics and dashboards, identifies trends and root causes, evaluates the effectiveness of interventions, and provides actionable recommendations to leadership. The position ensures alignment with HRSA, CMS, NCQA-PCMH, HEDIS, UDS, and payer requirements while supporting continuous quality improvement across all Eisner Health clinical and administrative settings.

Essential Duties:

Leadership, Program Development & Oversight:

• Provides leadership, performance coaching, mentorship, and professional development support to Quality Improvement staff while fostering accountability, collaboration, continuous learning, and high performance.
• Develops, implements, and evaluates the organization-wide Quality Improvement (QI) Program in alignment with HRSA, CMS, NCQA-PCMH, and FQHC standards.
• Performs annual review and updates to the QI Plan; integrates with Risk Management and patient safety efforts.
• Promotes a culture of quality, safety, and continuous improvement through collaboration with clinical, operational, and administrative leaders.
• Coordinates QI Committee meetings, prepares agendas and reports, and tracks progress on quality initiatives.

Regulatory Compliance & Accreditation Readiness:

• Ensures compliance with federal, state, and payer-specific quality requirements (e.g., HEDIS, UDS, CMS).
• Supports audit readiness and response for HRSA OSVs, NCQA-PCMH recognition, health plan audits, and data validation reviews.
• Maintains up-to-date knowledge of evolving quality standards and regulatory trends relevant to FQHCs.
• Assists with preparation and submission of UDS and other quality-related reports.

Data Integrity, Reporting & Analytics:

• Integrates, reconciles, and validates data across multiple healthcare technology platforms (e.g., EHR, population health, payer, health information exchange, and reporting systems) to ensure data accuracy and consistency.
• Performs advanced data analysis to identify performance trends, attribution discrepancies, documentation gaps, coding opportunities, and operational or clinical improvement opportunities.
• Validates quality measure logic, numerator/denominator accuracy, and data integrity to support regulatory reporting, value-based contracts, HRSA/UDS, HEDIS, and payer performance requirements.
• Utilizes advanced Excel functions (e.g., nested formulas, XLOOKUP, INDEX/MATCH, Power Query, pivot tables, and large dataset manipulation) to analyze, reconcile, and report complex healthcare data.
• Collaborates with Information Systems and Business Intelligence teams to develop reporting solutions, automate workflows, improve data integrity, and optimize data availability across systems.
• Interprets and translates complex analytical findings into actionable recommendations for executive, operational, and clinical leadership.
• Develops dashboards, performance reports, and executive-level presentations that communicate organizational performance, measure outcomes, and quality improvement priorities.
• Identifies root causes of performance variation through data validation, chart review, workflow analysis, and cross-functional collaboration to support sustainable process improvement.

Performance Improvement & Project Management:

• Leads multidisciplinary teams through quality improvement initiatives and drives accountability for action plans, performance targets, and project outcomes.
• Leads and supports QI initiatives using models such as PDSA cycles, workflow redesign, and root cause analysis.
• Collaborates with cross-functional teams to develop action plans that improve clinical outcomes and patient experience.
• Coordinates staff training on QI methodologies, documentation standards, and regulatory updates.

Patient-Centered Medical Home (PCMH) & Population Health:

• Coordinates PCMH implementation and continuous compliance with NCQA Standards, ensuring integration into clinic operations.
• Supports panel management and empanelment processes to promote provider continuity and attribution accuracy.
• Partners with care teams and population health staff to close care gaps and advance value-based care initiatives.

Stakeholder Engagement & Feedback Loops:

• Facilitates patient satisfaction surveys and integrates feedback into quality improvement planning.
• Serves as liaison to external partners (e.g., CCALAC, CPCA, IPAs, health plans, government agencies) for quality-related activities.
• Participates in internal and external workgroups to align strategies and share best practices.

Requirements and Qualifications:

• Bachelor's Degree in Healthcare Administration, Health Informatics, Public Health, or a related field, or an equivalent combination of education, training, and experience.
• Progressive Quality Improvement, performance improvement, healthcare analytics, or population health experience in a healthcare setting, preferably within an FQHC or other ambulatory care environment.
• Knowledge of healthcare quality, regulatory, and accreditation programs, including HRSA, HEDIS, NCQA-PCMH, UDS, and value-based care initiatives.
• Advanced experience utilizing Electronic Health Record (EHR), population health, payer, and reporting platforms to perform data validation, analysis, reconciliation, and performance reporting, and operational decision support.
• Demonstrated ability to extract, merge, reconcile, validate, and interpret large datasets from multiple systems and data sources to support operational and quality improvement decision-making.
• Advanced proficiency in Microsoft Excel, including complex formulas, lookup functions, pivot tables, data modeling, and large dataset analysis.
• Experience utilizing healthcare analytics, population health, payer reporting, and business intelligence platforms.
• Program management and evaluation experience, or demonstrated ability to effectively lead projects, coordinate cross-functional activities, drive accountability, and achieve measurable outcomes.
• Previous supervisory or management experience is preferred. Candidates without direct management experience may be considered if they demonstrate strong leadership, communication, relationship-building, coaching, and team development capabilities.
• Exceptional written, verbal, and presentation skills, with the ability to effectively communicate complex data and quality initiatives to diverse audiences.
• Strong organizational, planning, and time management skills, with the ability to manage multiple priorities and projects simultaneously.

Benefits:

• PTO accrual rate of 7.08 hours per pay period (26 pay periods per year).
• 9 Paid Holidays.
• 40 hours of paid Jury Duty time per year.
• Medical, Dental, & Vision insurance (HSA eligible PPO option available).
• Flexible Spending Accounts (Healthcare, Dependent Care, & Transportation).
• Employer-sponsored life insurance & long-term disability.
• 30 free visits per year for Chiropractic or Acupuncture.
• 401k plan with a 3% employer contribution

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Equal Opportunity Employer