San Diego
Company Description San Diego Community Health Center is a Federally Qualified Health Center (FQHC) and an Indian Health Service (IHS) funded nonprofit organization. Since 1979, the center has provided comprehensive medical, dental, behavioral health, and wellness services to the community. As a 501(c)(3) nonprofit organization, it is dedicated to delivering high-quality healthcare for all people. Learn more about the center’s mission and services by visiting sdaihc.org. Role Description 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. Essential Duties and Responsibilities: Primary Functions: Quality Measurement & Performance Oversight 1. Oversees tracking, monitoring, and reporting of quality measures, including but not limited to: a. HEDIS measures. b. GPRA measures. c. HRSA clinical quality measures. d. Grant-specific performance indicators. 2. Reviews performance data regularly to identify gaps, trends, and improvement opportunities. • Ensures quality measures are calculated, validated, and reported accurately and timely. 1. Leads analysis of clinical and operational workflows impacting quality outcomes., 2. Identifies breakdowns in processes related to screening, follow-up, documentation, and patient engagement., 3. Designs and implements workflow changes to improve performance and close care gaps., 4. Ensures workflow changes are standardized, documented, and scalable across sites or departments., 5. Monitors post-implementation results to ensure improvements are sustained and measurable. Patient Outreach & Gap Closure Strategies 1. Partners with non-clinical patient outreach efforts to improve quality measure performance, including: a. Outreach calls, reminders, and follow-up coordination. b. Appointment scheduling support. c. Referral follow-up tracking. 2. 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. Cross-Department Collaboration & Accountability 1. Partners with clinical leadership, care management, PSR, referrals, IT, and grants teams to drive quality improvement., 2. Aligns quality initiatives with grant requirements and funding objectives., 3. Coordinates with Grants and Finance teams to ensure quality performance supports grant sustainability., 4. Brings data-driven recommendations to leadership to address underperforming measures., 5. Ensures accountability across teams contributing to quality outcomes. Gant & Program Quality Support 1. Supports grant-funded programs by aligning workflows and activities with required performance measures., 2. Monitors quality-related grant deliverables and timelines., 3. Provides documentation and evidence of improvement for grant reporting, audits, and site visits., 4. Works with program managers to remediate underperforming measures that may impact funding. Training, Guidance & Change Management 1. Provides training and guidance to staff on quality workflows, documentation standards, and measure requirements., 2. Translates complex measure definitions into practical operational steps for staff., 3. Supports change management efforts to ensure adoption of new workflows., 4. Reinforces the importance of quality improvement as a shared organizational responsibility. Compliance, Documentation & Audit Readiness 1. Ensures quality improvement activities are well-documented and audit ready., 2. Maintains policies, procedures, and QI plans related to quality management., 3. Supports internal and external audits, site visits, and monitoring activities., 4. Ensures quality improvement efforts align with regulatory and grant requirements. Quality and patient safety to adopt best practices. Qualifications: Minimum Qualifications: 1. Bachelor's degree from an accredited college or university in Nursing, Quality, Social Work, or other health related field preferred., 2. Minimum 3–5 years’ experience in healthcare quality improvement, population health, or performance management., 3. Some knowledge of Clinical Compliance, Best Practices, Medical Record Review, Legal Aspects of Documentation, or medical coding and billing preferred. Preferred: 1. Experience in Compliance, Risk Management, Quality Management, Documentation Standards, Billing, and Coding knowledge., 2. Experience serving a multinational, multicultural population., 3. FQHC background. • Familiarity with Community Health Clinics and/or Indian Health Clinics. 5. ECW EHR. Quality Management: 1. Contribute to the success of the organization by participating in quality improvement activities., 2. Complies with all SDAIHC policies and procedures and proactively participates in the implementation of new initiatives., 3. Participate and ensures continuous quality improvement process as directed by clinic leadership. Safety: 1. Ensures regulatory compliance and adherence with policies and procedures related to safe work practices., 2. Participate in infection prevention through appropriate use of infection control measures during patient treatment and patient interactions., 3. Ensure compliance with regulatory requirements for maintaining physical spaces, equipment, and supplies., 4. Uses all appropriate equipment and/or tools to ensure workplace safety., 5. Immediately reports unsafe working conditions. Privacy/Compliance: 1. Maintains privacy and security of all patients, employee, and volunteer information and access to such information. Such information is accessed on a need-to-know basis for business purposes only., 2. Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent, or unlawful behavior or activity., 3. Upholds strict ethical standards. Disclaimer Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This description reflects management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. This job description is subject to change at any time. Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the San Diego American Indian Health Center, is an equal opportunity employer.