JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Director of Quality
5 days ago
Arverne
Job Description The Director of Quality is responsible for developing, implementing, and maintaining a comprehensive quality improvement (QI) and performance management program for the Federally Qualified Health Center (FQHC). This role ensures compliance with HRSA requirements, NCQA Patient-Centered Medical Home (PCMH) standards, UDS reporting, and other regulatory or accreditation bodies, while fostering a culture of continuous improvement in clinical, operational, and patient experience outcomes. RESPONSIBILITIES: • Directly supervises the Quality Coordinators., • Develops Quality Assurance policies to ensure successful implementation of improvement standards., • Serves as the primary liaison between JPA and Managed Care Organizations (MCOs), representing the organization in all quality-related engagements and ensuring active participation in MCO quality meetings. Assesses patient medical records to ensure compliance with established quality standards., • Coordinates and ensures timely completion of the quarterly provider peer review cycle., • Conduct on-site visits to monitor and assess the implementation of QA/QI activities, including pre-visit planning and daily huddles., • Aggregates statistical quality assurance data, develops comprehensive narrative reports, and partners with clinical informatics specialists to support data-driven improvements., • Collaborates with the CMO to revise the Quality Assurance and Utilization Review plan in accordance with HRSA guidelines., • Coordinates recurring QI/QA meetings with the Quality Coordinators and Department Leads, manages meeting coordination, records minutes, tracks participation, and ensures timely follow-up on all assigned tasks and activities., • Monitor and track performance on HEDIS and other quality measures across payer contracts., • Identify and prioritize care gaps in collaboration with clinical and operational teams., • Develop and implement strategies to close care gaps, including outreach campaigns, provider engagement, and patient education., • Collaborate with clinical teams, payors, and population health staff to align quality improvement efforts with value-based care goals. Maintain up-to-date knowledge of CMS, NCQA, and payer-specific quality measure requirements., • Assist in the reporting and analysis of quality metrics to identify trends, disparities, and opportunities for improvement., • Coordinate with IT and analytics teams to ensure accurate and timely data capture and reporting., • Support the preparation of documentation and evidence for HEDIS audits and external reviews., • Contribute to quality improvement initiatives, such as PDSA cycles, root cause analyses, and performance dashboards. Education: • Bachelor’s degree in healthcare administration, public health, Nursing, or related field required., • Master's degree in public health, Healthcare Administration, or related field preferred., • A licensed Registered Nurse (RN) or Nurse Practitioner (NP) with a strong background in healthcare quality improvement will also be considered in lieu of a master’s degree. Experience: • Minimum 5 years of progressively responsible experience in healthcare quality or performance improvement, preferably in a community health center or FQHC setting., • Strong working knowledge of HRSA, UDS, NCQA PCMH, and related regulatory requirements. Skills: • Demonstrated ability to lead quality initiatives and manage cross-functional teams., • Proficiency in data analysis and quality improvement tools (e.g., Excel, EHR reporting, QI methodologies). Excellent verbal and written communication skills., • Experience with risk management, clinical compliance, and patient safety programs is a plus. Working Conditions: • Primarily office-based with some travel between clinical sites., • May require occasional evenings or weekends for meetings or training. Why Join Us: Be part of a mission-driven organization focused on improving patient outcomes and advancing health equity. Collaborate with cross-functional teams to shape the future of value-based care. Opportunities for growth and professional development in a dynamic healthcare environment.