Manager, Quality Clinics

Manager, Quality Clinics

The Manager, Quality Clinics is responsible for leading quality improvement initiatives across physician practices and outpatient clinics to support value-based, patient-centered care models. The role drives performance improvement by analyzing clinical data, identifying opportunities, and implementing quality programs that enhance patient outcomes and operational effectiveness. The Manager partners with physicians, operational leaders, and clinic teams to promote continuous improvement, align performance with organizational goals, and sustain long-term success in quality care delivery.

Essential Functions:

• Leads the implementation of value-based care models across primary care and outpatient clinics, ensuring alignment with organizational quality goals.
• Partners with physicians, clinic leadership, and operational teams to design and execute quality improvement plans that address performance gaps and drive measurable outcomes.
• Monitors and interprets clinical performance data (e.g., HEDIS, Stars, ACO, MIPS) to identify trends, opportunities, and improvement strategies.
• Educates and engages providers and clinic teams on quality gap closure, risk coding, care coordination, and patient experience initiatives.
• Serves as liaison with payers to ensure accurate data submission, compliance with reporting requirements, and resolution of performance issues.
• Collaborates with population health, care management, and IT teams to maximize the use of EMR tools, registries, and dashboards for quality improvement.
• Supervises quality staff, including recruitment, training, and performance management, to support clinic and market-level quality initiatives.
• Directs enterprise-wide campaigns (e.g., wellness visits, cancer screenings, diabetic outreach) with clear goals, timelines, and accountability measures.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications:

• Bachelor's Degree in Business Management, Healthcare Administration, Public Health, or a related field required
• Master's Degree preferred
• 5-7 years of experience in healthcare, quality management, or data operations required
• 2-4 years of experience with physician quality measures, managed care, EMRs, and clinical operations preferred

Knowledge, Skills and Abilities:

• Proficiency in Google Workspace, Microsoft Office Suite, EMR platforms (e.g., Athena), and workforce management tools (e.g., Kronos).
• Strong analytical skills to interpret clinical data, identify trends, and implement effective quality improvements.
• Effective leadership and team management skills to supervise staff and support cross-functional quality initiatives.
• Excellent communication and presentation skills to explain complex quality standards and processes to diverse stakeholders.
• Strong organizational and project management skills to oversee multiple quality initiatives, track progress, and ensure timely completion of objectives.