Director of Quality

JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.

Far Rockaway, Queens, NY, USA

Published: 6/14/2022

Manufacturing

Full Time

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.
May be required to perform other duties as assigned or when necessary.

QUALIFICATIONS:

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.