Program Manager - Clinical Quality
- Data Analysis & Interpretation:
- Analyze, synthesize, and interpret clinical quality data across systems (Epic/OCHIN, DRVS, payer contracts, HRSA, etc.)
- Translate findings into actionable insights and recommendations based on industry standards for executive leadership, chiefs, and team medical directors
- Identify and report on disparities in outcomes, with attention to health equity
- Goal Setting & Transparency:
- Partner with CMO and clinical chiefs to recommend organizational quality targets
- Provide regular reporting on performance and document the status of recommendations for leadership awareness
- Highlight trends, progress, and barriers in a clear and objective manner to support leadership decision-making
- Collaboration & Integration:
- Serve as a bridge between business transformation and clinical operations to ensure data-informed decision-making
- Provide data expertise and insight to the Clinical Standards Committee and related/other groups as needed
- Align reporting and analysis with external requirements (e.g., HRSA, payer contracts)
- Subject Matter Expertise:
- Maintain expertise in evidence-based clinical quality measures, population health standards, and equity frameworks to strengthen data interpretation and support leadership awareness and decision-making
- Stay current on regulatory and industry standards related to quality measurement and reporting
- Optimize existing and emerging data sources and external resources to maximize insights and advance organizational performance
- Advise on enhancements to internal and external reporting tools and identify opportunities to incorporate industry best practices
- Capacity-Building & Communication:
- Develop tools, dashboards, and presentations that make data accessible to diverse audiences
- Mentor and support clinical and operational leaders in understanding and using data for improvement
- Champion a culture of data-driven accountability and continuous improvement
- Build strong working relationships with executives and clinical leaders to foster trust and alignment around quality insights
- Bachelor’s degree in public health, clinical, or related field
- 5+ years of experience in healthcare quality, performance improvement, or health data analytics
- Experience working directly with clinical teams and interpreting clinical quality data to inform decisions
- Demonstrated ability to translate complex data into clear, actionable insights and manage/track multiple priorities and measures concurrently
- Experience working with diverse, multicultural patient populations and equity-focused data
- Strong communication and facilitation skills, with ability to engage stakeholders across all levels
- Familiarity with electronic health record systems (Epic preferred) and quality reporting platforms (e.g., DRVS, Azara)
- Master’s degree in public health, nursing, health administration, or related field
- Clinical training (RN, NP, PA, MD) or significant experience partnering directly with providers to interpret and apply quality data
- Experience with population health management and health equity-focused data analysis
- Expertise in developing dashboards, scorecards, or other visualization tools to support decision-making
- Prior experience supporting quality reporting for federally qualified health centers (FQHCs) or similar healthcare organizations
- Respect and maintain patient confidentiality in all aspects of care including use of electronic information.
- Treat all patients in a welcoming and professional manner.
- Demonstrate professionalism by appropriate attire, attendance, attitude, and behavior within the clinical setting.
- Contribute to the team effort by supporting all team members and maintaining an open and positive attitude.
- Welcome new employees and students to the team by assisting with their orientation to the team and mentoring them, as requested.
- Comply with all health center policies and procedures.
- Demonstrates an understanding of customer service principles by successfully completing on-line Customer Service training.
- Utilizes the principles of customer service when interacting with patients/clients, team members and staff from other departments.
- Appropriately handles or seeks support when customer service breakdowns occur.
- Demonstrates knowledge of culture by successfully completing the on-line training on Cultural Competence.
- Utilizes an appreciation of and respect for diversity when interacting with patients/clients, team members and staff from other departments.
- Responds appropriately or seeks support when confronted with cultural biases or conflicts.
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