Summary:
The Manager, Quality provides leadership, supervision, and operational oversight for quality professionals who support hospital entity quality assurance and performance improvement functions. This role is responsible for managing Quality Assurance programs, quality data abstraction, public reporting requirements, electronic Clinical Quality Measures, mortality review processes, and other clinical quality programs designed to improve outcomes, strengthen regulatory readiness, and advance a best-in-class quality assurance and performance improvement infrastructure across the health system.
The Manager, Quality reports to the VP, Medical Affairs & Chief Medical Officer and collaborates closely with other performance improvement leaders, clinical leaders, entity quality teams, and system partners to align quality assurance activities, standardize processes, support improvement priorities, and ensure timely, accurate submission of required quality data.
Responsibilities:
Provides direct supervision, coaching, work direction, and performance support for quality professionals, including Quality Assurance Specialists and related roles responsible for abstraction, validation, submission, quality review, and program support.
Leads and manages Quality Assurance Performance Improvement activities, including development, implementation, monitoring, and evaluation of quality assurance processes that support health system priorities and entity-level needs.
Oversees quality data abstraction and assurance programs, including workflows, timelines, documentation standards, data integrity processes, vendor coordination, and submission readiness.
Provides operational oversight for Inpatient Quality Reporting and Outpatient Quality Reporting requirements, ensuring timely, accurate, and complete data submission in alignment with regulatory and public reporting expectations.
Oversees electronic Clinical Quality Measure processes, including measure validation, data review, issue escalation, interdisciplinary coordination, and collaboration with informatics, analytics, clinical, and operational stakeholders.
Leads or supports mortality review and other clinical quality programs, ensuring reliable review processes, meaningful data synthesis, identification of improvement opportunities, and appropriate follow-through with clinical and operational leaders.
Maintains awareness of evolving quality measurement, public reporting, regulatory, accreditation, and payer requirements; translates changes into operational workflows, education, and implementation plans.
Develops, revises, and standardizes procedures, tools, timelines, and reporting practices related to quality assurance, abstraction, validation, submission, and clinical quality program management.
Partners with Quality Managers, Performance Improvement leaders, and entity quality teams to build consistent practices, reduce unnecessary variation, and strengthen a best-in-class quality assurance and performance improvement program.
Supports high-risk or high-priority quality initiatives, including measure performance review, gap identification, improvement planning, committee participation, education, and survey readiness activities.
Monitors quality data trends, abstraction performance, submission status, and program outcomes; prepares concise reports, summaries, and recommendations for leaders, committees, and other key stakeholders.
Coordinates with vendors, data warehouses, analytics teams, and internal customers to ensure data flow, file transmission, reporting accuracy, and issue resolution.
Provides input into staffing, resource planning, budget needs, vendor management, and future program requirements based on operational priorities, regulatory changes, and quality program demands.
Fosters a culture of accountability, collaboration, continuous improvement, learning, and service excellence within the quality assurance team and across system quality partnerships.
Other information:
Education
Bachelor’s degree is required in a clinical discipline (nursing, pharmacy, etc.). A Master’s degree in a related field is preferred.
Licensure/Certification
Clinical licensure is preferred when applicable to the candidate’s background. Certification in healthcare quality, patient safety, performance improvement, or a related discipline is preferred, such as Certified Professional in Healthcare Quality, Certified Professional in Patient Safety, Lean Six Sigma, or equivalent certification.
Experience
Requires five or more years of progressively responsible experience in healthcare quality, clinical quality measurement, quality assurance, regulatory reporting, performance improvement, data abstraction, clinical program management, or a related area. Prior leadership, supervisory, project management, or program management experience is strongly preferred.
Experience with quality reporting programs, including IQR, OQR, eCQMs, chart-abstracted measures, mortality review, regulatory or accreditation readiness, public reporting, or data validation processes is preferred.
Job Details
Legal Employer: Wayne Health
Entity: Wayne UNC Health Care
Organization Unit: Perf.Improvemnt
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: WAYNE MED
Exempt From Overtime: Exempt: Yes
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
