Quality Improvement (QI) Manager

SUMMARY:

The Quality Improvement (QI) Manager supports Texas Native Health’s mission by overseeing and coordinating quality improvement efforts across all clinical programs, including primary care, dental, pharmacy, behavioral health, patient relations, and lab services. This role is responsible for monitoring data, supporting compliance with federal and grant reporting requirements, and facilitating continuous improvement activities that enhance patient care and outcomes. The QI Manager also ensures that organizational practices align with Accreditation Association for Ambulatory Health Care (AAAHC) standards.

ESSENTIAL JOB FUNCTIONS:

• Data Monitoring & Reporting
  • Collect, analyze, and monitor performance data for GPRA, UDS, key performance indicators (KPIs), and other relevant reports.
  • Ensure timely and accurate submission of required reports to Indian Health Service (IHS), grantors, and regulatory agencies.
  • Track quality metrics and identify trends, gaps, and opportunities for improvement.
• Quality Improvement Activities
  • Plan, organize, and facilitate Quality Improvement (QI) sessions within TNH.
  • Develop QI studies and action plans, and follow up on progress to improve patient care, operational efficiency, and compliance.
  • Lead organizational readiness and compliance with AAAHC standards and other accreditation requirements.
  • Collaborate with program leaders to implement evidence-based practices and monitor outcomes.
  • Support Peer Review activities for all clinical teams by providing actionable data and analytics.
• Program & Grant Support
  • Support quality-related aspects of grants, including data collection, performance monitoring, and reporting.
  • Assist in developing program evaluation tools and methodologies.
  • Provide input into program design to align with quality goals and requirements.
• Cross-Department Collaboration
  • Work closely with primary care, dental, pharmacy, behavioral health, patient relations, lab, and diabetes programs to ensure quality goals are being met.
  • Serve as a liaison between clinical staff and leadership for quality-related initiatives.
  • Promote a culture of continuous improvement, accountability, and excellence in patient care.

Systems & Platforms

• Work within Oracle Cerner EHR (SPM, PowerChart, Lights on Network, reporting portals), Dentrix, Liberty, Phreesia, AT&T Office@hand, and other platforms to extract, review, and analyze data for reporting and quality improvement.

DESIRED SKILLS

• Attention to Detail
  • Ability to spot trends, discrepancies, or issues in data, reports, and processes before they escalate. Thorough review of quality metrics and documentation to ensure accuracy and compliance.
• Time Management
  • Capable of managing multiple projects, reports, and improvement initiatives simultaneously.
  • Reliable in meeting deadlines for data submissions, reports, and QI activities.
• Problem-Solving Skills
  • Quick to identify root causes of performance issues and propose effective solutions.
  • Resourceful in addressing unexpected quality or compliance challenges.
• Communication Skills
  • Able to communicate clearly and professionally with clinical teams, leadership, and external stakeholders, verbally and in writing.
  • Effective in presenting data, leading QI sessions, and reporting issues that need attention.
• Dependability
  • Trusted to consistently deliver high-quality work and uphold standards.
  • Reliable in attendance, follow-through, and maintaining confidentiality.

FLSA CLASSIFICATION: EXEMPT

MINIMUM QUALIFICATIONS

• Bachelor’s degree in Public Health, Healthcare Administration, Nursing, or related field required; Master’s degree preferred.
• Experience in quality improvement, data analysis, clinical management, or program evaluation within a healthcare setting.
• Familiarity with GPRA, UDS, AAAHC standards, and other healthcare performance reporting requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication and facilitation abilities.
• Ability to work collaboratively across multidisciplinary teams.
• Strong internal drive to execute meaningful systematic improvements.