Program Manager - Clinical Quality

Job Description

Job Description

Position Summary: The Program Manager - Clinical Quality serves as a subject matter expert in clinical quality data and performance. This role bridges analytics and clinical leadership, providing interpretation and actionable insights from health data to inform organizational quality goals. The position resides within the Business Transformation division to ensure alignment with enterprise data strategy and integration with department resources. The PM works closely with the Chief Medical Officer (CMO), clinical leaders, and executive leadership to recommend targets, track accountability, and highlight opportunities for improvement. The CMO and clinical leadership maintain ownership of quality improvement initiatives, while this role enables informed action through reliable, objective, and equity-focused data insights.

Duties & Responsibilities:

• Data Analysis & Interpretation:
  1. Analyze, synthesize, and interpret clinical quality data across systems (Epic/OCHIN, DRVS, payer contracts, HRSA, etc.)
  2. Translate findings into actionable insights and recommendations based on industry standards for executive leadership, chiefs, and team medical directors
  3. Identify and report on disparities in outcomes, with attention to health equity
• Goal Setting & Transparency:
  1. Partner with CMO and clinical chiefs to recommend organizational quality targets
  2. Provide regular reporting on performance and document the status of recommendations for leadership awareness
  3. Highlight trends, progress, and barriers in a clear and objective manner to support leadership decision-making
• Collaboration & Integration:
  1. Serve as a bridge between business transformation and clinical operations to ensure data-informed decision-making
  2. Provide data expertise and insight to the Clinical Standards Committee and related/other groups as needed
  3. Align reporting and analysis with external requirements (e.g., HRSA, payer contracts)
• Subject Matter Expertise:
  1. 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
  2. Stay current on regulatory and industry standards related to quality measurement and reporting
  3. Optimize existing and emerging data sources and external resources to maximize insights and advance organizational performance
  4. Advise on enhancements to internal and external reporting tools and identify opportunities to incorporate industry best practices
• Capacity-Building & Communication:
  1. Develop tools, dashboards, and presentations that make data accessible to diverse audiences
  2. Mentor and support clinical and operational leaders in understanding and using data for improvement
  3. Champion a culture of data-driven accountability and continuous improvement
  4. Build strong working relationships with executives and clinical leaders to foster trust and alignment around quality insights

Basic Qualifications:

• 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)

Desired Qualifications:

• 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

Core Responsibilities:

• 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.

Customer Service:

• 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.

Cultural Competence:

• 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.