Director of Quality

Director of Quality 3.0 3.0 out of 5 stars Los Angeles, CA 90002 $120,165.72 - $144,715.70 a year - Full-time Watts Healthcare Corporation 33 reviews $120,165.72 - $144,715.70 a year - Full-time Job Summary The Director of Quality collaborates closely with executive leadership, medical leadership, operations, population health, and clinical teams to develop and implement data-driven strategies that improve patient outcomes, operational efficiency, and regulatory compliance. This role also supports organizational risk management activities, incident reporting processes, and corrective action planning. — all within a mission-driven organization committed to exceptional quality performance. Essential Duties and Responsibilities Quality Management Lead organizational-wide Quality Improvement (QI) and Performance (PI) programs in alignment with HRSA, FTCA, Joint Commission, NCQA, and other regulatory requirements. Develop, implement, and monitor annual quality improvement work plans, goals, dashboards, and performance metrics. Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement. Monitor and report on UDS measures, HEDIS metrics, value-based care initiatives, patient satisfaction, and population health outcomes. Facilitate quality committees, peer review activities, root cause analyses, and performance improvement projects. Support clinical departments in implementing evidence-based practices and workflow improvements. Collaborate with leadership to establish corrective action plans and monitor progress towards organizational goals. Prepare reports, presentations, and data summaries for executive leadership, Quality Committee, and Board of Directors. Value-Based Care & Risk Adjustment Maximize performance in value-based care contracts Drive CMS Star Rating strategy and manage health plan quality relationships. Oversee care gap closure initiatives, risk stratification programs, and population-level performance activities. Monitors and responds to CMS, NCQA, and regulatory changes across quality and risk adjustment programs. Data Analytics & Reporting Oversee quality dashboards, scorecards, and organizational reporting. Utilize data to drive decision-making and performance improvement. Present quality performance data to executive leadership, board committees, providers, and operational teams. Collaborate with IT/EHR teams to improve reporting accuracy and clinical documentation. Ensure data integrity and timely submission of required reports. Regulatory Compliance & Accreditation Support compliance with HRSA regulations, Risk management requirements. OSHA, HIPAA, and applicable federal/state regulations. Coordinate quality-related audits, surveys, and accreditation readiness activities. Assist with policy and procedure development, review, and implementation. Monitor compliance with clinical documentation standards and quality reporting requirements. Maintain readiness for site visits, operational reviews, and regulatory inspections Risk Management Responsibilities Develop and lead the organizational risk management plan related to patient safety, incidents, grievances, and compliance concerns. Support incident reporting, investigations, documentation review, and follow-up activities. Track and trend adverse events, patient complaints, safety concerns, and operational risks. Collaboration with Human Resources, Compliance, Clinical Leadership, and Operations regarding risk mitigation strategies. Participate in developing and monitoring corrective action plans associated with risk events or audit findings. Support employee education related to patient safety, risk reduction, compliance, and quality standards. Maintain confidentiality and sensitivity regarding investigations and protected information Leadership & Stakeholder Engagement Build, develop, and retain a high-performing team Collaborate with providers, nursing, operations, and IT, teams to improve workflows and care coordination. Promote a culture of continuous improvement, accountability, patient safety, and service excellence. Support strategic planning initiatives related to quality outcomes and operational effectiveness. Present performance results and strategic recommendations to senior leadership and medical staff committees. Qualifications Bachelor's degree required. Master's degree preferred (MPH, MHA). 5 + years of progressive experience in clinical quality, population health, or value-based care operations; 2 + years of people leadership experience required. Experience in a Federally Qualified Health Center (FQHC), community health center, managed care, or ambulatory healthcare environment strongly preferred. Knowledge of HRSA compliance, FTCA requirements, UDS reporting, HEDIS measures, CMS Star Ratings and healthcare quality metrics preferred. Experience with incident investigations, risk management, and regulatory audits preferred. Strong analytics capabilities, including experience with EMR reporting, BI platforms, and population health data tools Proficiency in Microsoft Office Suite and healthcare reporting systems/EHR platforms required. Physical Requirements Ability to sit, stand, walk, bend, and use standard office equipment for extended periods. Ability to travel between clinic locations as needed

Pay:

$120,165.72 - $144,715.70 per year

Benefits:

401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance

Work Location:

In person