Quality Specialist

Purpose: The Quality Specialist supports the development, implementation, and monitoring of the Quality Improvement (QI) program within Western Wayne Family Health Centers. This role works collaboratively with clinical, operational, and administrative staff to ensure compliance with regulatory standards and promote a culture of continuous quality improvement. The Quality Specialist is responsible for collecting, analyzing, and reporting data to evaluate performance metrics and outcomes, while also assisting in the coordination of quality initiatives across the organization.

PART I: ESSENTIAL POSITION FUNCTION AND DUTIES

1. Collaborate with the Director of Quality to implement and monitor quality improvement initiatives across the organization.

2. Extract and analyze data from Azara DRVS, EHR systems, and other tools to support internal performance tracking and external reporting requirements.

3. Support the development of dashboards and data visualizations for leadership, care teams, and external partners using Azara and other reporting platforms.

4. Conduct regular audits and chart reviews to assess clinical documentation accuracy, data integrity, and compliance with HRSA, UDS, and PCMH standards.

5. Assist with preparation for HRSA Operational Site Visits (OSVs), PCMH recognition, and other regulatory or accreditation processes.

6. Participate in the coordination and documentation of QI projects such as Plan-Do-Study-Act (PDSA) cycles, root cause analysis, and gap closure efforts.

7. Provide staff training and technical assistance related to quality metrics, documentation requirements, and workflows.

8. Monitor trends in data performance and alert the Quality Director of variances or gaps in care delivery.

9. Maintain documentation of QI activities, including logs, meeting minutes, tracking spreadsheets, and action plans.

10. Validate and maintain accurate data for Promoting Interoperability measures, including clinical quality reporting, electronic exchange of health information, and patient engagement indicators.

11. Collaborate with IT department to optimize EHR templates, clinical decision support tools, and reporting functionalities that support quality improvement efforts.

12. Support population health initiatives by identifying at-risk patients, monitoring care gaps, and tracking outcomes related to chronic disease management and preventive care.

13. Facilitate data submissions to external agencies such as UDS, NCQA, and state health departments, ensuring timeliness and accuracy.

14. Other duties as assigned by Chief Operating Officer (COO) or Quality Director.

1. Bachelor’s degree in health sciences/ business or bachelor’s degree with five (5) years’ experience in relevant fields.

PART IV: KNOWLEDGE, SKILLS AND ABILITIES

1. Ability to maintain composure under stressful conditions

2. Ability to maintain accurate records and prepare reports and correspondence related to the work

3. Minimum of two years of administrative experience, including one year experience in a health care organization.

4. Knowledge of organization policies and procedures.

5. Knowledge of fiscal management practices and human resource management techniques. Knowledge of health care administration systems.

6. Knowledge of governmental regulations and reimbursement requirements.

7. Knowledge of computer, systems, and applications including data analytics.

8. Skilled in planning, organizing and supervising.

9. Skilled in exercising initiative, judgment, problem-solving, decision making.

10. Skilled in developing and maintaining effective relationships with medical and administrative staff and with patients and the public.