HCS Manager, Quality

Chatham Hospital Inc; Goldsboro (NC); On-site; USD 110,000 - 140,000; Full time

Job summary

Wayne UNC Health Care is seeking an HCS Manager of Quality to provide leadership over quality assurance and performance improvement across hospital entities. You will oversee QA programs, data abstraction, and regulatory reporting to drive outcomes and readiness.

The role requires five+ years in healthcare quality, with leadership experience, and preference for clinical licensure and quality certifications. Travel between facilities is expected, and a day shift is typical for onsite work.

Qualifications

• Requires five or more years in healthcare quality or related fields.
• Leadership and supervisory experience preferred.
• Experience with IQR, OQR, eCQMs, chart-abstracted measures, mortality review, or related programs preferred.

Responsibilities

• Supervise quality professionals including QA specialists and abstraction roles.
• Lead Quality Assurance Performance Improvement activities and programs.
• Oversee quality data abstraction, timelines, and data integrity.
• Ensure inpatient and outpatient quality reporting data submission aligns with regulations.
• Manage electronic Clinical Quality Measure processes and issue escalation.
• Lead mortality reviews and other clinical quality initiatives with stakeholders.
• Translate regulatory changes into workflows, education, and implementation plans.
• Partner with colleagues to standardize practices and reduce variation.
• Support high-priority quality initiatives and survey readiness activities.
• Monitor data trends, submission status, and program outcomes; report to leaders.

Skills

Leadership

Quality assurance

Data abstraction

Regulatory reporting

Performance improvement

Cross-functional collaboration

Education

Bachelor's degree in clinical discipline

Master's degree preferred

Job description

Description

Position Title: HCS Manager, Quality

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Job Summary

The HCS Quality Manager 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 HCS Quality Manager reports to the HCS Director Quality and collaborates closely with other HCS Quality Managers, Performance Improvement leaders, clinical leaders, entity quality teams, and system partners to align quality assurance activities, standardize p

Description of Job 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 HCS 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 Requirements:

Bachelor's degree is required in a clinical discipline (nursing, pharmacy, etc.). A Master's degree in a related field is preferred.

Licensure/Certification Requirements:

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.

Travel is required for this position and includes regular travel between assigned facilities, meetings, and other organizational locations; the incumbent must be able to travel independently and maintain a valid driver's license.

Professional Experience Requirements:

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.