HCS Manager, Quality

UNC Health; Goldsboro (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

UNC Health is seeking an HCS Manager, Quality to lead quality assurance and performance improvement across the health system. This role oversees QA programs, data abstraction, public reporting, and clinical quality measures, collaborating with health system leaders to strengthen regulatory readiness and outcomes.

Travel between facilities is required; the position emphasizes leadership, mentorship, and standardized quality practices to support high-quality patient care and accountability across

Qualifications

• Bachelor’s degree in a clinical discipline required; Master’s degree preferred.
• Clinical licensure and healthcare quality certifications preferred (e.g., CPHQ, CPPS, Lean Six Sigma).
• Minimum five years of progressive healthcare quality experience; leadership/supervisory experience preferred.

Responsibilities

• Provides direct supervision, coaching, and performance support for quality professionals.
• Leads quality assurance performance improvement activities and oversees QA/PI processes.
• Oversees quality data abstraction, submission readiness, and data integrity across reports.
• Manages inpatient/outpatient quality reporting requirements and data submissions.
• Oversees electronic clinical quality measure processes and cross-disciplinary coordination.
• Leads mortality review and other clinical quality programs with follow‑through with leaders.
• Keeps abreast of evolving quality measurement, reporting, regulatory, and accreditation changes.
• Develops and standardizes procedures related to quality programs and reporting.

Skills

Leadership

Quality Improvement

Data Analysis

Regulatory Knowledge

Stakeholder Collaboration

Education

Bachelor's degree in clinical discipline

Master's degree preferred

Job 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.

Description

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.