Healthcare Quality & Compliance Lead

SDAIHC; San Diego (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

San Diego American Indian Health Center is seeking a Quality and Compliance Manager to lead quality improvement, patient safety, and compliance across the organization. This on-site role collaborates with clinical leadership to drive data-informed decisions and regulatory adherence.

The manager will oversee performance management, data analytics, and population health initiatives, ensuring policies and procedures meet federal, state, and accrediting standards and enhance patient care outcomes.

Qualifications

• Bachelor's degree in Nursing, Quality, Social Work, or health-related field preferred.
• 3-5 years of healthcare quality improvement, population health, or performance management experience.
• Knowledge of Clinical Compliance, Medical Record Review, and Billing/Coding preferred.

Responsibilities

• Leads organization-wide quality improvement initiatives using data-driven methodologies and continuous improvement principles.
• Develops and monitors the annual Quality Management Plan and Quality Improvement Work Plan.
• Oversees clinical quality metrics including UDS, HEDIS, GPRA and other indicators.
• Coordinates patient engagement in preventive health measures and health promotion initiatives.
• Facilitates root cause analyses, corrective action plans, and performance improvement projects.
• Ensures quality improvement activities are audit-ready and aligned with regulatory requirements.

Skills

Attention to detail

Communication skills

MS Office

Team collaboration

Presentation skills

Education

Bachelor's degree in Nursing, Quality, Social Work, or health-related field

Tools

ECW EHR

MS Office

Job description

San Diego American Indian Health Center is seeking a Quality and Compliance Manager to lead quality improvement, patient safety, and compliance across the organization. This on-site role collaborates with clinical leadership to drive data-informed decisions and regulatory adherence.

The manager will oversee performance management, data analytics, and population health initiatives, ensuring policies and procedures meet federal, state, and accrediting standards and enhance patient care outcomes.