Quality Assurance Analyst/Specialist

Columbia University Irving Medical Center; New York (NY); On-site; USD 95,000 - 135,000; Full time

Job summary

Columbia University Irving Medical Center is seeking a Radiology Quality Assurance Analyst/Specialist to support the implementation and ongoing evaluation of quality assurance, patient safety, regulatory compliance, and performance improvement initiatives across outpatient radiology sites in CDNYPI.

Reporting to the Nurse Manager for Quality Assurance, you will conduct audits, analyze performance data, investigate events, develop policies, and collaborate with clinical and operational teams to

Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field.
• Minimum of four (4) years of relevant healthcare experience.
• Current New York State RN license.
• Experience in healthcare operations, patient safety, or quality assurance.
• Proficiency with Microsoft Office and healthcare information systems (EMRs).

Responsibilities

• Conduct routine quality assurance audits, clinical documentation reviews, and compliance assessments across outpatient radiology sites.
• Collect, analyze, and interpret quality and performance data to identify trends, gaps, and opportunities for improvement.
• Assist in developing, implementing, and monitoring quality improvement initiatives and corrective action plans.
• Coordinate Ambulatory Tracer activities, including findings, corrective actions, and follow-up assessments.
• Prepare quality reports, dashboards, and presentations for departmental meetings and leadership review.
• Collaborate with clinical and operational teams to standardize workflows and promote consistent quality practices across locations.

Skills

Quality assurance

Patient safety

Regulatory compliance

Data analysis

Communication

Education

RN licensure

Bachelor's degree

Tools

EMRs

Quality management systems

Job description

Grade 105

• Job Type: Officer of Administration


• Bargaining Unit:


• Regular/Temporary: Regular


• End Date if Temporary:


• Hours Per Week: 35


• Standard Work Schedule:


• Building:


• Salary Range: $95,000.00 - $135,000.00

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Radiology Quality Assurance (QA) Analyst/Specialist supports the implementation and ongoing evaluation of quality assurance, patient safety, regulatory compliance, and performance improvement initiatives across CDNYPI outpatient radiology sites.

Reporting to the Nurse Manager for Quality Assurance, the position is responsible for conducting quality audits, investigating patient safety events, monitoring corrective action plans, analyzing performance data, and developing and maintaining policies and procedures. The QA Analyst/Specialist collaborates with clinical, administrative, and operational teams to promote regulatory readiness, standardize practices, and support the delivery of safe, high-quality patient care.

Responsibilities

Quality Assurance and Performance Improvement

• Conduct routine quality assurance audits, clinical documentation reviews, and compliance assessments across outpatient radiology sites.


• Collect, analyze, and interpret quality and performance data to identify trends, compliance gaps, and opportunities for improvement.


• Assist in developing, implementing, and monitoring quality improvement initiatives and corrective action plans.


• Coordinate and document Ambulatory Tracer activities, including findings, corrective actions, and follow-up assessments.


• Prepare quality reports, dashboards, and presentations for departmental meetings and leadership review.


• Collaborate with clinical and operational teams to standardize workflows and promote consistent quality practices across locations.

Patient Safety and Risk Management

• Review reported patient safety events through the designated event reporting system, conduct preliminary investigations, and coordinate timely follow-up and resolution.


• Collaborate with the Nurse Manager for Quality Assurance and appropriate stakeholders to identify contributing factors, recommend corrective actions, and monitor their effectiveness.


• Participate in root cause analyses (RCAs), event reviews, and other patient safety improvement activities.


• Coordinate with the CUIMC Faculty Practice Organization (FPO) Patient Safety Department on shared safety initiatives, investigations, and reporting requirements.


• Assist in investigating and resolving patient complaints and care-related concerns in collaboration with clinical and administrative leadership.


• Partner with the CUIMC Privacy Office to support the review and resolution of privacy related incidents and compliance concerns.

Regulatory Compliance and Policy Management

• Conduct regulatory compliance reviews and support ongoing readiness for internal and external surveys, inspections, and accreditation activities.


• Monitor adherence to applicable regulatory requirements and organizational standards, including those established by The Joint Commission, New York State Department of Health (DOH), and HIPAA.


• Develop, review, revise, and update departmental policies and procedures in collaboration with clinical and operational stakeholders to ensure alignment with current practices, regulatory requirements, and organizational standards.


• Maintain the departmental policy and procedure repository, including version control, review schedules, approvals, and document accessibility.


• Track identified compliance deficiencies and coordinate follow-up to ensure timely implementation of corrective actions.


• Assist in preparing documentation and supporting materials for regulatory reviews, audits, and inspections.

Staff Education and Collaboration

• Support staff education and training related to quality assurance, patient safety, regulatory compliance, and updated policies and procedures.


• Communicate audit findings, compliance concerns, and improvement opportunities to appropriate team members and leadership.


• Collaborate with nursing, radiology, administrative, and operational teams to implement sustainable process improvements.


• Serve as a resource to staff regarding quality assurance processes, reporting requirements, and regulatory expectations.


• Participate in departmental committees, quality meetings, and interdisciplinary improvement initiatives.

Data Management and Reporting

• Utilize electronic medical records (EMRs), event reporting platforms, and quality management systems to retrieve, validate, and analyze information.


• Maintain accurate records of audits, investigations, corrective actions, and quality improvement activities.


• Monitor established quality indicators and assist in evaluating progress toward departmental performance goals.


• Support the preparation of quarterly and annual quality assurance reports.


• Perform other duties as assigned.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Minimum Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field, or an equivalent combination of education and experience.


• Minimum of four (4) years of relevant healthcare experience.


• Current New York State Registered Nurse (RN) license.


• Experience working in a healthcare environment, with demonstrated knowledge of clinical operations, patient safety, or quality assurance processes.


• Proficiency in Microsoft Office applications and familiarity with electronic medical records and healthcare information systems.

Preferred Qualifications

• Master's degree in Nursing, Healthcare Administration, Public Health, or a related field.


• Experience in healthcare quality assurance, patient safety, regulatory compliance, or performance improvement.


• Experience in outpatient radiology, ambulatory care, or diagnostic and interventional imaging services.


• Familiarity with The Joint Commission standards, New York State DOH regulations, and healthcare accreditation processes.


• Experience conducting clinical audits, analyzing quality data, and coordinating corrective action plans.


• Professional certification in healthcare quality or patient safety, such as Certified Professional in Healthcare Quality (CPHQ).

Other Requirements

• Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.


• Excellent written and verbal communication skills, including the ability to prepare reports and present findings.


• Ability to manage multiple priorities, meet deadlines, and work effectively in a fast-paced healthcare environment.


• Demonstrated ability to work independently while collaborating with multidisciplinary teams.


• Strong interpersonal and customer service skills.


• Ability to maintain confidentiality and exercise sound judgment when handling sensitive patient and organizational information.


• Flexibility to work across office, clinical, and outpatient radiology settings, including travel between CDNYPI locations as needed.


• Commitment to continuous improvement, professional development, and an inclusive work environment.


• Successful completion of required organizational and systems training.

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.