Quality Improvement Manager

MCHWC Organization; San Rafael (CA); On-site; USD 95,000 - 135,000; Full time

Job summary

Marin City Health & Wellness Center (MCHWC) is seeking a Quality Improvement Manager to lead our QI and risk management programs, advancing a data-driven approach to improve patient outcomes and ensure regulatory compliance.

You will work with leadership and clinical teams to monitor performance, support UDS reporting, OSV readiness, and FTCA requirements, develop dashboards, and train staff in quality improvement and compliance.

Qualifications

• Bachelor's degree required in public health, healthcare administration, nursing, or related field.
• 3–5+ years of healthcare quality improvement experience preferred, especially in FQHC settings.
• Experience with UDS reporting and HRSA requirements preferred.
• Strong analytical and data interpretation skills.
• Familiarity with EHR systems (e.g., eClinicalWorks).
• Knowledge of QI methodologies (PDSA, Lean, or similar).
• Excellent communication and organizational skills.

Responsibilities

• Lead and manage the organization’s Quality Improvement (QI) program.
• Monitor clinical quality measures, patient outcomes, and operational performance.
• Oversee UDS reporting and ensure data accuracy and integrity.
• Coordinate QI committee activities and support Board reporting.
• Manage risk management processes, including incident reporting and root cause analysis.
• Track and respond to patient grievances, complaints, and adverse events.
• Support HRSA compliance efforts, including FTCA readiness, OSV preparation and documentation.
• Partner with clinical teams to improve care delivery and close care gaps.
• Develop dashboards and reports to support data-driven decision-making.
• Provide staff training on quality improvement and compliance processes.

Skills

Analytical skills and data analysis

EHR familiarity

QI methodologies (PDSA/Lean)

Communication skills

Organizational skills

Education

Bachelor's degree in public health, healthcare administration, nursing, or related field

Tools

eClinicalWorks

Job description

ABOUT US

Marin City Health & Wellness Center (MCHWC) is a Federally Qualified Health Center (FQHC) dedicated to providing high-quality, culturally responsive care to underserved communities in Marin City and Bayview Hunters Point. Our services include primary care, dental, behavioral health, and care coordination.

POSITION SUMMARY

MCHWC is seeking a Quality Improvement Manager to lead our Quality Improvement (QI) and Risk Management programs. This role is responsible for advancing a data-driven approach to improving patient outcomes, ensuring regulatory compliance, and supporting a culture of continuous improvement across the organization.

The Quality Improvement Manager works closely with leadership and clinical teams to monitor performance, support reporting (including UDS), and prepare for HRSA Operational Site Visits (OSV) and FTCA requirements.

KEY RESPONSIBILITIES

• Lead and manage the organization’s Quality Improvement (QI) program
• Monitor clinical quality measures, patient outcomes, and operational performance
• Oversee UDS reporting and ensure data accuracy and integrity
• Coordinate QI Committee activities and support Board reporting
• Manage risk management processes, including incident reporting and root cause analysis
• Track and respond to patient grievances, complaints, and adverse events
• Support HRSA compliance efforts, including FTCA redeeming, OSV preparation and documentation
• Partner with clinical teams to improve care delivery and close care gaps
• Develop dashboards and reports to support data-driven decision-making
• Provide staff training on quality improvement and compliance processes

QUALIFICATIONS

• Bachelor's degree in public health, healthcare administration, nursing, or related field
• 3-5 years of experience in healthcare quality improvement (FQHC experience strongly preferred)
• Experience with UDS reporting and HRSA requirements preferred
• Strong analytical and data interpretation skills
• Familiarity with EHR systems (e.g., eClinicalWorks)
• Knowledge of QI methodologies (PDSA, Lean, or similar)
• Excellent communication and organizational skills

PREFERRED

• Certified Professional in Healthcare Quality (CPHQ)
• Experience in community health or safety-net settings