Quality & Risk Leader — QAPI, Care Coordination

Sunset Community Health Center; Yuma (AZ); On-site; USD 90,000 - 130,000; Full time

Job summary

Sunset Community Health Center seeks a leader to oversee the Continuous Quality Assurance and Performance Improvement (QAPI) and Risk Management Programs. You will develop policies, manage daily operations, review incident data, and drive system improvements in collaboration with clinical teams.

The role requires a nursing or healthcare administration background, plus management experience in healthcare and knowledge of NCQA/HRSA requirements. Strong coordination across departments is essential.

Qualifications

• Bachelors degree in nursing or healthcare administration.
• Minimum two (2) years of management experience.
• Minimum five (5) years in a healthcare organization.
• Additional education in risk/quality management and The Joint Commission standards preferred.

Responsibilities

• Develops, initiates, maintains, and revises policies and procedures for the general operation of the QAPI and Risk Management Programs.
• Manages day-to-day operations of these programs.
• Reviews, investigates, monitors, and trends incident reports and reports findings to leadership/board.
• Promotes process improvement and risk reduction across departments.
• Oversees chronic disease management program and patient education; facilitates appointment setting and closes gaps in care.
• Collaborates in care coordination of services for patients with chronic conditions.
• Chairs the Policy & Procedure Committee and ensures regulatory requirements are met.
• Facilitates NCQA PCMH recognition and renewal; handles training and submission tracking.
• Participates in committees and reports on quality and risk management initiatives.
• Performs annual evaluation of QAPI and recommends updates.
• Chairs QAPI Work Group for agenda, PDSA initiatives, and quality improvement efforts.
• Coordinates regulatory survey activities (HRSA, ADHS, Joint Commission, CMS, NCQA).
• Works with clinical teams to improve satisfaction for patients, visitors, and staff.
• Develops SH care management/coordination program within HRSA, ADHS, NCQA PCMH, CMS guidelines.
• Performs other related duties as requested.

Skills

Quality Assurance

Performance Improvement

Risk Management

Policy & Procedure

NCQA PCMH

HRSA Compliance

Leadership

Education

Bachelors Degree in Nursing or Healthcare Administration

Masters preferred

Tools

Microsoft Office

Job description

Sunset Community Health Center seeks a leader to oversee the Continuous Quality Assurance and Performance Improvement (QAPI) and Risk Management Programs. You will develop policies, manage daily operations, review incident data, and drive system improvements in collaboration with clinical teams.

The role requires a nursing or healthcare administration background, plus management experience in healthcare and knowledge of NCQA/HRSA requirements. Strong coordination across departments is essential.