Manager, Quality

Job Description

Job DescriptionDescription:

LOCATION: Wayne County Healthy Communities - Hamtramck, MI 48212

POSITION SUMMARY: The Quality Manager is responsible for leading the development, implementation, and maintenance of the quality improvement (QI) and compliance programs at Wayne County Healthy Communities, a Federally Qualified Health Center (FQHC). This role ensures compliance with HRSA guidelines, UDS reporting requirements, accreditation standards (e.g., Joint Commission, NCQA), and supports continuous improvement in patient care, safety, and satisfaction.

REQUIREMENTS:

Quality Improvement Program Oversight

• Develop, implement, and monitor the health center’s Quality Improvement Plan.
• Collaborate with leadership and clinical teams to set annual QI goals aligned with HRSA requirements.
• Facilitate quality improvement initiatives using data-driven approaches (e.g., PDSA cycles, Lean, Six Sigma).

Clinical Risk Management

• Develop, implement, and monitor the health center’s Risk Management Plan.
• Investigate patient complaints, adverse events and support root cause analyses.
• Recommend corrective actions and follow-up procedures.

Claims Management

• Preservation of all documentation (e.g., medical & billing records) related to any complaint or event that may lead to a claim
• Prompt submission of filings & documentation relating to initiation to potential lawsuit.
• Tracking and trending of claims as part of ongoing risk management and QI activities.

Data Management and Reporting

• Lead UDS, HEDIS, and other clinical performance reporting.
• Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement.
• Present performance metrics to leadership, staff, and board committees.

Regulatory and Accreditation Compliance

• Ensure compliance with HRSA Operational Site Visit (OSV) standards, HIPAA, OSHA, FTCA and other regulatory bodies.
• Prepare for and participate in accreditation and compliance audits & maintain documentation.

SKILLS:

• Strong understanding of clinical quality metrics and regulatory compliance.
• Proficient in quality improvement methodologies (e.g., PDSA, Lean, Six Sigma).
• Exceptional analytical, problem-solving, and communication skills.
• Experience with EHR systems and quality reporting tools.
• Ability to lead multidisciplinary teams and manage projects effectively.

EDUCATION AND EXPERIENCE:

• Bachelor’s degree in Nursing, Public Health, Healthcare Administration, or related field required. Master’s in Public Health, Health informatics, or related field preferred.
• 2 years of experience in quality management in a healthcare setting preferred.
• Experience with HRSA, UDS, PCMH, and other quality benchmarks strongly preferred.

Salary: $65,000 - $95,000 (based on experience and Qualifications)

Employment Type: Full-Time

Classification: Exempt (salaried)

Benefits:

• Health insurance, Dental insurance, and Vision insurance
• Paid time off (Holidays, Vacation, Personal, & Sick time)
• 401a & 403b (Retirement plans)
• Long Term Disability
• Employee assistance program
• Group Life Insurance
• Various Voluntary Benefit Option
  

Application Deadline: August 8, 2025.

Please contact SEMHA HR Department @ (313) 873-6500 if you need assistance to upload resume, cover letter, and/or make application online.

** Applicants must be presently authorized to work in the United States on a full-time basis. E.O.E.**
** SEMHA is an equal opportunity employer that provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the SEMHA Human Resources Department. **
** SEMHA positions are grant funded and are contingent upon the continued support of the funding throughout the duration of the assignment. **Requirements: