Senior Quality Specialist

Senior Quality Specialist

Tapestry 360 Health is a mission-driven, patient-centered Federally Qualified Health Center (FQHC) delivering comprehensive primary care, behavioral health, and enabling services to a diverse and underserved population. As a Health Resources and Services Administration-designated health center operating under Section 330 of the Public Health Service Act, Tapestry serves as a critical safety-net provider, ensuring access to high-quality, equitable care regardless of a patient's ability to pay.

With a workforce of approximately 250 employees and an annual operating budget of $44 million, the organization is advancing a deliberate strategy focused on financial sustainability, operational rigor, and long-term community impact. Key priorities include strengthening core infrastructure, expanding value-based care arrangements to align reimbursement with outcomes, and optimizing participation in the 340B Drug Pricing Program to reinvest resources into patient care. Through this integrated approach, Tapestry 360 Health is positioned to sustain and scale mission-critical services for the communities it serves well into the future.

Summary: The Senior Quality Specialist is responsible for operationalizing quality improvement strategies across the organization by translating performance data into actionable initiatives that enhance clinical outcomes and optimize value-based revenue. In close partnership with the Associate Vice President of Value-Based Care & Population Health, the position ensures accurate tracking of key performance metrics, drives timely interventions, and coordinates efforts to close care gaps. The role works cross-functionally with clinical and operational teams to strengthen workflows, improve efficiency, and support the successful execution of population health and value-based care initiatives.

Essential Duties and Responsibilities:

• Coordinate and implement quality improvement initiatives across departments, ensuring alignment with organizational goals and value-based care priorities.
• Support clinical and operational teams in adopting workflows that improve quality performance, care gap closure, risk adjustment, and overall efficiency.
• Coordinate and execute population health outreach initiatives (e.g., cancer screenings, preventive care campaigns) and related program logistics, including follow-up processes.
• Analyze care gap and performance data to distinguish true clinical gaps from documentation or coding issues and drive targeted interventions.
• Develop, maintain, and deliver standardized workflow guides, training materials, and best practices to support quality improvement efforts.
• Support technical, operational, and programmatic needs related to quality metrics, including coding, mapping, data validation, reporting enhancements, and coordination of initiatives such as bulk screening programs (e.g., Cologuard) and follow-up processes.
• Other duties as assigned

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Education and/or Experience:

• Bachelor's degree required; preferred fields include Nursing, Healthcare Administration, or a related healthcare discipline.
• 3–5 years of relevant experience, including demonstrated expertise in data analytics and performance reporting.
• Experience working with electronic medical record (EMR) systems required.
• Strong knowledge of healthcare quality metrics and performance improvement methodologies.
• Proven project management and organizational skills, with the ability to manage multiple priorities effectively.
• Strong communication and collaboration skills, with the ability to work across multidisciplinary teams.
• Demonstrated success coordinating initiatives and driving measurable outcomes in a cross-functional healthcare environment.

Language Skills:

Competencies:

• Quality Improvement & Performance Optimization – Applies quality improvement methodologies and data-driven approaches to design, implement, and sustain initiatives that improve clinical outcomes and performance metrics.

• Data Analysis & Healthcare Quality Expertise – Analyzes complex clinical and operational data and demonstrates strong knowledge of quality measures (e.g., HEDIS, UDS), translating insights into actionable strategies.

• EMR & Workflow Optimization – Leverages EMR systems to design efficient workflows that enhance data capture, reporting accuracy, and care delivery.

• Project Management & Cross-Functional Collaboration – Plans and executes initiatives while partnering across multidisciplinary teams to drive alignment, adoption, and results.

• Communication, Problem Solving & Accountability – Communicates effectively, exercises critical thinking, and takes ownership of outcomes to drive measurable improvements aligned with organizational goals.

Additional Qualifications:

• Experience with value-based care models, including pay-for-performance programs, risk-based contracts, and shared savings initiatives.
• Working knowledge of population health strategies, including care gap closure, preventive care initiatives, and panel management.
• Understanding of coding, documentation, and risk adjustment principles (e.g., ICD-10, HCC) that impact quality and revenue (preferred).
• Proficiency in reporting and data tools (e.g., advanced Excel, Power BI, Tableau) to support analysis and decision-making (preferred).

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work is primarily performed in a professional office environment and involves prolonged periods of sitting, computer use, and participation in meetings.
• Requires the ability to communicate effectively in person, by phone, and through virtual platforms with clinical, operational, and administrative staff, as well as cross-functional teams and external partners.
• May require occasional standing, walking, and movement between offices, meeting locations, and event venues.
• Ability to travel locally to attend meetings and community events, with occasional evening or weekend attendance at organizational functions.
• May occasionally lift or carry materials related to meetings or events (generally up to 10–15 pounds).

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work is performed primarily in a professional office environment with regular use of computers, virtual meeting platforms, and standard office equipment.
• The role involves frequent interaction with internal leadership, staff, and community partners.
• The position requires regular attendance at meetings, and organizational events, which may occur off-site.
• Occasional evening or weekend work may be required.

Benefits : Tapestry 360 Health offers a comprehensive benefits package including health insurance, dental insurance, retirement savings plans, paid time off, continuing education support and eligibility for the Public Service Loan Forgiveness (PSLF) program. Pay Transparency: The salary range for this position is $68,000 – $74,000 annually. Actual compensation will be determined based on factors including, but not limited to, relevant experience, qualifications, internal equity, and organizational needs.

EEO Statement Tapestry 360 Health is an equal opportunity employer. We make employment decisions without regard to race, color, religion, age, sex, gender identity or expression, sexual orientation, national origin, ancestry, disability, genetic information, veteran or military status, marital or parental status, arrest or conviction record (as permitted by law), receipt of an order of protection, use of protected leave (including FMLA and VESSA), or any other status protected by applicable law.

American with Disabilities Act (ADA) Statement Tapestry 360 Health complies with the Americans with Disabilities Act (ADA) and provides reasonable accommodations to qualified applicants and employees with disabilities. If you need assistance or an accommodation during the application or hiring process, please contact Human Resources.

Tapestry 360 Health reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.