Quality Measurement and Improvement Manager

Title: Quality Measurement and Improvement Manager

Salary: $70000 - $78000 annually

Status: Full-Time Exempt 40 hours per week

Supervisor: Vice President of Operations

Location: Ulster & Dutchess Behavioral Health Centers

Function:
The Quality Measurement & Improvement Manager is responsible for developing and leading the quality measurement and improvement system for Behavioral Health. This role defines what the organization measures ensures those measures are meaningful and trusted and leads a disciplined practical approach to improving a focused set of priorities.

The Quality Measurement & Improvement Manager owns the quality improvement system including the measurement framework dashboard structure Quality Improvement Committee (QIC) Quality Improvement Project (QIP) portfolio and formal quality program documentation. This role works closely with clinical operational finance compliance and Health Informatics/EHR partners to ensure that quality improvement is tied to agency strategy mission and measurable impact.

This role serves as a strategic improvement engine using formal quality structures to create clarity credibility accountability and a reliable record of progress challenges and learning.

The Quality Measurement & Improvement Manager supports performance improvement across Behavioral Health by helping leaders connect quality measures operational indicators clinical outcomes and resource stewardship into a coherent improvement agenda. Position Responsibilities:

Quality Measurement Framework and Dashboard Development

• Develop and maintain the measurement framework that connects Board-level Objectives and Key Results (OKRs) leadership-level Key Performance Indicators (KPIs) and clinic management steering metrics.
• Ensure key performance measures are clearly defined consistently calculated and useful for decision-making.
• Create a coherent structure that helps leaders understand how operational clinical financial workforce and client experience measures relate to one another and to agency priorities.

Data Integrity and Health Informatics Partnership

• Partner closely with Health Informatics/EHR analysts to ensure dashboards reports and quality measures reflect how care and operations actually occur in practice.
• Work with the Quality Improvement Committee (QIC) Quality Improvement Project (QIP) teams and Health Informatics/EHR staff to review data integrity identify gaps between workflow documentation and reported data and resolve or clearly document known limitations.
• Support confidence in the measurement system by ensuring leaders can trust the data enough to use it for management learning and improvement.

Quality Improvement Committee Leadership

• Develop facilitate and lead the QIC as the central structure for prioritizing monitoring and advancing quality improvement work across Behavioral Health.
• The QIC will include clinical representatives from each clinic clinical leadership Health Informatics/EHR representation the Practice Operations Manager and other operational finance facilities or administrative stakeholders as appropriate.
• Lead the Committee as a working body with directive responsibility for advancing a focused quality improvement agenda aligned with the Institute for Healthcare Improvement (IHI) Quadruple Aim: improved client experience improved clinical outcomes improved workforce experience and retention and responsible stewardship of cost and resources.

QI Methodology Training and Leader Development

• Train and coach QIC members QIP owners and key Behavioral Health leaders in practical quality improvement methods including root cause analysis Plan-Do-Study-Act (PDSA) cycles measure selection quality project charters and use of data for improvement.
• Use formal QI discipline without overburdening teams with unnecessary tools or protocol. The goal is to create enough structure to support learning accountability and improvement.
• Build QI capacity across the organization so that improvement work does not reside with one person and becomes a shared leadership capability.

QIP Portfolio Management and Improvement Discipline

• Through the QIC create and manage a focused portfolio and pipeline of QIPs including project charters aim statements measures owners timelines and review cadence.
• Ensure QIPs are tied to organizational priorities and connected to relevant KPIs and OKRs so improvement work remains focused measurable and strategically aligned.
• Support QIP owners in maintaining momentum documenting progress surfacing barriers and closing the loop on what was learned. Their success is the success of this role.

Strategic Quality Program Infrastructure

• Strengthen the operational systems that support timely client access follow-up scheduling early engagement visit continuity and completion of care.
• Identify and address breakdowns in client flow particularly in early engagement follow-up coordination and handoffs between front office and clinical staff to improve throughput and reduce avoidable drop-off.

Quality Leadership and Change Management

• Use a relational practical and change-oriented approach to challenge leaders constructively push for prioritization and follow-through and inspire active participation in quality improvement work.
• Ask strong questions surface unclear assumptions and help leaders connect improvement efforts to measurable difference for clients staff and the organization.
• Help build a culture in which quality is not simply a stated value but a visible management discipline that fuels confidence learning and progress.

Supervision and Support Capacity

• Provide direction and supervision to assigned administrative or program support staff who assist with Quality Improvement Committee coordination QIP tracking documentation meeting preparation and related support activities.
• When appropriate supervise part-time staff support and interns assigned to the quality program ensuring their work is well-scoped useful and connected to the broader quality improvement system.
• Use support capacity thoughtfully to extend the reach of the quality improvement function without diluting accountability for the overall QI system.

Other duties as assigned

Skills and Abilities:

• Working knowledge of quality measurement and performance improvement methods or demonstrated ability to learn and apply them in a healthcare or human services environment
• Ability to translate organizational priorities into meaningful measures dashboards and improvement projects
• Comfort working with data reports and EHR-based measurement systems
• Ability to partner effectively with Health Informatics/EHR staff while owning measure definitions reporting requirements and interpretation
• Strong facilitation skills including the ability to lead working groups train staff and maintain momentum across teams
• Ability to challenge leaders constructively and push for clarity prioritization and follow-through
• Strong relational judgment and change-management skills
• Practical non-bureaucratic approach to quality improvement
• Clear written communication including the ability to prepare quality plans workplans annual evaluations project charters and leadership summaries

Qualifications:

• Bachelors degree required; masters degree in health administration public health social work administration public administration business or related field preferred
• 5 years of experience in healthcare behavioral health human services quality improvement performance management health informatics or related field
• Experience developing or using dashboards KPIs quality measures or performance reporting systems
• Experience with quality improvement methods such as PDSA root cause analysis process mapping logic models quality project charters or related approaches preferred; related experience in data analysis project management program operations or performance improvement will be considered
• Experience facilitating cross-functional teams committees or improvement projects
• Experience in behavioral health outpatient services nonprofit human services or NYS OMH-regulated environments preferred
• Supervisory or project leadership experience preferred

Essential Requirements:

• Ability to attend meetings across agency sites and maintain sufficient visibility in clinic operations to ensure that measures and improvement projects reflect real-world practice.
• Must have established cell phone willing to use for work (will be reimbursed) with effective coverage for the Hudson Valley area.

Benefits:

• Medical dental and vision coverage.
• 403(b) retirement plan with employer match up to 5%.
• Generous paid vacation holiday sick and personal time package (2 weeks vacation in first year 13 paid holidays per year 12 sick days per year and 4 personal days per year).
• Access to Family Services Compassionate Leave Programwhere employees can donate/receive unused time off.
• Group term life and long-term disability insurance.
• Supplemental life insurance & accidental death and dismemberment coverage (AD&D)
• Supplemental insurance through Aflac.
• Employee assistance program (EAP).
• Pet insurance.

Our Mission:

Family Services brings people together to find the support they need improving their lives and communities and building a stronger safer Hudson Valley.

Our Values:

Compassion Extending empathy and understanding to others.

Integrity Being honest and dependable.

Hope Believing in the strength of the human spirit and heart to emerge and thrive when faced with a challenge.

Diversity Promoting a vision of community comprised of wide-ranging assets.

Respect Treating all individuals with dignity and without judgement.

Community Recognizing and reinforcing the importance of our world as being comprised of people of differing strengths and perspectives.

Justice Promoting social and economic equity and fairness.

Quality Aspiring for excellence in every aspect of our work.

#INDBH

Family Services Inc. complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact

Family Services is an equal opportunity employer. We follow federal state and local laws prohibiting discrimination in hiring and employment.

Must be authorized to work in the United States without work sponsorship.

Required Experience:

Manager