Quality Improvement Manager

Great Lakes Bay

Saginaw, MI

ESSENTIAL JOB DUTIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Clinical Quality Measurement and Validation (30%)
- Lead the validation of clinical quality measures across GLBHC (UDS, HEDIS, HRSA, state and health plan measures), confirming that denominator and numerator logic is applied correctly and reflects actual clinical care
- Perform targeted and routine chart reviews to verify data accuracy, identify documentation gaps, and ensure that EHR workflows support accurate quality reporting.
- Partner with the Quality Data Analyst to review measure definitions, attribution logic, and population lists; provide clinical interpretation and feedback to refine reports and dashboards
- Investigate discrepancies between reported performance and clinical expectations; identify root causes and recommend corrective actions (documentation, coding, workflow, or system changes).
- Serve as a subject-matter resource for providers and staff on quality measure definitions, inclusion/exclusion criteria, and appropriate clinical documentation.
Health Plan Navigation and Value-Based Program Support (25%)
- Act as the primary clinical resource for understanding and communicating payer quality expectations, attribution methodologies, incentive structures, and benefit designs that affect patient care.
- Work with health plans, ACO partners, and state programs to clarify quality and utilization requirements and translate them into practical guidance for GLBHC care teams..
- Collaborate with Referrals, Care Management/CHWs, Revenue Cycle, and site leadership to ensure alignment between health plan requirements, access workflows, and care-management activities.
- Monitor payer rosters, gaps-in-care lists, and performance reports; validate accuracy and coordinate follow-up with sites to address identified care gaps.
- Support GLBHC’s participation in value-based contracts by helping clinical teams prioritize high-impact measures, high-risk populations, and targeted outreach strategies.
Clinical Practice Support and Performance Improvement (25%)
- Partner with providers and site managers to design and implement clinical workflows that support quality measures, and care-gap closure
- Lead or co-lead focused quality improvement projects (PDSA cycles) that address clinical outcomes, preventive care, chronic disease management, and patient experience.
- Provide one-on-one and group coaching to providers and care teams on documentation standards, coding related to quality measures, and effective use of EHR tools and registries.
- Participate in clinical huddles, site meetings, and multidisciplinary teams as the QI representative; bring forward data, highlight opportunities, and support problem-solving.
- Identify training needs and collaborate with Clinical Training and Development team to develop and deliver targeted education on quality workflows and tools.
Team Leadership, Supervision, and Staff Development (10%)
- Directly supervise the Quality Data Analyst and outreach staff responsible for patient outreach, panel management, and quality campaigns (e.g., recalls, screenings, chronic disease follow-up)
- Provide clear expectations, regular feedback, and timely Career Development Reviews for assigned staff.
- Prioritize and assign analytic and outreach work in alignment with organizational quality goals and payer program requirements.
- Support staff development through coaching, cross-training, and opportunities to participate in improvement projects and committees.
- Foster a collaborative, patient-centered, and data-informed team culture focused on closing care gaps and improving outcomes.
Reporting, Communication, and Compliance (10%)
- Assist the Quality Improvement Director in preparing internal and external quality reports for leadership, health plans, regulatory agencies, and grantors.
- Communicate measure performance, care-gap trends, and improvement priorities to providers and site leadership in a clear, concise, and actionable manner.
- Support preparation for audits, site visits, and accreditation or recognition activities related to clinical quality (e.g., HRSA, Grants, state programs).
- Ensure that QI activities, data handling, and outreach workflows meet regulatory and organizational standards for privacy, safety, and clinical quality.

MARGINAL JOB DUTIES

Communicate with appropriate staff to improve processes with regards to EMR documentation and coding needs.
Construct site and program activities to help improve quality care. Provide educational information to center managers and providers.
Performs other duties as assigned.

JOB SPECIFICATIONS

Education: Active, unrestricted Registered Nurse (RN) license in the State of Michigan is required. Minimum of five (5) years of combined experience in ambulatory or primary care clinical practice, population health, care management, and clinical quality improvement, with demonstrated responsibility for quality measures, data validation, and workflow improvement required. Bachelor’s degree or higher in Nursing preferred. Formal education, certification, or specialized training in quality improvement, population health, clinical quality measurement, or healthcare data analytics.
Licensure: Current, unrestricted RN license in the State of Michigan preferred/required per discipline.
Experience: Minimum of five years of experience in ambulatory or primary care clinical practice, population health or care management. At least two years experience in clinical quality improvement, including familiarity with UDS, HEDIS, or similar measure sets. Experience working with health plans, ACOs, or value-based payment programs.
Skills: Strong understanding of clinical quality measures, documentation standards and basic coding principles relevant to quality reporting. Ability to interpret and validate data reports, identify trends, and translate findings into practical clinical actions. Demonstrated skills in project management, organization, and follow-through, with the ability to manage multiple priorities simultaneously.
Interpersonal Skills: Able to build effective working relationships with Physicians, Advance Practice Providers, Nurses, Medical Assistants, behavioral health staff, outreach staff, and administrative personnel. Comfortable facilitating discussions, giving feedback, and supporting change in a respectful and collaborative way. Ability to navigate differing perspectives between health plans, and clinical teams.
Physical Effort: Light, exerting up to 10 pounds frequently
Hours of Work: Full-time. Flexible and varied. Position is not eligible for remote or hybrid status
Travel: Frequent, weekly travel within service areas, some out-of-area travel. Reimbursement consistent with GLBHC policy.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Quality Improvement Manager in Saginaw, MI vacancy

Cost Improvement Process (CIP) Manager- Saginaw
...Position: Cost Improvement Process (CIP) Manager At Nexteer, our strength lies in the diversity of our team—each member contributing unique... ...be safe, green and exciting. Our unwavering commitment to Quality, Collaboration, Integrity, and Accountability guides us as...
Suggested
Contract work
Nexteer Automotive
Saginaw, MI
3 days ago
Quality Project Manager
...Quality Project Manager Day Shift Monday through Friday 7 am to 5 pm PTO upon hire, medical, dental, and vision benefits are offered on... ...launch process, reacting quickly to customer concerns, and improving the business management system through audits and innovative...
Suggested
Work at office
Monday to Friday
Day shift
Keel
Saginaw, MI
3 days ago
QA Regional Manager
...QA Regional Manager Requisition ID: 16627 Location: Saginaw, MI, US, 48601 Pay... ...roofing industry. ABOUT THE ROLE The Quality Assurance Regional Manager is a customer... ...a commitment to communicating, improving and adhering to health, safety and environmentalpolicies...
Suggested
Full time
Work at office
Local area
Flexible hours
Night shift
Amrize
Saginaw, MI
2 days ago
Business Development Manager
$100k
...and monthly bonuses; Our top performers make well over a 6-figure income. To ensure your success, you will have a dedicated sales manager & support team, continued results-driven training, WHAT THE COMPENSATION PACKAGE OFFERS: UNCAPPED EARNING POTENTIAL AGGRESSIVE COMMISSIONS...
Suggested
Local area
Slice Merchant Services
Saginaw, MI
15 hours ago
Senior Quality Manager
...and saw blades, all meticulously designed to meet the highest quality standards for both implants and instruments. A career at Orchid... ...(United States of America) A BRIEF OVERVIEW The Quality Manager assures compliance and progress towards the established goals...
Suggested
Full time
Contract work
Work experience placement
Work visa
Shift work
Orchid Orthopedic Solutions
Bridgeport, MI
3 days ago
Director of Operations
...culture of high-performance and continuous improvement. The Site Leader position is in our... ...through planning with departmental managers to ensure the manufacturing objectives are... ...Planning), Mfg. Engineering, Facilities and Quality Assurance. Define and implement...
Hourly pay
For subcontractor
Allor Solutions
Saginaw, MI
2 days ago
Relationship and Operations Associate
$45k - $65k
.... Build familiarity with the advisor’s book of business while managing time effectively and developing new competencies to support efficient... ...appropriately, and track progress to completion. Process Improvement: Assist in developing procedures that increase accuracy and...
Temporary work
Work at office
Flexible hours
Carson Group
Saginaw, MI
3 days ago
Head of Insurance Agency Operation
Job Description Job Description Benefits: Bonus based on performance Competitive salary Flexible schedule Training & development Being a Farm Bureau insurance agency operator is much more than just sales its all about building relationships. As an agency...
Work at office
Flexible hours
Central Bay Thumb Partnership
Saginaw, MI
14 days ago
Quality Assurance Coordinator
...full-time basis. The Role: This manager will collaborate across all manufacturing... ...common and standardized manufacturing quality system requirements, procedures, metrics... ...in the Manufacturing process by driving improvement to their quality and holding them accountable...
Full time
H1b
Work at office
Local area
Work from home
Relocation package
General Motors
Saginaw, MI
4 days ago
Financial Advisor - PNC Wealth Management
...feel respected, valued and have an opportunity to contribute to the company's success. As a Financial Advisor within PNC's Wealth Management, you will be based in Bay City, MI. PNC is an in-office company that fosters a supportive culture where employees can thrive...
Full time
Temporary work
Part time
Work experience placement
Work at office
PNC Financial Services Group
Saginaw, MI
3 days ago
Operations Lead
$70k - $95k
...the leadership responsibilities of site management. The Site Lead will be responsible for ensuring... ..., maintaining compliance with aerospace quality standards, and leading a cross-... ...Design, implement, and continuously improve manufacturing processes, tooling, and workflows...
Work at office
Kaney
Freeland, MI
15 hours ago
Area Manager
...Area Manager Join Clean Team as a Full-Time Area Manager and take the lead in shaping our exceptional facilities services across... ...members on best practices while encouraging a culture of continuous improvement. Requirements For This Area Manager Job To excel as an...
Full time
Monday to Friday
Clean Team, Inc.
Saginaw, MI
2 days ago
Area Manager
...Job Title: Area Manager Department: Operations Reports To: Operations Manager... ...professional image. ~ Assists in establishing quality control standards, enforces budget and... ...needs; Solicits customer feedback to improve service; Responds to requests for service...
Hourly pay
Contract work
Shift work
Caravan Facilities Management
Saginaw, MI
3 days ago
Area Supervisor
...has always been bringing our customers a constant stream of high-quality brands and on-trend merchandise at extraordinary savings. All... ...operations and supervision of the Store when functioning as the Manager on Duty. Area Supervisors are responsible for opening and...
Work at office
Local area
Immediate start
Shift work
Weekend work
Afternoon shift
Ross Stores, Inc.
Saginaw, MI
2 days ago
Area Manager
...Job Description Job Description Join Clean Team as a Full-Time Area Manager in Saginaw, MI, and step into a role that combines leadership with hands-on problem-solving in the dynamic facilities industry. This onsite position allows you to foster a vibrant company culture...
Full time
Monday to Friday
Flexible hours
Shift work
Afternoon shift
Clean Team
Saginaw, MI
27 days ago
Dealership Operations Manager
$25 - $28 per hour
...Description Now Hiring – Dealership Operations Manager Gales Auto Group LLC – Saginaw, MI... ...and front-line ready • Ensuring quality control standards are being met before vehicles... ...and allow time to organize, plan, and improve processes. Other days move very fast and...
Hourly pay
Immediate start
Monday to Friday
Gales Service Center
Saginaw, MI
10 days ago
Regional Branch Manager
$65k - $70k
...Job Description Job Description Regional Branch Manager Salary: $65,000-$70,000 + Bonus Program Start your career at the BEST... ...! Benefits ~ Bonus Program based on branch sales & quality ~ Affordable Health Insurance for You and Your Family!Health...
Temporary work
Work at office
Modernistic Cleaning & Restoration
Saginaw, MI
18 days ago
Community Development Account Executive
$55k
...contractors, and homeowner's associations. The manager will work with Operations to maintain a... ...of services to new partners. Perform quality work within deadlines, with or without... ...challenging situations. ~ Desire to grow and improve. Omni Fiber provides equal...
For contractors
Local area
Afternoon shift
Omni Fiber LLC
Saginaw, MI
15 days ago
Regional Community Manager
...programming. CFI is focused on providing safe, quality, affordable housing, increasing economic opportunities, and improving the quality of life of the populations that... ...organization serves. The Regional Community Manager provides multi-site leadership and operational...
Full time
Work at office
Local area
COMMUNITIES FIRST INC
Saginaw, MI
a month ago
Restaurant Zone Manager
$18 per hour
...Now is your chance to join the Team and Raise The Bar!    Hourly Rate: $18/hour Benefits offered for all Full-time Restaurant Managers: ~ Medical, Dental, Vision & Pharmacy Benefits ~ Dependent Care & Healthcare Flexible Spending Accounts ~ Company-provided...
Bi-weekly pay
Hourly pay
Weekly pay
Full time
Casual work
Flexible hours
Shift work
Afternoon shift
Raising Cane's
Saginaw, MI
11 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Quality Improvement Manager. Be the first to apply!