Quality and Process Improvement Director

Supports the mission of People's Community Clinic by leading an integrated quality improvement and operational excellence program that drives measurable improvements in clinical outcomes, patient experience, and organizational efficiency. This role ensures the organization meets and exceeds HRSA quality standards while continuously strengthening the systems and processes that support high-quality care. 

Location: 1101 Camino La Costa, Austin, Texas, 78752

Compensation:$95,000 - $115,000  based on experience and qualifications  

Under the supervision of the Chief Medical Officer, this individual’s primary responsibilities include:

Clinical Quality Oversight:

• Maintain the clinic’s Quality Assurance and Performance Improvement (QAPI) program in accordance with HRSA standards.
• Responsible for developing, implementing, and maintaining a vision and plan for providing quality improvement initiatives using data-driven methods such as Plan-Do-Study-Act (PDSA) cycles, Lean or Six Sigma.
• Monitor clinical quality metrics (e.g., UDS measures, PCMH, AHA) and lead action planning based on trends and gaps.
• Serve as the subject matter expert for the current UDS quality measure.
• Develop, track, and report key performance indicators (KPIs) related to clinical quality, patient safety, and operational efficiency.
• Oversee and manage clinical peer review processes to ensure adherence to current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services.
• Ensure that clinical policies adhere to current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services.
• Oversee patient feedback efforts (e.g., annual and quarterly patient satisfaction surveys, comment cards, etc.), present results to management, and lead efforts to address identified concerns.
• Prepare and submit quality improvement reports to regulatory agencies and other stakeholders (i.e., PCMH, Board of Directors, HRSA, etc.).
• Promote, model, and train on the use of a standard method for quality improvement work.
• Facilitate case conferences, as needed or requested.

Process Improvement:

• Partner with clinical and administrative leadership to identify, prioritize, and lead operational improvement initiatives across the organization.
• Lead workflow redesign efforts in high-impact areas, including patient scheduling, care team workflows, referral management, and patient flow to reduce waste, improve access, and enhance the patient experience.
• Collaborate with revenue cycle and clinical leadership to identify billing and coding process gaps; facilitate improvement initiatives that support accurate, timely, and compliant claims submission.
• Monitor operational KPIs and develop action plans in response to trends.
• Apply process improvement methodologies (Lean, PDSA, value stream mapping) to operational challenges with the same rigor applied to clinical quality work.
• Serve as an internal consultant to department leaders undertaking workflow changes, ensuring improvements are systematically tested, measured and sustained.

Leadership & Collaboration:

• Partner with Medical, Nursing, and Administrative leadership to promote a culture of continuous quality improvement.
• Chair the Quality Improvement Committee.
• Support the Change Process & Data Governance Committee as the quality liaison.
• Serve as a resource and educator for clinical and non-clinical staff on topics related to quality and process improvement.
• Manage assigned work groups, including hiring, onboarding, and training, and regularly assess competencies; identify and oversee new or additional training as needed.

• Adhere to HIPAA guidelines.

Education:  RN, graduate of an accredited school of nursing.

Experience:  

• At least 5 years’ experience in healthcare, including working in a clinic environment
• At least 1 years’ experience in healthcare quality
• At least 1 years’ experience in a supervisory role
• Experience leading quality improvement and quality assurance efforts
• Experience with program planning and evaluation
• Experience writing policies and procedures
• Experience providing training

Knowledge, Skills, and Abilities:

• Strong analytic ability, including problem identification and resolution
• Ability to work effectively with diverse individuals and populations
• Excellent written and oral communication skills
• Ability to work independently with minimal supervision
• Able to lead cross-functional teams and influence without direct supervisory authority
• Knowledge of quality improvement principles and practices, such as Six Sigma, Lean, and Plan-Do-Check-Act (PDCA) cycle
• Knowledge of regulatory requirements for FQHCs, such as HRSA, PCMH, and The Joint Commission

Certificate/License:

• Current professional license to practice in the State of Texas.
• Certified Professional in Healthcare Quality (CPHQ) within the first 3 years of employment, if not already certified upon hire.

Our Benefits Include:

• 18 PTO days per year & 11 paid holidays
• Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
• Dental & Vision
• Flexible Spending Accounts
• Employer-paid Life Insurance
• Employer-paid Short-Term and Long-Term Disability
• Annual Training
• 403(b) with 5% employer matching

People’s Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity or sex stereotyping.