Manager Quality - Unified Quality Medical Center SES

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

The HCS Quality Manager is responsible for managing quality assurance programs, quality data abstraction, public reporting requirements, clinical review processes, and other clinical quality programs designed to improve outcomes, strengthen regulatory readiness, and advance a best-in-class quality assurance and performance improvement infrastructure across the health system.

The HCS Quality Manager reports to the HCS Executive Director of Quality Improvement for the Academic Medical Center and collaborates closely with other HCS Quality Managers, Performance Improvement leaders, clinical leaders, entity quality teams, and system partners to align quality assurance activities, standardize processes, support improvement priorities, and ensure timely, accurate submission of required quality data.

Responsibilities:

1.Provides direct supervision, coaching, work direction, and performance support for quality professionals, including Quality Assurance Specialists and related roles responsible for abstraction, validation, submission, quality review, and program support.
2.Leads and manages Quality Assurance Performance Improvement activities, including development, implementation, monitoring, and evaluation of quality assurance processes that support health system priorities and entity-level needs.
3.Oversees quality data abstraction and assurance programs, including workflows, timelines, documentation standards, data integrity processes, vendor coordination, and submission readiness.
4. Provides operational oversight for Inpatient Quality Reporting and Outpatient Quality Reporting requirements, ensuring timely, accurate, and complete data submission in alignment with regulatory and public reporting expectations.
5. Oversees electronic Clinical Quality Measure processes, including measure validation, data review, issue escalation, interdisciplinary coordination, and collaboration with informatics, analytics, clinical, and operational stakeholders.
6. Leads or supports mortality review and other clinical quality programs, ensuring reliable review processes, meaningful data synthesis, identification of improvement opportunities, and appropriate follow-through with clinical and operational leaders.
7. Maintains awareness of evolving quality measurement, public reporting, regulatory, accreditation, and payer requirements; translates changes into operational workflows, education, and implementation plans.
8. Develops, revises, and standardizes procedures, tools, timelines, and reporting practices related to quality assurance, abstraction, validation, submission, and clinical quality program management.
9. Partners with HCS Quality Managers, Performance Improvement leaders, and entity quality teams to build consistent practices, reduce unnecessary variation, and strengthen a best-in-class quality assurance and performance improvement program.
10. Supports high-risk or high-priority quality initiatives, including measure performance review, gap identification, improvement planning, committee participation, education, and survey readiness activities.
11. Monitors quality data trends, abstraction performance, submission status, and program outcomes; prepares concise reports, summaries, and recommendations for leaders, committees, and other key stakeholders.
12. Coordinates with vendors, data warehouses, analytics teams, and internal customers to ensure data flow, file transmission, reporting accuracy, and issue resolution.
13. Provides input into staffing, resource planning, budget needs, vendor management, and future program requirements based on operational priorities, regulatory changes, and quality program demands.
14. Fosters a culture of accountability, collaboration, continuous improvement, learning, and service excellence within the quality assurance team and across system quality partnerships.

Other information:
Education Requirements:

• Bachelor's degree is required in a clinical discipline (nursing, pharmacy, etc.). A Master's degree in a related field is preferred.

Licensure/Certification Requirements:

• Clinical licensure is preferred when applicable to the candidate's background. Certification in healthcare quality, patient safety, performance improvement, or a related discipline is preferred, such as Certified Professional in Healthcare Quality, Certified Professional in Patient Safety, Lean Six Sigma, or equivalent certification
• Travel is required for this position and includes regular travel between assigned facilities, meetings, and other organizational locations; the incumbent must be able to travel independently and maintain a valid driver's license.

• Requires five or more years of progressively responsible experience in healthcare quality, clinical quality measurement, quality assurance, regulatory reporting, performance improvement, data abstraction, clinical program management, or a related area. Prior leadership, supervisory, project management, or program management experience is strongly preferred.
• Experience with quality reporting programs, including IQR, OQR, eCQMs, chart-abstracted measures, mortality review, regulatory or accreditation readiness, public reporting, or data validation processes is preferred.

Knowledge/Skills/and Abilities Requirements:

• Demonstrated knowledge of healthcare quality measurement, public reporting, regulatory requirements, clinical quality programs, and performance improvement methods.
• Ability to lead and develop staff, set clear expectations, manage priorities, provide feedback, and support a high-performing team environment.
• Strong understanding of data abstraction, validation, data integrity, reporting workflows, and quality measure specifications.
• Ability to analyze complex information, identify trends and risks, synthesize findings, and recommend practical improvement strategies.
• Strong collaboration skills with the ability to work effectively across a matrixed health system with clinical leaders, operational leaders, informatics, analytics, vendors, and quality teams.
• Excellent written and verbal communication skills, including the ability to present information clearly to senior leaders, committees, frontline teams, and external partners.
• Ability to interpret regulatory and technical guidance and translate requirements into clear operational processes.
• Strong organizational, project management, and change management skills with the ability to manage multiple priorities and deadlines.
• Commitment to continuous improvement, accountability, service excellence, and advancing reliable systems of care.

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Unified Quality Medical Center SES

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.