Quality Improvement Specialist

## Description

**Job Summary**

*The Quality Improvement Specialist supports PCC’s mission of delivering high-quality, patient-centered care by leading efforts to collect, analyze, and report clinical quality and program data. This role is instrumental in aggregating quality and program data and supporting external reporting requirements.*

**Essential Duties and Responsibilities**

• Support the building and maintenance of recurring and ad hoc data reports for internal departments, grant requirements, and organizational quality initiatives.
• Collaborate with the Quality Improvement Manager to compile required documentation and submit data for Patient-Centered Medical Home (PCMH) certification and recognition.
• Develop, validate, and analyze PCMH performance reports; conduct audits to ensure compliance with certification standards.
• Support the preparation, validation, and submission of Uniform Data System (UDS) quality reports, including data cleaning and reconciliation tasks.
• Evaluate existing data workflows and reporting processes to identify inefficiencies; recommend and implement data-driven improvements.
• Participate in organization-wide planning to enhance data strategy, tools, and infrastructure for performance measurement.
• Synthesize, audit, and summarize pay-for-quality data received from health insurance carriers for use in organizational performance reviews.
• Ensures accuracy, integrity, and security of data used for regulatory reporting, grant compliance, and organizational decision-making.
• Analyze EMR and billing data to detect inconsistencies or gaps; create performance dashboards and summary reports for leadership review.
• Monitor progress toward clinical quality and population health goals through ongoing data analysis and performance tracking.
• Contribute to special projects, grant reporting, and other data-related initiatives as assigned by leadership.
• Other duties as assigned.

## Qualifications
**Qualifications, Skills & Work Environment**

Education & Experience

• Bachelor’s Degree required.
• Minimum of 2 years of experience in reporting, data management, or related field.

Technical Skills

• Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint.
• Experience with donor databases or grant tracking systems preferred.
• Experience with electronic medical records (EMR) systems (e.g., Athena) and/or data visualization tools (e.g., Excel dashboards, Power BI) preferred.
• Ability to analyze quantitative data and translate outcomes into clear, meaningful narratives.

Core Competencies & Other Skills

• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• High attention to detail with a commitment to accuracy, compliance, and follow-through.
• Maintains strict confidentiality and compliance with all applicable regulations, including HIPAA, HRSA, and organizational policies related to patient and data privacy.
• Ability to work both independently and collaboratively across teams.
• Strong written and verbal communication skills, with the ability to effectively exchange information with healthcare staff and stakeholders.
• Demonstrated professionalism, sound judgment, and discretion in a fast-paced environment.
• Self-motivated with the ability to prioritize, problem-solve, and adapt under pressure.
• Ability to understand and follow verbal and written instructions with minimal supervision.
• Commitment to PCC’s mission, health equity, and serving diverse communities.

Physical & Work Environment Requirements

• Hybrid position with approximately 50% in-office presence.
• May require occasional evening or weekend work to meet deadlines or support events.
• Ability to remain stationary for extended periods and frequently operate standard office equipment (computer, printer, phone).
• Occasionally required to lift or move items up to 10 pounds.
• Ability to travel between PCC sites as needed.