Quality Manager - Practice Transformation

Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,400 team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The role of the Quality Manager reports to the Director of Value-Based Programs. This position is responsible for leading quality improvement activities throughout System. This position is responsible for overseeing the design, implementation, and monitoring of clinical workflows, quality measures, quality reporting, and performance improvement projects to optimize patient outcomes and organizational performance. This position supports the System’s value-based care and quality performance by ensuring compliance with regulatory requirements, optimizing clinical workflows, and driving quality improvement efforts across outpatient settings. This position serves a critical part in aligning clinical performance with internal goals and external benchmarks to enhance patient outcomes and maximize financial incentives.

Essential Position Responsibilities

• Maintain comprehensive knowledge of quality measures associated with value-based care programs and contracts.
• Manage multiple complex projects related to quality, process improvement, and revenue cycle.
• Analyze care gaps and performance trends to surface issues and inform targeted interventions.
• Lead health informatics efforts for outpatient quality targets.
• Drive program implementation through staff education and workflow training.
• Ensure compliance with regulatory agencies, including CMS and other governing bodies.
• Assist in the design and mapping of clinical workflows to meet quality metrics.
• Lead outpatient clinic quality improvement initiatives.
• Conduct audits, chart reviews, and performance improvement projects in collaboration with clinical teams.
• Monitor clinical outcomes and ensure alignment with internal benchmarks and payer expectations.
• Communicate and promote a culture of continuous quality improvement.
• Oversee the preparation and submission of all quality-related reports and deliverables.
• Collaborate with Revenue Cycle teams (coding, billing, CDI) to ensure data integrity and performance accuracy.
• Report on clinical quality measures and work closely with clinical leadership to drive improvements.
• Serve as a liaison with payers regarding quality program requirements, audits, and performance improvement plans.

Professional Skills 

• Strong analytical and problem-solving skills with ability to surface opportunities from complex datasets.
• Detailed knowledge of health informatics systems and their application in quality improvement.
• Familiarity with Six Sigma, Lean, and other statistical quality improvement methodologies (certification preferred).
• Up-to-date knowledge of IHI frameworks and other quality governing bodies.
• Excellent communication and training abilities.
• Proficiency in quality reporting tools and electronic health record systems (EPIC experience preferred).

Qualifications

• Education: Bachelor’s degree in healthcare administration, public health, health informatics, or a related field is required. Master’s degree preferred.
• Licensure and Certifications:  N/A
• Experience: Minimum 3 years of experience in a healthcare regulatory, health informatics, or quality improvement environment. Previous leadership and project management experience preferred. Must possess analytical and data interpretation skills, strong verbal and written communication skills,  and proficiency in data visualization and reporting tools.

Work Environment: This position will spend a majority of time working in a standard office environment where 80% of time is sitting or standing, performing office/clerical work and 20% of time walking. This position may lift up to 50 lbs.

Notice: This job description is designed to provide an overview of the essential and principal duties and responsibilities of the position. The job description is not designed or intended to cover or set forth a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Washington Regional reserves the right in its absolute discretion to change duties, responsibilities or activities or assign new duties, responsibilities, or activities at any time with or without notice. Employees may be directed to perform job-related tasks other than those specifically presented in this description.