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Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR ([email protected]) and may appear as spam.

About Finger Lakes Community Health:

Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. In 2009 the organization expanded to become a Federally Qualified Health Center (FQHC), serving patients of all incomes, ethnicities, and walks of life. Over the last decade, FLCH has grown to provide medical, dental, and behavioral health services to over 28,000 patients at eight health centers. With over 200 employees we strive to provide high-quality and innovative health care services to the Finger Lakes Region.

Benefits Offered:

+ Monday through Friday schedule, closed all major holidays

+ Medical insurance with a 85% employer contribution

+ Dental, Vision, and Life insurance

+ Safe Harbor 3% 401k contribution

+ Robust PTO offerings

+ Education reimbursement

Job Summary:

The Director of Quality leads the organization’s efforts to improve clinical outcomes, enhance patient experience, and strengthen organizational performance across all service lines. This position drives the development and execution of quality improvement initiatives, supports HRSA and UDS quality reporting requirements, and collaborates with clinical and administrative leaders to ensure evidence-based, efficient, and patient-centered care. The Director of Quality is expected to achieve measurable improvements in patient outcomes, workflow efficiency, compliance with quality standards, and overall organizational performance. This role fosters a culture of continuous improvement, innovation, and accountability throughout the health center.

Main Responsibilities:

Quality Improvement & Performance Management

+ Lead the development, implementation, and evaluation of the Quality Improvement (QI) Program, ensuring alignment with organizational and HRSA goals.

+ Identify, prioritize, and oversee improvement initiatives that enhance clinical quality, operational efficiency, and patient satisfaction.

+ Support the collection, validation, and interpretation of quality-related data for UDS, PCMH, HEDIS, and internal performance measures.

+ Collaborate with the Data Analytics/Reporting team to ensure data accuracy and facilitate data-driven decision-making.

Compliance & Accreditation

+ Support adherence to HRSA, NCQA Patient-Centered Medical Home (PCMH), and other accreditation standards.

+ Prepare quality-related documentation for site visits, audits, and compliance reviews.

+ Work with departments to develop, implement, and track quality improvement plans.

Patient Experience & Performance Monitoring

+ Monitor patient satisfaction, identify trends, and collaborate with clinical leaders to develop improvement strategies.

+ Oversee quality-related surveys, feedback tools, and reporting dashboards.

+ Track performance indicators and produce reports that highlight progress, challenges, and opportunities.

Data Analytics & Reporting

+ Produce and present regular quality performance reports for, the Quality Committee, leadership and the Board of Directors.

+ Evaluate trends, highlight risks or gaps in performance, and recommend strategies for improvement.

+ Use data to inform goals, priorities, and quality improvement plans.

Staff Training & Development

+ Provide education and training on QI methods, performance reporting, and quality standards.

+ Equip managers and frontline staff with tools to conduct effective QI projects (e.g., PDSA, Lean).

+ Promote continuous learning and development related to quality practices.

Collaboration & Leadership

+ Chair or co-chair the Quality Improvement Committee and participate in relevant internal workgroups.

+ Work closely with the Director of Nursing, Medical Director, Compliance Officer, and department leaders to integrate quality efforts across all programs.

+ Advance a culture of excellence, transparency, and continuous improvement.

Other Duties as Assigned

+ Perform additional responsibilities as requested to support organizational goals and the overall effectiveness of the Quality and Performance Improvement department.

Education and Qualifications:

+ Bachelor’s degree in Nursing, Health Administration, Public Health, or related field required.

+ Master’s degree in a related field preferred.

+ Certification such as CPHQ, Lean Six Sigma Green/Black Belt, or similar preferred.

+ Minimum of 5–7 years of healthcare quality improvement experience, preferably in an FQHC or community health setting.

+ Demonstrated success in implementing QI initiatives and improving clinical or operational performance.

+ Experience with HRSA, PCMH, and performance measurement frameworks.

Physical Requirements:

+ Must be able to hear and communicate with clients and staff via phone, web media, and in person.

+ Must be able to lift up to 15 lbs

+ Must be able to sit for extended periods of time

+ OSHA Level 3

Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR ([email protected]) and may appear as spam.

Department

Quality

Employment Type

Full-Time

Minimum Experience

Experienced

Compensation

$95,000 - $135,000