Sr. Quality Improvement Specialist
Office of Population Health Job Summary We are seeking a dedicated and highly organized Sr. Quality Improvement Specialist to oversee the strategic planning, implementation, and continuous monitoring of UCSF Health's programs designed to meet CMS requirements, address member needs, and achieve organizational objectives related to CMS regulatory quality and alternative payment programs. The ideal candidate will engage closely with interdisciplinary teams and stakeholders, fostering a culture of transparency, teamwork, and innovation to ensure the seamless delivery of impactful programs.
Reporting to the Director of Population Health Quality, the Sr. Quality Improvement Specialist is responsible for activities at UCSF Health that support the Mission, Vision, Goals and Values of the organization and promote high-quality patient and family care services across a growing provider network. The Sr. Quality Improvement Specialist is able to work independently and in collaboration with technical analysts and leaders across UCSF Population Health, Network Strategy, and Quality & Patient Safety teams, as well as other medical center staff and physician leaders to identify/implement strategies to improve the quality of care to patients of UCSF Health & the Affiliate Network.
In support of internal and external quality initiatives, the Sr. Quality Improvement Specialist applies extensive knowledge of quality data analysis and/or improvement concepts, EHR reporting methodologies, and data collection and abstraction techniques to substantial projects of large scope and high degrees of complexity.
In support of designated clinical departments, the incumbent will partner with physicians in a team-based approach to drive the program and maintain an open dialogue to achieve identified goals and priorities related to quality and safety. The Sr. Quality Improvement Specialist identifies potential problems in the care delivery process as a result of data monitoring and formulates a workgroup to resolve the issue and ensures new processes are in place to improve the delivery of care.
The portfolio of work assigned to the Sr. Quality Improvement Specialist includes the following areas:
Affiliate Quality Management:
- Guide development and collaboration on shared clinical protocols and equity-focused activities across UCSF's Affiliate Network
- Serve as subject matter expert on clinical quality metric and reporting capabilities, leading development and dissemination of workflow training tools
- Establish collaborative relationships with partners based on trust, integrity, and transparency
- Coordinate and support implementation of UCSF's standard operating model for affiliate quality support, and partner with technical analysts to deliver standard deliverables as needed
- Facilitate and lead stakeholder workgroups in alignment with strategic priorities and under direction of Population Health & Quality executive leaders
Medicare Incentive Program Administration
- Serve as subject matter expert on CMS policy changes affecting the MIPS program
- Support implementation of UCSF's organizational strategy for optimizing performance on MIPS, affiliate network quality goals, and related value-based care engagements
- Coordinate with data teams to ensure accurate and timely submission of data to CMS; generate reports for leadership and physicians regarding program status, performance metrics, and opportunities for improvement.
- Analyze performance data and trends, identifying areas of improvement and developing corrective action plans. Develop summaries and materials as needed to support strategic planning and decision-making.
The Sr. Quality Improvement Specialist is a flexible role that requires up 30-40% time on-site at Brisbane, CA and requires travel to practice locations throughout San Francisco as needed. The incumbent should be able to provide a safe and private home office environment for conducting UCSF business.
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $140,800 - $219,300 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description The Office of Population Health (OPH) leads UCSF's development of innovative care models to improve the value and quality of care and improve health outcomes for identified populations and facilitates implementation of these care models across the health system. OPH is responsible for fulfilling UCSF Health's accountable care contracts and fostering care partnerships across a clinical network.
This department is comprised of four main teams: (1) Clinical Programs, (2) Population Health Quality and Performance Improvement, 3) Ambulatory Risk Capture/Medicare Advantage Operations, and 4) Population Health Administration. Required Qualifications
- Bachelor's degree in nursing or other healthcare profession, or a combination of comparable clinical education and/or experience.
- Master's degree in nursing or other healthcare profession, or a combination of comparable clinical education and/or experience.
- Five (5) years of experience with QI standards, clinical chart review and abstraction, and regulatory requirements.
- Advanced expertise in Epic clinical and administrative workflows
- In-depth knowledge of QI models, tools, and techniques, including collection, abstraction, validation, analysis, visualization, reporting of data, and use of performance and benchmark indicators.
- Advanced organizational and project management skills, with the ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
- Advanced critical thinking and problem-solving skills to manage multiple levels of highly- complex information and responsibilities, to quickly assess problems, and to develop and implement timely and effective solutions.
- Advanced interpersonal skills for collaborating effectively with all levels of clinical and technical staff and representatives of external regulatory agencies and for mentoring lower-level QI staff.
- Advanced ability to effectively convey complex clinical, technical, and educational information both verbally and visually, and to produce high-quality reports, documentation, and presentations.
- Advanced knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
- Advanced skills to influence and persuade staff, management, and clinicians at all levels and across departments.
Preferred Qualifications
- Epic Clarity Data Model and/or Epic Radar and/or Epic Reporting Workbench expertise.
- Nursing informatics expertise and competencies in SQL, Epic data model, and business intelligence tools
- Certifications
- Lean / Six Sigma
- Certified Professionals in Healthcare Quality (CPHQ)
- Project Management Professional
- Epic Clarity Data Model certification, Radar, Reporting Workbench, Ambulatory or Inpatient Clin Doc
About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Code and Payroll Title 006525 QLTY IMPV HC SPEC 4 Job Category Professional and Managerial Bargaining Unit 99 - Policy-Covered (No Bargaining Unit) |
University of California - San Francisco Campus and Health
Mar 10, 2025