Quality Improvement Specialist

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, 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.