Associate Director of Quality Improvement

January 29, 2020

The Associate Director of Quality Improvement (QI) in conjunction with the Director of QI is responsible for the direction, development and coordination of all activities and functions of Quality Improvement for a Federally Qualified Health Center in New York City. Such efforts include developing short/long-term plans for the Network’s QI strategies, directs data analytics and reporting for both internal and external initiatives, ensures compliance with regulatory QI standards, and develops programs to review and evaluate patient care and outcomes. Such efforts are to ensure the provision of high quality, service-orientated care delivery model in pursuit of clinical excellence. This work is carried out in support of the mission and goals of the Ryan Network.

Essential Functions:

Development, Implementation, Monitoring, and Evaluation

  • Direct and manage all aspects of the health services QI initiatives, in collaboration with appropriate medical leadership and administrators.

  • Design study methods and tools, policies and procedures, and sampling strategies for reliable data and statistics; collate, tabulate, display, and disseminate data.

  • Oversee the Network’s utilization of QI related software (i.e. DRVS) and serve as liaison between vendor.

  • Supervise high-functioning team comprised of a Clinical Quality and Efficiency Manager, Data Analyst(s), Practice Facilitator(s), QI Interns/AmeriCorps and other QI staff.

  • In collaboration with the Practice Facilitator, ensure site QI teams and Network programs have the tools and resources needed to drive successful QI projects.

  • Provide in-service trainings/presentations to Department Heads, clinical staff, and other appropriate staff on QI issues and regulation changes.

  • Oversees the reports developed for QI committees; Quality Assurance/Performance Improvement Committee; Board QI Committee; Morbidity and Morality Committee; and other key stakeholders.

  • Evaluate and summarize QI activities for Administration and Board of Directors’ QI Committee.

  • Maximize revenue opportunities related to Managed Care QI programs, DSRIP, PCMH and other value-based programs.

  • Support Patient Centered Medical Home implementation and reaccreditation efforts for the Network.

  • Support Joint Commission reaccreditation efforts for the Network.

  • Lead DSRIP related initiatives and ensure effective implementation and management thereof.

  • Responsible for patient safety reports as it relates to patient complaints and grievances, peer reviews and morbidity and mortality cases.

  • Oversee the efforts to complete clinical component of the Unified Data Systems (UDS) report.

  • Support other Quality Improvement activities throughout the network as per the Director of Quality Improvement, the Chief Medical Officer or CEO.

External Relations

  • Maintain contact with regulatory agencies regarding policies and regulations pertinent to maintaining an effective QI Program.


  • Provides direct supervision to QI staff, including: recruitment, day-to-day supervision, support, staff evaluations, handling of disciplinary actions (as necessary), coordinating of schedules, and tracking of FTE allocations on grant funded programs (as appropriate).

  • Act as Quality Improvement Liaison for other Ryan Network committees (e.g., HIV, etc.).

  • Assist the Director of Quality Improvement or designee during site visits from regulatory agencies.

  • Enforce Ryan Network and regulatory policies on confidentiality in collaboration with the Medical Records Supervisor.


  • Remain up to date on pertinent quality standards.

  • Report any unusual occurrences or issues to Administration in a timely manner.

  • Serve as Saturday Administrator on a rotational basis.

  • Special projects and other duties as assigned.



Experience and Skills Required:

  • Bachelor’s Degree in a relevant field.

  • Minimum 3 years of Quality Improvement experience.

  • Minimum of two years supervisory experience required.

  • Requires strong analytical ability to solve complex problems.

  • Must be knowledgeable about Patient Centered Medical Home guidelines and other federal and local quality standards

  • Must possess advanced interpersonal skills to effectively interface with all levels of staff as well as external business-related associates, auditing and accreditation agencies, and Executive Staff.

  • Expert at professional writing in order to prepare reports/documents for internal presentations as well as presentation to various governance boards and conferences.

  • Advanced planning, organization, analytics and business acumen are required to understand and present the implications of various decisions.

  • Proven track record of organization, attention to detail and ability to respond promptly to requests, anticipate organizational needs, and maintain efficient office operations.

  • Strong computer literacy with proficiency in standard office software/hardware such as Microsoft Word, Excel, Outlook, PowerPoint.

  • Working experience with electronic medical records software.

Education, Licenses and/or Certifications Required:

  • None

Preferred Qualifications:

  • Master in Public Health or related field.

  • Supervisory experience

Competencies Required:

Customer Service:

  • Professional, courteous and respectful attitude in dealing with patients.

  • Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient served (if applicable).

  • Commits to exceeding expectations of the patient.


  • Works well with others.

  • Contributes input to improve outcomes.

  • Asks others for opinions and feedback; provides feedback in a tactful respectful way;

Minimal Training Time:

180 actual workdays introductory period


The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.

Equal Opportunity Employer

Ryan Health is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.

How To Apply