Director of Quality and Organizational

Director of Quality and Organizational Performance Continuous Quality Improvement

• Under the leadership of the CMO, facilitate the development, implementation, and quarterly review of the MHSI Continuous Quality Improvement Program Plan (CQIP).
• Coordinate, facilitate, and document the work of the CQI Committee, including agendas, minutes, dashboards, and formal reports.
• Oversee the collection, validation, analysis, and reporting of HRSA Uniform Data System (UDS) measures, ensuring accuracy, completeness, and consistency with HRSA guidance.
• Partner with clinical, operations, IT, and billing teams to ensure EHR workflows, data definitions, and documentation practices support reliable UDS reporting.
• Monitor UDS clinical quality measures, patient demographics, utilization, and outcomes to identify performance gaps, trends, and improvement opportunities.
• Translate UDS findings into actionable performance improvement initiatives across Primary Care, Behavioral Health, Dental, Pharmacy, Ryan White, WIC, Podiatry, and Human Services.
• Ensure timely submission of UDS reports, support internal validation processes, and respond to HRSA inquiries, audits, or data verification requests.
• Identify, assess, prioritize, and monitor quality improvement opportunities related to ambulatory care delivery and population health outcomes.
• Oversee