Quality Improvement HC Specialist HX

Job Summary

CA-DK
The MQSA – Mammography Quality Standards Officer role involves developing, managing, and implementing a Mammography quality program for all clinical Mammography locations within the Department of Radiology at UCD Health. This includes updating policies and procedures in line with ACR and MQSA guidance, maintaining MQSA documents, and ensuring up-to-date employee training records. Additionally, collaboration and training of faculty, staff, and managers in other departments, as well as maintaining relationships with outside vendors for in-services, are important aspects of the role.

The incumbent is responsible for ensuring compliance with ACR and MQSA safety regulations and recommendations, as well as enforcing proper policies and procedures for day-to-day MQSA compliance. Regular site visits and collaboration with various managers are also part of the role.

Apply By February 20, 2026 at 11:59 pm

• ARRT (R)(M) Certification as an Mammography Technologist
• Bachelor's degree in the healthcare profession or a combination of comparable clinical education and/or experience.
• Minimum of 5 years of direct work experience in Mammography
• Thorough knowledge of the safety standards and risks associated with GBCA.
• Full competency in applying MQSA regulations and the ACR manual for Mammography and Joint Commission Requirements.
• Understand the legal implications of MQSA through knowledge of QA/QI standards, clinical chart review and abstraction, and regulatory requirements.
• Thorough knowledge of QA/QI models, measurement tools, and techniques, including collection, aggregation, abstraction, validation, analysis, and reporting of data.
• Detail-oriented, with proven ability to effectively manage time, see projects through to completion, organize competing priorities, and effectively address complex, urgent issues as they arise.
• Strong critical thinking and problem-solving skills to manage multiple levels of information and responsibilities, to quickly assess complex problems, and to develop and implement timely and effective solutions.
• Analytical and problem-solving skills to work with complex information, determine impact, identify risks, evaluate approaches, and develop solutions within the context of priorities, time constraints, and available resources.
• Strong interpersonal skills for collaborating effectively with a broad range of clinical and technical staff and representatives of external regulatory agencies and for mentoring lower-level QA/QI staff.
• Strong skills required to effectively convey complex clinical and technical information both verbally and in writing and to produce high-quality reports and documentation.
• Strong knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
• Strong skills to influence staff, management, and clinicians at all levels and across departments.
• Knowledge and ability to provide guidance on quality indicators or metrics, describing how they relate to patient care and safety.
• Ability to perform statistics and analysis of data including interpretation and correlation.
• Ability to prepare reports using applicable software applications (e.g. Word, Excel, Power Point, Visio), and to present reports to various departmental and hospital committees.
• Possess technical knowledge of Radiology exams and processes.
• Knowledge of state, federal, hospital and departmental regulations and requirements.
• Knowledge of regulatory requirements pertaining to Radiology.
• Knowledge of quality assurance, quality system essentials, quality improvement, benchmarking, metrics, data analysis, and audit processes.
• Ability to collect data and synthesize information from a variety of sources;
  Radiant (RIS), EPIC EMR, RL Solutions, and other programs as necessary.
• Full understanding of the Radiology Quality Map and how each step impacts the patient, recognizing that at each point there is opportunity to improve processes and outcomes.
• Knowledge to assess and recommend changes to maintain compliance with federal and state requirements and internal policies.
• Political acumen and collegial communication skills to interact…