Job Title

Position Overview A successful Quality and Population Health Specialist must be passionate about healthcare and want to make a difference in the lives of others while acting as a mission-driven catalyst to help Livingston Community Health (LCH) deliver the best quality of care and excellent service to our patients and their families. The Quality and Population Health Specialist serves as the organizational lead for all quality improvement and population health activities at Livingston Community Health (LCH). This role is responsible for driving performance improvement, advancing population health outcomes, and embedding a culture of continuous quality across all service lines. The Specialist serves as the primary subject matter expert and project manager for quality and population health initiatives, ensuring alignment with HRSA requirements, value-based care programs, and LCH's strategic goals. Essential Functions, Duties, and Responsibilities Strategic & Operational Leadership * Lead the development, implementation, and annual update of the organization's Quality Improvement and Population Health Plan, ensuring alignment with HRSA, FTCA, PCMH, and LCH strategic goals. * Serve as the primary internal subject matter expert on quality and population health, ensuring leaders, managers, and staff understand their roles and responsibilities in achieving quality targets. * Drive alignment between clinical quality goals and operational priorities by collaborating with the COO, CMO, and operational leaders to embed quality objectives into daily operations. * Chair or co-chair the Quality Improvement Committee, including agenda planning, data reporting, documentation, and follow-up on action items. * Supports the overall needs of the organization by working flexible or extended hours when necessary. * Demonstrates competence with the mission, vision, and values of the organization in providing quality services to the community. * Other work-related duties as assigned. Duties and responsibilities may be added, deleted, or changed at any time at the direction of leadership, formally or informally, either verbally or in writing. * Maintains confidentiality and respect for all sensitive information. * Displays a positive, professional, and respectful demeanor at all times towards employees, peers, professional contacts, and patients served, maintaining a professional appearance and positive image for LCH. * Contributes as part of the team by promoting positive staff interactions and maintaining open communication with other programs and departments. * Attends and actively participates in all meetings (e.g., department meetings, program meetings, staff meetings) and other activities as required or assigned. Data Governance & Performance Reporting * Oversee data integrity for all quality-related reports and dashboards by validating data sources, monitoring EHR data entry accuracy, and collaborating with the IT/Data Analytics teams to refine population health registries and reporting tools. * Manage monthly and quarterly quality performance reporting cycles, including internal scorecards, board reports, health plan incentive reports, and UDS submissions. * Conduct chart reviews, audits, and gap analyses to validate data accuracy and track progress on clinical quality and population health goals. Compliance & Accreditation * Maintain continuous readiness for HRSA Operational Site Visits (OSVs), FTCA deeming, PCMH recognition, and other audits or accreditation activities, serving as the 0 primary coordinator for all quality-related components. * Ensure timely completion and documentation of all required clinical quality audits, risk assessments, and corrective action plans. Population Health Strategy & Execution * Design, implement, and manage population health initiatives aimed at improving chronic disease outcomes, preventive care compliance, and reducing health disparities. * Utilize risk stratification and care gap reports to target high-risk and non-engaged patient populations, developing outreach and follow-up strategies with care teams. * Collaborate with care coordination, outreach, and clinical teams to embed evidence-based guidelines and best practices into daily workflows. Provider Peer Review & Professional Practice * Coordinate and manage the provider peer quality review process, including scheduling, collecting and analyzing results, and ensuring results are incorporated into recredentialing, privileging, and professional development activities. * Collaborate with the CMO and Credentialing Team to ensure peer review results inform LIP recredentialing decisions and support continuous clinical quality improvement. External Collaboration & Health Plan Relations * Serve as the organizational liaison for all quality-related interactions with contracted health plans, IPAs, and other external stakeholders. * Attend and actively participate in health plan quality meetings, presenting LCH performance data and representing the organization in all quality-related matters. * Collaborate with health plan quality representatives to align goals, monitor performance, and ensure LCH meets or exceeds assigned health plan quality measures and maximizes quality incentive revenue. Capacity Building & Staff Engagement * Provide training, coaching, and technical assistance to site managers, providers, and care teams on quality metrics, workflows, data tools, and best practices. * Act as a liaison between the Quality Department and clinical sites to promote engagement, accountability, and a culture of excellence. Education, Knowledge, Skills, and Abilities * Education and Experience * Bachelor's degree in Nursing, Public Health, Health Administration, or related field (or equivalent combination of education and experience). * Minimum of 2 years of experience in healthcare quality improvement, population health, or clinical operations in an FQHC or similar setting. Certifications and Licensure * Basic Life Support (BLS) Certification from the AHA preferred. * Valid driver's license. Knowledge, Skills, and Abilities * Willingness to communicate using strong emotional intelligence. * Strong knowledge of UDS, HEDIS, PCMH, and value-based care quality metrics. * Proven ability to analyze data, build dashboards, and present findings to diverse audiences. * Proficiency in Excel and electronic health record (EHR) systems (NextGen experience preferred). * Excellent interpersonal, communication, and facilitation skills with the ability to engage cross-functional teams. * Excellent written and verbal communication skills. * Ability to work collaboratively with clinical and administrative leaders. * Strong organizational and project management skills with the ability to manage multiple priorities and deadlines.