What does a quality improvement manager do?
A quality improvement manager has a variety of duties and responsibilities. These include conducting research and creating quality improvement programs, developing standard operating procedures and facility policies, and performing audits to ensure compliance with regulatory requirements. Additionally, you will be responsible for establishing work plan metrics, analyzing performance metrics, and monitoring various department processes such as care complaints in the healthcare setting. You are also expected to review the latest industry data, clinical quality studies, and best practice interventions.
Quality improvement manager responsibilities
Here are examples of responsibilities from real quality improvement manager resumes:
- Manage CAPA, document control, internal audit, complaint handling, and training programs.
- Manage 12 FDA and EMA inspections ensuring efficient management of observations, corrective action commitment and completion.
- Manage HEDIS medical record review project and validation activities complete by auditors.
- Lead and direct the organization's accreditation survey preparation for rehabilitation facilities organizations.
- Serve as health plan subject matter expert for HEDIS specifications and NCQA standards and guidelines in preparation for health plan accreditation.
- Coordinate annual HEDIS reporting including oversight of vendor data collection, analysis and auditing.
- Provide oversight of development and implementation of electronic system in its use in utilization management.
- Participate in mock NCQA audits of health plans to provide feedback and coaching on potential deficiencies.
- Perform audits to accurately measure compliance to payer contract rules, NCQA, URAC and other regulatory requirements.
- Work with kidney/pancreas and heart/lung liver managers to ensure that these groups remain compliant with CMS rules and regulations.
- Provide ongoing deliverable reporting to CMS regarding LTC facility improvement initiatives, which show improved trending in all areas of focus.
- Review and evaluate patients' medical records, applying quality assurance criteria.
- Authorize or decline outpatient/inpatient admissions and emergency room encounters for Medicaid members.
- Interpret and implement quality assurance standards in hospital to ensure quality care to patients.
- Revise chart audit guidelines and audit tools in order to maintain compliance with Medicaid documentation requirements.
Quality improvement manager skills and personality traits
We calculated that 7% of Quality Improvement Managers are proficient in Quality Improvement, Performance Improvement, and Patients. They’re also known for soft skills such as Analytical skills, Communication skills, and Detail oriented.
We break down the percentage of Quality Improvement Managers that have these skills listed on their resume here:
- Quality Improvement, 7%
Presented executive leadership with monthly quality improvement data developed by interdisciplinary departmental staff comprised of medical/nursing/laboratory and administrative personnel.
- Performance Improvement, 6%
Assisted Director of Professional Services in development and implementation of performance improvement including staff development activities and educational programs i.e.
- Patients, 5%
Integrated a newly functioning Medical Oncology Practice with an established Radiation Oncology program to ensure consistencies for patients.
- Oversight, 5%
Provided oversight of development and implementation of electronic system in its use in utilization management.
- Process Improvement, 5%
Facilitated, led and managed complex process improvement projects resulting in increased efficiency and patient satisfaction and decreased costs.
- Patient Care, 5%
Produced and presented statistical data to the medical staff regarding monitoring and evaluating patient care.
Common skills that a quality improvement manager uses to do their job include "quality improvement," "performance improvement," and "patients." You can find details on the most important quality improvement manager responsibilities below.
Analytical skills. To carry out their duties, the most important skill for a quality improvement manager to have is analytical skills. Their role and responsibilities require that "medical and health services managers review and evaluate healthcare metrics for ways to improve efficiency and meet goals." Quality improvement managers often use analytical skills in their day-to-day job, as shown by this real resume: "assisted senior data manger in identifying and reporting meaningful quality metrics on physician and clinic level performance measures related hedis measures. "
Communication skills. Another essential skill to perform quality improvement manager duties is communication skills. Quality improvement managers responsibilities require that "medical and health services managers must convey information to their staff, other healthcare workers, and, sometimes, patients and insurance agents." Quality improvement managers also use communication skills in their role according to a real resume snippet: "coordinated and monitored quality improvement measures and facilitated communication and program linkages with sub-contractors and clients. "
Detail oriented. Another skill that relates to the job responsibilities of quality improvement managers is detail oriented. This skill is critical to many everyday quality improvement manager duties, as "medical and health services managers must pay attention to detail." This example from a resume shows how this skill is used: "delivered benefit-oriented presentations on facility and patient care to potential clients. "
Technical skills. quality improvement manager responsibilities often require "technical skills." The duties that rely on this skill are shown by the fact that "medical and health services managers must stay up to date with advances in healthcare technology, such as the coding and electronic health record (ehr) systems their facility adopts." This resume example shows what quality improvement managers do with technical skills on a typical day: "provided technical assistance and support for great start to quality improvement consultants and specialist. "
Leadership skills. While "leadership skills" is last on this skills list, don't underestimate its importance to quality improvement manager responsibilities. Much of what a quality improvement manager does relies on this skill, seeing as "medical and health services managers hire, train, and direct staff." Here is a resume example of how this skill is used in the everyday duties of quality improvement managers: "worked closely with physician leadership in directing improvement initiatives relating to clinical quality, patient satisfaction, and population health. "
The three companies that hire the most quality improvement managers are:
- Centene40 quality improvement managers jobs
- Baptist Health Home Care3 quality improvement managers jobs
- American Heart Association3 quality improvement managers jobs
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Compare different quality improvement managers
Quality improvement manager vs. Service director
A service director is responsible for managing and implementing customer service policies and ensuring that all staff strictly adhere to reach the highest customer satisfaction. Service directors' duties include identifying business opportunities to improve customers' experience, monitoring the performance of the customer service team, developing strategic procedures on service delivery, creating new promotional offers and services, and coaching the team to increase business productivity. A service director must have excellent leadership and communication skills, as well as extensive knowledge of the customer service industry to lead the team and boost company sales.
While similarities exist, there are also some differences between quality improvement managers and service director. For instance, quality improvement manager responsibilities require skills such as "quality improvement," "performance improvement," "data analysis," and "data collection." Whereas a service director is skilled in "healthcare," "customer service," "surgery," and "perioperative." This is part of what separates the two careers.
Service directors tend to make the most money working in the technology industry, where they earn an average salary of $137,415. In contrast, quality improvement managers make the biggest average salary, $81,504, in the insurance industry.The education levels that service directors earn slightly differ from quality improvement managers. In particular, service directors are 5.1% less likely to graduate with a Master's Degree than a quality improvement manager. Additionally, they're 0.2% more likely to earn a Doctoral Degree.Quality improvement manager vs. Nursing director
A nursing director's role is to oversee and evaluate all nurse staff in a hospital or organization, ensuring their efficiency at providing care towards patients. A nursing director's responsibilities mainly revolve around administrative tasks such as coordinating with physicians and other consultants, producing reports, conducting assessments, managing the budget and expenditures, and resolving issues. Furthermore, a nursing director must keep and maintain accurate records, ensuring all procedures adhere to the highest health standards and aligns with the hospital's policies and regulations.
Each career also uses different skills, according to real quality improvement manager resumes. While quality improvement manager responsibilities can utilize skills like "performance improvement," "process improvement," "patient care," and "data analysis," nursing directors use skills like "term care," "resident care," "rehabilitation," and "cpr."
Nursing directors earn a higher average salary than quality improvement managers. But nursing directors earn the highest pay in the health care industry, with an average salary of $83,602. Additionally, quality improvement managers earn the highest salaries in the insurance with average pay of $81,504 annually.nursing directors earn lower levels of education than quality improvement managers in general. They're 12.1% less likely to graduate with a Master's Degree and 0.2% less likely to earn a Doctoral Degree.Quality improvement manager vs. Assistant director of nursing
An assistant director of nursing is responsible for administering quality care services for patients, supervising nursing activities, and ensuring the patients' comfort under the supervision of the director of nursing. Assistant directors of nursing assist with nursing staff training, distributing shift schedules, developing comprehensive nursing care plans, handling expense reports, identifying areas of improvement with the staff performance, and securing patients' medical charts for reference. An assistant director of nursing must have excellent communication and organizational skills, especially in handling patients' medical needs.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a quality improvement manager is likely to be skilled in "quality improvement," "performance improvement," "process improvement," and "data analysis," while a typical assistant director of nursing is skilled in "term care," "cpr," "rehabilitation," and "quality care."
Assistant directors of nursing make a very good living in the manufacturing industry with an average annual salary of $85,610. On the other hand, quality improvement managers are paid the highest salary in the insurance industry, with average annual pay of $81,504.When it comes to education, assistant directors of nursing tend to earn lower degree levels compared to quality improvement managers. In fact, they're 14.8% less likely to earn a Master's Degree, and 1.7% less likely to graduate with a Doctoral Degree.Quality improvement manager vs. Clinical director
A clinical director is a managing professional who manages the work of healthcare providers to ensure quality patient care is achieved. Clinical directors are responsible for organizational tasks such as adjusting staff schedules, explaining insurance benefits to the patients, and managing financial reports. They can work either in small clinics with a smaller workforce or larger hospitals with multiple departments. Clinical directors may also assist in the hiring process of healthcare providers and should establish a positive work environment.
Types of quality improvement manager
Updated January 8, 2025
