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Director, Quality Improvement and Quality Measures



BASIC FUNCTION Plans, directs, and evaluates the activities and staff by developing, recommending, and implementing goals, objectives, budgets, structures, and operational procedures for the Quality Line of Business. Oversees development and implementation of a comprehensive quality collaborative, data, and quality measure programs to achieve the strategic objectives of ACEP and to elevate department objectives in order to execute and achieve assigned goals and deliverables. Develops and maintains the comprehensive business plans, budgets, project workplan; oversees quality control; builds partnerships across healthcare organizations and seeks new opportunities. 

Characteristic Duties and Responsibilities

  1. Provides project management and oversight to ensure timely completion of project objectives and deliverables including developing project plans, communicating with key stakeholders and driving the execution of diverse projects while coordinating the efforts of project staff members and third-party contractors or consultants.

  2. Monitors progress of multiple projects, collaborates with funding agencies, and works with department staff and physician leaders to develop appropriate reports and deliverables for funded projects to assure timely and efficient completion of projects.

  3. Manages and facilitates workgroups, task forces, committee and section outreach and related responsibilities to maximize interaction with physician leadership.

  4. Manages and oversees all aspects of quality performance measures including measure development, testing, measure maintenance, measure harmonization, licensing, grants, data requests, statistical evaluation, research, and defending.

  5. Oversees the implementation of the E-QUAL Network, Opioid, Stroke, Sepsis, Geriatrics, Atrial Fibrillation, and other future Projects, Data Projects, and Quality Measure Development/maintenance, Globalization initiatives to meet funders’ and ACEP deliverables and plans, implements and evaluates the learning collaboratives within the E-QUAL network.

  6. Serves as a liaison between ACEP, CMS, measure development/maintenance subcontractors (i.e.: PCPI and HHS), and other funding agencies in conjunction with AED of Quality, Director of CEDR, and AED of Public Affairs.

  7. Interfaces and maintains positive working relationship with ACEP staff, members, consultants, and contractors to gather and assimilate data for reports and reviews of deliverables, ensuring properly detailed records are maintained.

  8. Provides support for funded projects including drafting, editing, and proofreading reports and correspondence; creates, develops, and maintains project databases and spreadsheets; and processes invoices and requests for payment

  9. Prepares and reviews measure information for annual QCDR self-nomination and updates it throughout the year based various reviews, recommendations, and user experiences.

  10. Provides oversight on data projects, including data requests, data platform compliance, analytics, statistical evaluation, Predictive Modeling, Augmented Intelligence, Crowdsourcing, Blockchain technology, reporting, publications, presentations, and customer support

  11. Manages research and special projects related to data, analytics, information modeling, quality measures, and quality improvement

  12. Research and identify opportunities for funding support of ACEP Quality Department Programs (E-QUAL, Opioids, Network of Quality Improvement and Innovation Contractors, MACRA Measure Development Co-Operative Agreements, NIH/NIDA, ASPR, and CDC Data Infrastructure and Measures grants, etc.).

  13. Works with other ACEP departments (specifically Educational Meetings, Finance and Grants) to prepare and submit the necessary documentation required for funding opportunities, such as, grants, task orders, IDIQ, and BPAs.

  14. Manages meeting planning and logistics for on-site and out-of-town meetings involving representatives of ACEP, other stakeholder organizations and government agencies.

  15. Creates presentations, web content, and support booth and virtual participation for meetings, conferences and webinars.

  16. Develops, reviews and monitors department budgets, subcontract awards, and agreements. Makes recommendations regarding needed actions. Manages vendor relationships, deliverables, compliance, and invoices.

  17. Attends business and educational meetings as assigned.

Relationships and Contacts

Reports to:

Associate Executive Director, Quality


Assistant Project Manager, Project Manager; Data Analyst

Internal Contacts:

Grants and Foundation Development, Policy, Quality, Membership, Finance, Educational Meetings, Technology Services staff, Executive Office staff

External Contacts

ACEP members, committees, sections, collaborating organizations, and federal/state project officers, corporate funders, foundation funders

Required Education and Experience

  1. Master’s degree or equivalent related experience

  2. Minimum of ten years project management, people management, grants management, or contracts management experience

  3. Experience managing multiple priorities

  4. Project management software experience such as Agile or Microsoft Project.

  5. Certified Project Management Professional

Other Desired Qualifications 

  1. Strong verbal and written communication skills

  2. Experience with a medical society, non-profit or association

  3. Coursework in health policy, health administration, health services, public health, public administration, public policy or a related field preferred

  4. Ability to adapt to changing priorities and schedules

  5. Works well under deadline pressure with attention to detail

  6. Responds proactively to needs of department and members

  7. Self-motivated, energetic, and dependable

  8. Cooperative, tactful and able to work under pressure

  9. Dependable, responsible and resourceful

We offer competitive salary, excellent benefits package, retirement plan and more.

If you have any questions or would like to send your resume, contact us here.

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