Quality Assurance Coordinator Senior

Rochester, NY


This position provides administrative coordination, technical and professional input, and staff support for the Department of Medicine's Quality Assurance. Program.

  • Works with minimal direction toward long-range goals

  • Advanced level of problem-solving ability

  • Creates strategies for long-term objectives

  • Significant impact on department's results

  • Leader of department QA PI plans


Quality Assurance/Process Improvement:

  • Provides oversight for the ongoing development, implementation and monitoring of the Department of Medicine’s QA/PI Program.

  • Responsible for the development of Department of Medicine’s annual QA/PI Plan and goals ensuring coordination with the Hospital’s strategic quality goals.

  • Serves as the Department liaison to the Hospital’s Quality Assurance Office, represents the Department on selected Hospital Quality Councils and committees

  • Develops mechanisms to improve patient outcomes and safety using evidence-based medicine, data-driven metrics and principles of performance improvement, project management and Lean.

  • Assists with coordination and facilitation of Department Quality meetings and conferences.

  • Fosters education on QA/PI, coordinates work and provides support to Division QA Liaisons.

Medical Record Reviews:

Assures that the departmental peer-review/medical record review processes are in place. This responsibility includes the coordination of a representative sample of medical record reviews of each physician in the department for trend analysis, quality, and appropriateness of care. Assures that the Department is in compliance with hospital and external regulatory agency Quality Assurance requirements. Collects, tabulates, and communicates results of data relevant to the review of the quality of care delivered within the Department of Medicine.

  • Screens cases of risk events, complaints, grievances, mortality and readmissions within 7 days for the DOM for further review.

  • Facilitates and coordinates timely QA case reviews or responses from clinical leaders as indicated.


  • Represents the Department on RCA teams and regulatory surveys/reviews.

  • Oversees Department/Division responses to patient complaints/grievances and Intradepartmental Quality Reviews,

  • Ensures compliance with credentialing overseeing OPPE/FPPE requirements and maintenance of physician quality files in accordance with regulatory standards.

Physician Profiles:

Assists the Department Vice-Chair in maintaining a physician profile for each provider in the Department in accordance with NYSDOH regulations.

  • Works in collaboration with DOM Leadership when physician QA files are requested from external agencies, Legal (OCMC), or on-site reviews.


Prepares reports to the Hospital Quality Assurance Office, Hospital Risk Management Office, and other areas as required.

  • Prepares reports on Mortality screening, Risk Event reports, and Pl results for DOM and divisions to Medicine Clinical Program council.

  • Creates reports with graphs for Pl indicators for DOM Medicine Quality and Patient Experience and Geriatric Fracture Center.

Data Analysis:

Works in conjunction/collaboration with Office of Clinical Performance Evaluation (OCPE) in reviewing physician outcome data and patient satisfaction results. Review cases to determine compliance with Center for Medicare/Medicaid Services (CMS) core measure set.

  • Ongoing Professional Practice Evaluations: reviews individual faculty member performance reported by OCPE relative to benchmarks (i.e., mortality, LOS, readmissions) and provide input to DOM Vice Chair and Chair for approval.

  • Focused Professional Practice Evaluations: Coordinates FPPE review with divisions as needed for initial privileges, added privileges, and for cause indications.

  • Participates in Root Cause Analysis (RCA) in conjunction with Hospital QA Department. Assists with document preparation and is resource when cases are presented to JMQC.


  • Bachelor's degree in healthcare-related field required

  • Master's degree preferred

  • 4-5 years of relevant management experience, or an equivalent combination of education and experience required

  • Knowledge of Quality/Performance Improvement or Quality Assurance.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University’s mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $ 58,000 - $113,000 Annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job’s compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Location: School of Medicine & Dentistry
Full/Part Time: Full-Time
Opening: Full Time 40 hours Grade 055 Medicine - Administration
Schedule: 8 AM-5 PM; SOME WKNDS