Director, Quality Management

Job Description

Plans, organizes and directs the staff and activities of the Quality Management/ Performance Improvement Program to achieve approved clinical goals and strategic operating plans and objectives. Ensures compliance with regulatory agencies in accordance with internal and external requirements/regulations. Promotes effective patient safety and performance improvement initiatives to improve processes and outcomes of patient care.

Job Responsibility

• Leads a Quality Management group by communicating with and developing staff members, and building consensus for programs and goals that support a business, function or geographic area.

• Develops and articulates a short-term strategic vision for areas of responsibility.

• Plans and directs all aspects of the Quality Management/Performance Improvement Program at facility.

• Develops methodologies that enhance problem-solving and effective resolution of identified patient care issues.

• Oversees orientation and education on quality improvement and performance improvement theoretical frameworks that promote high quality patient care.

• Develops and implements appropriate measurements to assess processes and outcome of patient care.

• Facilitates a multidisciplinary approach to issue resolution and process improvement.

• Reviews and evaluates the Performance Improvement Program and the Organizational Performance Improvement/Safety Plan annually.

• Develops Performance Improvement Coordinating Group (PICG) agenda (with Chairman and Vice-Chairman PICG) to ensure all relevant reporting including performance improvement prioritization. Produces PICG minutes for distribution to members, Administration and Medical Board.

• Maintains and ensures confidentiality of all Quality Assurance documents in accordance with statutory regulations.

• Ensures compliance with regulatory requirements with regard to statutory standards.

• Provides ongoing regulatory updates on quality management/performance improvements to the PICG.

• Prepares presentation of monthly reports to Joint Conference/Professional Affairs Committees.

• Maintains current knowledge of regulatory changes pertaining to Quality Assurance/Performance Improvement activities.

• Coordinates and communicates all on-site surveys pertaining to Quality Assurance/Performance Improvement activities.

• Promotes effective patient safety and performance improvement initiatives to improve processes and outcomes of care.

• Facilitates performance of Root Cause Analysis with Clinical and support services to effect improvement in processes of care delivery.

• Promotes failure mode analysis as a methodology for proactive assessment to improve care delivery.

• Collaborates with all departments/services on performance improvement initiatives.

• Participates in prioritization of performance improvement teams.

• Collaborates with System Quality Management.

• Leverages data science tools and techniques in analyzing large data-sets that will enable him/her to develop custom models and algorithms to uncover insights, trends, and patterns in the data, which will be useful in availing informed courses of action.

• Responsible for the evaluation of analytics and program learning technologies in use in the business; drives the collection of new data as well as the refinement of existing business data sources.

• Utilizes analytic platforms and technologies for the purpose of extracting and processing data for the business's analytical needs.

• Partners with senior business executives and key stakeholders in creating the data science roadmap tailored to constantly aid data governance across the business and improve the overall business performance.

• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• Bachelor's Degree required, or equivalent combination of education and related experience.

• 8-12 years of relevant experience and 7+ years of leadership / management experience, required.

• Minimum of seven (7) years administrative experience in Quality Management Utilization Management.

• 7+ years of Quality Management Utilization Management leadership experience.

• Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).