Corporate Director of Quality

Responsibilities

• Lead and oversee the organization’s QAPI program across multiple hospitals
• Ensure ongoing compliance with CMS and Joint Commission standards
• Monitor and analyze key quality indicators, including: Patient safety and clinical outcomes, Restraint and seclusion practices, Patient rights and medication safety
• Drive performance improvement initiatives (PIPs) using proven methodologies (PDSA, Lean, Six Sigma)
• Lead Joint Commission readiness efforts, including mock surveys, tracers, and gap analyses
• Oversee responses to surveys, RFIs, and accreditation requirements
• Partner with leadership on: Root Cause Analyses (RCAs), Sentinel events and investigations, Risk reduction strategies
• Develop and present quality dashboards and reports to executive leadership and governing bodies
• Standardize quality processes, metrics, and reporting across all facilities
• Provide education and coaching to leaders and teams on quality, compliance, and patient safety
• Serve as the subject matter expert during surveys, audits, and regulatory reviews

Qualifications

• Strong knowledge of CMS Conditions of Participation and Joint Commission standards
• Proven experience leading quality and patient safety programs in healthcare
• Expertise in data analysis, performance improvement, and regulatory compliance
• Ability to influence and partner with executive and clinical leadership
• Experience supporting multi-site or system-level operations preferred