Sr. Director, Clinical Quality Governance & Regulatory

Job Summary

The Senior Director, Clinical Quality Governance & Regulatory will provide strategic oversight for clinical quality, patient safety, risk management, credentialing, peer review, and regulatory compliance. This senior leader will serve as a key partner to local and national boards, ensuring effective governance, quality performance, and accountability across health plan and care delivery operations.

About the Role

Builds organizational capacity and prepares high potentials for growth opportunities and advancement; builds collaborative networks inside and outside the organization for self and others. Provides framework for soliciting and acting on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Models and drives continuous learning and oversees the recruitment, selection, and development of talent; stays current with industry trends, benchmarks, and best practices; ensures performance management guidelines and expectations to achieve business needs.

Essential Responsibilities

• Builds organizational capacity and prepares high potentials for growth opportunities and advancement; builds collaborative networks inside and outside the organization for self and others.
• Provides framework for soliciting and acting on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement.
• Models and drives continuous learning and oversees the recruitment, selection, and development of talent; stays current with industry trends, benchmarks, and best practices; ensures performance management guidelines and expectations to achieve business needs.
• Acts as a thought leader on industry trends, benchmarks, and best practices; shares best practices within and across teams to drive improvement.
• Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning cross-functional resource plans with business objectives.
• Serves as a subject-matter expert and trusted source to executive leadership; provides influence and consultation in the development of the larger organizational or business strategy.

Knowledge, Skills and Abilities

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Constructive Feedback
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Leadership
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Strategic Thinking
• Team Building
• Teamwork
• Topic-Specific Communication Knowledge, Skills and Abilities

Minimum Qualifications

• Minimum four (4) years of experience managing operational or project budgets.
• Minimum six (6) years of experience in a leadership role with direct reports.
• Minimum two (2) years of experience with databases and spreadsheets or continuous quality improvement (CQI) tools.
• Minimum eight (8) years of experience in a clinical setting, health care administration, or a directly related field.
• Masters degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum eight (8) years of experience in heath care quality assurance/improvement or directly related field OR Bachelors degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum ten (10) years of experience in heath care quality assurance/improvement or directly related field OR Minimum thirteen (13) years of experience in heath care quality assurance/improvement or a directly related field.
• Professional in Patient Safety Certificate within 24 months of hire OR Professional Healthcare Quality Certificate within 24 months of hire OR Professional in Healthcare Risk Management Certificate within 24 months.