The Role
Lead development and oversight of quality and compliance programs, conduct audits and risk assessments, implement corrective actions, train staff, collaborate with leaders on quality initiatives, and report performance metrics to leadership.
Summary Generated by Built In
Job Summary
The Director, Quality & Compliance is responsible for overseeing quality assurance and regulatory compliance activities to ensure that organizational standards, industry guidelines, and regulatory requirements are consistently met. This role provides strategic direction and oversight to maintain and improve the quality of services or processes, as well as ensuring adherence to applicable legal and regulatory guidelines. The Director collaborates with cross-functional teams to implement best practices, identify improvement areas, and promote a culture of quality and compliance across the organization.
Essential Functions
The Director, Quality & Compliance is responsible for overseeing quality assurance and regulatory compliance activities to ensure that organizational standards, industry guidelines, and regulatory requirements are consistently met. This role provides strategic direction and oversight to maintain and improve the quality of services or processes, as well as ensuring adherence to applicable legal and regulatory guidelines. The Director collaborates with cross-functional teams to implement best practices, identify improvement areas, and promote a culture of quality and compliance across the organization.
Essential Functions
- Leads the development, implementation, and monitoring of quality and compliance programs to ensure adherence to applicable regulatory and organizational standards.
- Establishes policies, procedures, and guidelines to promote and enforce compliance with all relevant regulations and quality standards.
- Conducts risk assessments and audits to identify areas for improvement and ensures appropriate corrective actions are implemented.
- Collaborates with departmental leaders to provide guidance and support on quality initiatives and compliance matters.
- Oversees training and education programs to raise awareness of quality and compliance requirements across the organization.
- Prepares and presents reports on quality and compliance activities, including performance metrics, audit findings, and improvement initiatives, to leadership.
- Maintains up-to-date knowledge of regulatory requirements and industry best practices, ensuring alignment of organizational policies and procedures.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- Bachelor's Degree in Healthcare Administration, Business, Quality Management, or a related field required
- Master's Degree preferred
- 5-7 years of experience in quality assurance, regulatory compliance, or a related field, with at least three (3) years in a leadership role required
- Extensive knowledge of quality and compliance standards, regulatory guidelines, and accreditation processes.
- Strong analytical skills with the ability to interpret and apply complex regulations.
- Excellent communication and presentation skills for effective interaction with all levels of staff and leadership.
- Proficiency in using quality management systems, data analysis tools, and Google Suite.
- Demonstrated ability to lead teams, manage projects, and drive continuous improvement initiatives.
- High attention to detail, with strong problem-solving and decision-making skills.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
- License or certification in relevant healthcare clinical field required
- CPHQ - Certified Professional in Healthcare Quality preferred
Skills Required
- Bachelor's Degree in Healthcare Administration, Business, Quality Management, or related field
- Master's Degree
- 5-7 years experience in quality assurance, regulatory compliance, or related field
- At least 3 years in a leadership role
- Extensive knowledge of quality and compliance standards, regulatory guidelines, and accreditation processes
- Proficiency with quality management systems, data analysis tools, and Google Suite
- Demonstrated ability to lead teams, manage projects, and drive continuous improvement initiatives
- RN state licensure and/or compact licensure OR license/certification in a relevant healthcare clinical field
- CPHQ Certified Professional in Healthcare Quality
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The Company
What We Do
Community Health Systems, Inc. is one of the nation’s leading operators of general acute care hospitals. The organization’s affiliates own, operate or lease more than 80 hospitals in 16 states with approximately 15,000 licensed beds. Affiliated hospitals are dedicated to providing quality healthcare for local residents and contribute to the economic development of their communities. Based on the unique needs of each community served, these hospitals offer a wide range of diagnostic, medical and surgical services in inpatient and outpatient settings.
