Director, Quality & Risk Management

Job Summary

In addition to the responsibilities listed below, this position is also responsible for overseeing critical risk management projects such as cybersecurity, changes to the reimbursement structure, and the impacts of changes in medical science to hospital performance, among others; maintaining a culture of continuous learning and interest in critical risk management practices and industry changes; and implementing structure and making recommendations on new processes to monitor various employee and patient physiological and psychological safety health issues.

• Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends;
  
  shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
• Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues.
  
  Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
• Serves as the subject matter expert for clinical quality improvement processes and regulations for regions, internal and external committees, and key stakeholders by: providing consultation on the interpretation, interaction, and implementation of current policies, regulations, and legislation and advising on the current climate and potential changes which may have long term effects on business operations; proactively engaging in internal and external committees, projects, and relevant initiatives to implement change and to move QA initiatives forward, as well as to communicate to senior leadership on the various changes and rationale for change;
  
  fostering collaborative, results-oriented partnerships with practitioners, staff, management, and/or departments across clinical and administrative roles to ensure current and future compliance, and advising on changes to KP policy; defining the standards for educational programs to raise awareness for current and changing regulation requirements, internal concerns, and system/database usage; and identifying barriers to process improvement issues, weighing practical, technical, and KP capability considerations in addressing issues, and advising on policy changes.
• Directs the quality of care complaints and review process by: directing and representing KP at grievance meetings, cases, reviews, referrals, and other mechanisms; responding to and directing the preparations of…