Regional Director Quality Management System Care Mgmt Institute-Six Sigma Northgate-Associ

The Corporate Director of Quality Management System (QMS) provides strategic leadership, coordination, and oversight for the organization’s Quality Management System across all regional hospitals, ambulatory settings, and affiliated entities. This position is responsible for ensuring standardization, deployment, integration, and continuous improvement of quality management principles, performance improvement methodologies, regulatory compliance processes, and policy governance throughout the health system.

Working collaboratively with executive leadership, clinical leaders, operational leaders, and facility quality teams, the Corporate Director develops and implements system-wide quality strategies that promote high reliability, patient safety, regulatory compliance, operational excellence, and achievement of organizational goals. The position serves as the primary enterprise resource for quality management systems, performance improvement methodologies, quality governance, and policy standardization across all regional facilities.

This role provides oversight of regional quality programs, quality committees, quality metrics, performance improvement activities, and the system-wide policy and procedure management process to ensure consistency, compliance, and alignment with organizational priorities.

Quality Management System Leadership

• Provide strategic leadership for the design, implementation, deployment, maintenance, and continual improvement of the Quality Management System (QMS).
• Collaborate with executive leadership to establish the vision, mission, structure, and strategic priorities of the QMS.
• Ensure alignment of quality initiatives across all hospitals, ambulatory sites, physician practices, and affiliated entities.
• Facilitate integration of quality, safety, regulatory, operational excellence, and performance improvement activities throughout the organization.
• Promote a culture of continuous improvement, accountability, transparency, and high reliability.

Regional Quality Oversight

• Provide direct oversight and coordination of regional quality management programs across all facilities and service lines.
• Establish and monitor system quality goals, performance indicators, dashboards, and outcome measures.
• Analyze organizational quality trends and identify opportunities for improvement.
• Ensure implementation of evidence-based quality improvement methodologies and best practices.
• Guide facility leadership in developing corrective action plans for identified performance gaps.
• Monitor progress toward strategic quality objectives and regulatory requirements.
• Participate in executive reviews of quality, safety, and operational performance.

Regional Policy and Procedure Governance

• Provide oversight for enterprise and regional policy and procedure development, review, approval, implementation, and maintenance processes.
• Chair or support system Policy and Procedure Committees and governance councils.
• Ensure policy standardization across facilities whenever operationally appropriate.
• Coordinate interdisciplinary review and approval processes for corporate policies.
• Establish controls to ensure timely review, revision, and retirement of policies.
• Monitor policy compliance through audits, performance reviews, and regulatory readiness activities.

Ensure policies remain aligned with applicable regulatory, accreditation, legal, and operational requirements.

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