Sr. Director, Clinical Quality Governance & Regulatory

Title: Sr. Director, Clinical Quality Governance & Regulatory Location: Atlanta, GA, US (On-site) Salary: USD $194,700 – $251,900 / yr Full-time 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. In addition to the responsibilities listed above, this position is also responsible for overseeing clinical quality and patient safety management programs including budgets, annual evaluations and revisions, preparation of internal/external reports, consultation services, education initiatives, measurement of outcomes, and improvement strategies related to clinical, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; establishing standards and strategies for the evaluation, design, development, and implementation of evidence-based guidelines, principles, and/or programs related to area of work as well as to reduce variation in clinical practice, optimize patient outcomes, and ensure organizational compliance; leading the collection, analysis, reporting, and presentation of clinical data to identify trends, outliers, and areas for improvement to inform high-visibility, long-term strategy and project goals; developing strategies for education initiatives regarding quality improvement activities, changes to existing processes to meet regulatory requirements, and translating external demands into program goals; serving as a strategic expert on the monitoring, reporting, and development of mitigation plans for all occurrences which may lead to medical center liability; supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and developing strategic relationships with applicable government agencies, regulatory agencies, and other organizations. 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. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact across teams. Oversees the operation of multiple units and/or departments by identifying member and operational needs; ensures the management of work assignment allocation and completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Engages strategic, cross-functional business units to champion and drive support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and ensures resolution of escalated issues. Sets and communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; obtains and distributes resources. Anticipates and removes obstacles that impact performance; addresses performance gaps and implements contingency plans accordingly; ensures teams accomplish 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. Directs data collection and analyses to support quality improvement reporting by: overseeing statistical analysis for quality improvement evaluations, special projects, and other work for multidisciplinary review; establishing the long-term plans for the integration and use of multiple utilization data reporting systems to develop and maintain a variety of statistical reports to support evidence driven improvement across KP; presenting and interpreting quality improvement metric reports to executive management to demonstrate improvements and effectiveness of quality improvement programs to a variety of technical and nontechnical audien

Salary : $194,000 - $251,000