ASSISTANT VICE PRESIDENT OF QUALITY

C2Q Health Solutions•New York, NY

5d•$155,000 - $165,000

About The Position

The Assistant Vice President (AVP) of Quality provides leadership and oversight of the Organization’s Quality Improvement and Performance Improvement (QAPI) functions. The role develops, implements, and monitors quality programs, performance improvement initiatives, quality audits and reviews, and regulatory quality requirements to support participant outcomes, patient safety, and organizational performance. The AVP works with clinical and operational leadership to identify improvement opportunities, establish measurable quality goals, monitor key performance indicators, and maintain an effective and sustainable quality improvement program. The AVP leads the Quality and Quality Improvement departments, manages staff and budgets, oversees quality data and reporting, and ensures compliance with applicable federal and state regulations, contractual requirements, and organizational standards. The position also leads improvement projects, supports quality committees, coordinates regulatory audit readiness and corrective action plans, and promotes continuous improvement, accountability, patient safety, and evidence-based decision-making. The schedule is 8:30 AM–5:30 PM, 40 hours per week. The work location is Uniondale, Crown Heights, or the closest site. The stated salary range is $155,000–$165,000.

Requirements

Bachelor’s degree in Healthcare Administration, Nursing, Public Health, Business Administration, Health Sciences, or a related field.
At least five years of progressively responsible experience in healthcare quality management, quality improvement, or healthcare performance improvement.
At least three years of direct management experience at Manager, Director, or higher level overseeing a Quality Management or Quality Improvement function within a managed care organization, health plan, or comparable healthcare payer organization.
Demonstrated experience developing, implementing, and monitoring quality management programs, quality improvement initiatives, and performance measures.
Strong knowledge of managed care regulatory requirements, quality reporting, corrective action processes, and quality improvement methodologies.
Strong data collection and analytics skills.
Experience working with CMS, state regulatory agencies, regulatory audits, and quality-related reporting requirements.
Experience overseeing quality committees, quality improvement projects, regulatory submissions, and departmental performance reporting.
Legally authorized, including currently licensed, registered, or certified if applicable, to practice in New York State.
Medical clearance for communicable diseases and up-to-date immunizations before engaging in direct participant contact.
Ability to meet the listed physical and cognitive requirements, including standing, sitting, lifting/pushing/pulling up to 50 pounds, bending, squatting, navigating stairs and walking between sites, operating equipment, visual and auditory tasks, communication, decision-making, reasoning, and analysis.

Nice To Haves

Master’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, or a related field.
Active clinical professional license, such as Registered Nurse (RN).
Experience with PACE, Medicare Advantage, Medicaid Managed Care, Managed Long-Term Care (MLTC), or similar managed care programs.

Responsibilities

Provide leadership and operational oversight of the Quality and Quality Improvement departments, ensuring regulatory compliance and achievement of departmental goals.
Develop, implement, and maintain the Organization’s Quality Management and Quality Improvement programs in accordance with regulations, contractual requirements, and organizational standards.
Establish and monitor quality indicators, departmental goals, and improvement targets; identify and address performance gaps.
Oversee collection, validation, analysis, and reporting of quality data for regulatory submissions, organizational decisions, and improvement initiatives.
Monitor quality outcomes, identify trends and deficiencies, and develop corrective actions with clinical and operational departments.
Keep quality policies, procedures, processes, and documentation current and compliant; develop, review, and update the Quality Workplan as regulatorily required.
Lead the development, implementation, and evaluation of organization-wide quality improvement initiatives and projects.
Apply root cause analysis, process improvement, performance monitoring, and other quality improvement methodologies to address deficiencies.
Collaborate with department leaders on measurable improvement plans, accountability, and progress monitoring.
Identify opportunities to standardize processes, reduce errors, improve efficiency, and promote evidence-based practices; evaluate initiative effectiveness and recommend adjustments.
Ensure compliance with CMS, NYSDOH, PACE, and other relevant regulatory and contractual requirements.
Oversee preparation and submission of quality reports, performance measures, and required documentation.
Lead the Quality department’s preparation for and participation in regulatory surveys, audits, monitoring, and external reviews.
Coordinate responses to audit findings and oversee development, implementation, and monitoring of Corrective Action Plans (CAPs).
Maintain readiness for regulatory inspections and ensure supporting documentation is available and accurate.
Monitor regulatory changes affecting quality programs and implement necessary process and procedure updates.
Coordinate and support Quality and Quality Improvement committees, including performance reporting, opportunity identification, and action-item monitoring.
Present quality results, trends, initiatives, and regulatory concerns to executive leadership and designated committees.
Collaborate with clinical leadership, the Interdisciplinary Team (IDT), and operational departments to identify quality concerns and implement improvement strategies.
Promote continuous quality improvement, accountability, patient safety, and evidence-based decision-making; educate leaders and staff about quality methodologies, measures, and standards.
Provide direct and indirect supervision of Quality and Quality Improvement personnel, including assigned managers and other staff.
Establish departmental goals, KPIs, productivity expectations, and performance standards aligned with organizational priorities.
Monitor departmental performance and completion of responsibilities, regulatory deliverables, and improvement initiatives.
Address performance deficiencies, provide constructive feedback, and document management actions.
Develop and manage departmental budgets, monitor expenditures, and identify efficiencies and cost savings.
Ensure departmental policies and procedures are developed, reviewed annually, communicated, and submitted through the Organization’s approval process.
Perform other related responsibilities as assigned.