Director Of Quality And Risk Management

HealthOp Solutions • Casa Grande, AZ

18h • $130,000 - $160,000

About The Position

The Director, Quality and Risk Management supports the development and implementation of organization-wide quality improvement and risk management programs. This role proactively promotes evidence-based best practices, mitigates organizational risk, and ensures ongoing compliance with regulatory, licensing, and accreditation standards. The Director oversees quality and risk processes, analyzes and reports data, and provides leadership in improving the quality, safety, and appropriateness of patient care while ensuring effective use of resources.

Requirements

• Bachelor’s degree required
• Minimum of eight years of progressive healthcare experience with significant autonomy
• Minimum of five years of leadership experience leading independent teams
• Active Arizona license or ability to obtain Arizona licensure
• Demonstrated ability to analyze processes and recommend compliance improvements
• Proven track record of producing high-quality outcomes
• Healthcare leadership experience
• Quality improvement expertise
• Risk management experience
• Regulatory and accreditation knowledge
• Arizona licensure or eligibility
• Strong data analysis skills

Nice To Haves

• Advanced degree in healthcare or healthcare compliance preferred
• Clinical background preferred; Registered Nurse experience strongly preferred

Responsibilities

• Lead quality improvement initiatives with a focus on quality metrics, outcomes, and reporting
• Develop and implement performance metrics aligned with CMS, state licensing agencies, HRSA regulations, and accreditation standards
• Coordinate quality improvement and risk management activities for accrediting, licensing, and certification surveys
• Utilize quality assurance and quality improvement methodologies to measure protocol compliance and sustain survey readiness
• Analyze data to identify trends, resource utilization, and opportunities for improvement
• Support clinical audits and inspections, including readiness preparation, inspection management, and audit response activities
• Educate providers and staff on regulatory guidelines, standards, and best practices
• Monitor cases to identify trends and emerging quality or risk issues and present findings to appropriate committees
• Collaborate with leaders and medical staff to develop and implement action plans, including participation in peer review
• Assist department leaders in developing improvement plans in response to identified deficiencies
• Maintain documentation related to audits, monitoring activities, and follow-up actions
• Provide leadership, coaching, and performance management for quality and risk management staff
• Promote excellence in customer service through consistent and timely communication
• Maintain strong working relationships with executive leadership and department leaders
• Oversee clinical quality measure reporting and submission to HRSA
• Coordinate Joint Commission activities and monitor compliance, as applicable
• Manage risk management processes, including incident reporting and aggregated data analysis
• Provide annual risk management training to the organization
• Conduct risk mitigation activities and claims management, including FTCA coordination
• Collaborate with operations to support safety initiatives and emergency preparedness
• Prepare and present reports to the board of directors as required
• Ensure quality improvement and risk management plans are reviewed and updated annually

What This Job Offers

• Job Type: Full-time
• Career Level: Manager