Senior Director of Performance Improvement/Risk Management

St. John's Riverside Hospital • City of Yonkers, NY

2d

About The Position

The Senior Director of Performance Improvement/Risk Management oversees and directs quality and risk management programs for the Riverside Health System. The role prepares the system for regulatory surveys, facilitates hospital performance improvement measures, and uses hospital resources to achieve and maintain optimal patient-care standards. The position also supports the Performance Improvement and Infection Control departments through reporting, program coordination, staffing, and budget monitoring.

Requirements

• Master’s degree in a health-related field.
• Experience in a hospital or health-related field.
• Proficiency in MS Word, Excel, and PowerPoint.
• Excellent verbal and written communication skills.
• Ability to self-learn database management and Internet skills.
• Proficiency in utilizing health-care-related web-based programs.

Nice To Haves

• Knowledge of medical terminology, clinical concepts, and Core Measures.

Responsibilities

• Oversee Performance Improvement Committee meetings, review PI reports for consistency with the Performance Improvement Plan, coordinate monthly agendas and minutes, and distribute meeting packets.
• Oversee and assist with further development of department-specific PI dashboards.
• Manage data submission for CMS IQR and OQR quality reporting, including VBP, the Readmission Program, the HAC program, and the Star Rating Program.
• Review data submissions for accuracy for PREMIER programs, including Star Watch, Pay for Performance, Leapfrog, CMS IQR/OQR, and Persivia.
• Assist in coordinating concurrent review studies conducted within the Performance Improvement and Infection Control programs and prepare required reports.
• Complete NYPORTS mandatory reporting as needed.
• Oversee occurrence reports relevant to suit, suspense, or claims cases, including quarterly loss runs.
• Assist in developing the Policy and Procedure manual.
• Prepare all sites for regulatory surveys.
• Oversee regulatory reporting and submissions, including those for Joint Commission, OASAS, and DOH, such as applications, ICM, Evidence of Standards plans of correction, and DDSP.
• Assist with hiring and discipline, and perform performance evaluations as needed.
• Assist in monitoring the operating budgets for the Performance Improvement and Infection Control departments.

What This Job Offers

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