Sr. Director, Clinical Quality Governance & Regulatory

Bright Vision Technologies • Atlanta, GA

6d • $194,700 - $251,900 • Onsite

About The Position

Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we’re looking for a skilled Sr. Director, Clinical Quality Governance & Regulatory join our dynamic team and contribute to our mission of transforming business processes through technology. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential.

Requirements

• Senior quality leadership experience in a large healthcare system or hospital setting.
• Experience in a health plan environment and clinical quality operations.
• Experience with credentialing, peer review, patient safety, risk management, quality governance, HEDIS, CMS Five-Star Ratings, Joint Commission surveys, and NCQA outcomes.
• 8+ years of experience in healthcare quality, clinical care, healthcare administration, or a related field.
• 6+ years of leadership experience with direct reports.
• 4+ years managing operational or project budgets.
• 2+ years using databases, spreadsheets, or CQI tools.
• Master’s degree + 8 years of relevant experience, Bachelor’s degree + 10 years, or 13+ years of relevant experience.
• Georgia RN license required.
• Must obtain CPPS, CPHQ, or CPHRM certification within 24 months of hire.

Responsibilities

• Lead clinical quality, patient safety, risk management, credentialing, peer review, and regulatory compliance programs.
• Oversee quality governance, continuous survey readiness, and Joint Commission/accreditation requirements.
• Develop and monitor quality improvement strategies, corrective action plans, and performance metrics.
• Lead data analysis and reporting related to HEDIS, CMS Five-Star Ratings, NCQA outcomes, and other quality measures.
• Use RCA, FMEA, Lean, Six Sigma, and other quality improvement methodologies to reduce risk and improve outcomes.
• Serve as a strategic advisor to executive leadership, boards, regulatory agencies, and external stakeholders.
• Lead, develop, and mentor quality teams while managing operational and project budgets.

What This Job Offers

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