System Director of Quality Management & Accreditation - Juneau, Alaska
About The Position
The System Director of Quality Management & Accreditation provides strategic leadership and operational oversight for all organizational quality management and accreditation programs. This role is responsible for leading initiatives related to: Quality Management & Performance Improvement, Accreditation & Regulatory Compliance, Infection Prevention & Control, Patient Safety & Risk Management, Employee Health Screening, and Credentialing & Compliance Programs. The Director partners closely with executive leadership, clinical departments, and operational teams to ensure delivery of high-quality patient care, regulatory readiness, and continuous organizational improvement.
Requirements
- Active RN License or comparable clinical degree with healthcare quality management experience
- Minimum 5 years of healthcare administration or performance improvement leadership experience
- Minimum 3 years of supervisory experience managing healthcare professionals
- Strong knowledge of accreditation standards, regulatory compliance, patient safety, and risk management
- Proven ability to manage multiple strategic initiatives in a complex healthcare environment
Nice To Haves
- Master’s degree in Healthcare Administration, Business Administration, Nursing, or related field
- Certified Professional in Healthcare Quality (CPHQ) certification preferred or ability to obtain within 18 months of hire
Responsibilities
- Lead system-wide quality management and accreditation initiatives
- Develop and implement enterprise performance improvement strategies
- Serve as the organizational subject matter expert for accreditation and regulatory compliance standards
- Oversee infection prevention, patient safety, and risk management programs
- Direct credentialing and quality assurance activities
- Utilize PDSA and other quality improvement methodologies to drive measurable outcomes
- Collaborate with clinical and EHR teams to enhance quality reporting and analytics
- Investigate patient complaints and recommend corrective actions when necessary
- Build, mentor, and lead high-performing quality management teams
- Ensure ongoing readiness for accreditation and regulatory surveys
- Support organizational goals related to patient outcomes, compliance, and operational excellence
Benefits
- Comprehensive medical, dental, and vision coverage
- Retirement plans
- Paid time off and holidays
- Paid parental leave
- Life and disability insurance
- Professional development and continuing education opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Executive
