System VP Quality & Regulatory Compliance

Health First • Melbourne, FL

83d

About The Position

The System Vice President of Quality and Regulatory Compliance provides leadership the strategic direction, implementation and oversight of quality improvement and regulatory compliance across the Health First Integrated Delivery Network (IDN) to ensure the delivery of safe, effective, and patient-centered care. The System Vice President of Quality and Regulatory Compliance is responsible for leading a comprehensive quality program encompassing all divisions across Health First achieving organization goals of clinical excellence.

Requirements

• Education: Master's degree in Healthcare Administration (MHA), Nursing (MSN), Public Health (MPH), or a relevant field.
• Work Experience: Ten (10) years' experience in healthcare leadership.
• Licensure: Registered Nurse (RN) licensure in the State of Florida or endorsement.
• Ability to develop and implement short- and long-term strategies that align departmental goals with organizational priorities.
• Skilled in interpreting, analyzing, and leveraging data to inform decision-making, monitor outcomes, and drive continuous improvement.
• Strong understanding of applicable healthcare regulations, accreditation standards, and compliance requirements, with the ability to apply them to daily operations and strategic initiatives.
• Demonstrated ability to lead, collaborate, and build consensus across diverse professional teams, fostering a culture of accountability and high performance.
• Excellent verbal and written communication skills, with the ability to convey complex information clearly to associates, leaders, physicians, and external stakeholders.

Nice To Haves

• Work Experience: Five (5) years' experience in quality and patient safety.
• Certification: Certified Professional in Healthcare Quality (CPHQ).
• Certification: Certified Professional in Patient Safety (CPPS).

Responsibilities

• Develops and executes system wide quality, infection prevention and regulatory compliance strategies across the system.
• Aligns initiatives with the mission, vision and regulatory requirements of the organization.
• Oversees performance improvement programs and clinical quality metrics across the organization, promoting a culture of safety and zero harm.
• Ensures compliance with The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and other accrediting bodies.
• Directly oversees the submission, monitoring, and strategic planning for national publicly reported ratings to ensure accurate representation of performance (CMS 5-Star, Leapfrog, National clinical registries, etc.).
• Leads preparation for regulatory readiness, including audits and surveys.
• Collaborates with division leadership to implement strategic initiatives to meet organizational goals.
• Partners with clinical leaders, medical staff leadership, physicians and front-line staff, to design and implement training on quality improvement and patient safety best practices.
• Works with the Chief Quality Officer (CQO), Chief Nurse Executive (CNE) and Vice President Patient Safety and Clinical Risk Management to align the work of all quality areas across the organization to achieve results.
• Advises and collaborates physician leaders such as campus Chief Medical Officer's (CMO's), Medical Directors, elected medical staff and program directors to achieve organizational goals.
• Holds direct and matrix leaders accountable for the execution to achieve clinical excellence and organizational goals.
• Supports and partners with clinical risk management, patient safety and emergency preparedness safety to achieve organizational goals for the delivery of safe, effective care.

Benefits

• Diversity and inclusion initiatives.
• Full-Time schedule.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Industry: Hospitals
• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees