Vice President of Quality
About The Position
The Vice President of Quality is a senior leader responsible for the execution and operational leadership of quality, patient safety, regulatory compliance, risk management, accreditation readiness, emergency preparedness, and clinical contract performance within the hospital. Reporting to the COO, this role partners closely with operational and clinical leaders and the Director of Quality and Risk to identify opportunities, implement strategies, drive measurable improvements, and ensure sustained compliance. The VP serves as the primary operator of the quality infrastructure, translating organizational priorities into actionable programs and outcomes.
Requirements
- Master’s degree required (Healthcare Administration, Nursing, Public Health, or related field)
- Relevant clinical license
- 7–10 years of progressive leadership in healthcare quality
- Experience in LTCH, acute care, or post-acute settings
- Demonstrated success in regulatory compliance and quality improvement
Nice To Haves
- CPHQ strongly preferred
- CPHRM preferred
Responsibilities
- Lead implementation of the organization’s quality and patient safety strategy under COO direction.
- Drive performance improvement initiatives targeting: Hospital-acquired conditions, Readmissions, Falls, infections, pressure injuries, and adverse events.
- Utilize data analytics to identify trends and implement evidence-based interventions.
- Lead RCA, FMEA, and event review processes with actionable follow-through.
- Manage day-to-day clinical and regulatory risk management activities.
- Oversee incident reporting systems, ensuring timely investigation and resolution.
- Coordinate with legal, compliance, and insurance stakeholders on claims and risk exposure.
- Implement proactive risk reduction strategies within workflows and policies.
- Lead survey readiness activities including mock surveys and audits.
- Ensure compliance with CMS, Joint Commission, and state regulatory requirements.
- Manage plans of correction and sustain compliance improvements.
- Oversee licensure documentation, renewals, and regulatory reporting processes.
- Operationalize the Emergency Preparedness Program in alignment with CMS requirements.
- Coordinate drills, exercises, and after-action reviews.
- Maintain emergency operations plans and hazard vulnerability assessments.
- Monitor quality and safety performance of clinical vendors and contracted services.
- Track SLAs, performance metrics, and outcomes.
- Collaborate with operations and finance to evaluate contract effectiveness and risk.
- Serve as a key member of the leadership team supporting the COO.
- Collaborate with clinical, operational, and medical staff leaders to drive improvement.
- Lead and develop quality and risk management teams.
- Engage physicians in peer review and quality initiatives.
Benefits
- employer-subsidized medical and dental
- vision insurance
- a 403(b) retirement savings plan with an employer match of up to 6%
- paid time off
- employer-paid life insurance
- short-term and long-term disability insurance
- a Health Savings Account (HSA) with employer contributions
- Flexible Spending Accounts (FSA)
- an Employee Assistance Program (EAP)
- tuition reimbursement
- professional development opportunities
- voluntary benefits, including pet insurance
- employee wellness programs with access to our onsite fitness and aquatics center
- an employee referral bonus program
- meaningful employee recognition and appreciation initiatives
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What This Job Offers
Job Type
Full-time
Career Level
Executive
