Vice President Quality and Compliance

Mary's CenterWashington, DC
5dHybrid

About The Position

The Vice President of Compliance & Quality provides enterprise-wide leadership for regulatory compliance, risk management, and quality oversight. This role ensures that Mary’s Center maintains the highest standards of ethical conduct, regulatory adherence, and quality of care while supporting a culture of safety, accountability, and continuous improvement. The VP serves as the organization’s primary authority on compliance and quality governance, with direct access to the CEO and routine reporting to the Board. This role is intentionally independent of day-to-day clinical or operational management to preserve objectivity and regulatory integrity and has authority to escalate concerns, require corrective action, and report material risks to the CEO and Board. In this role, the Vice President partners closely with the CLO to ensure alignment on compliance, regulatory, and risk-related matters prior to CEO and Board-level reporting.

Requirements

  • Bachelor’s degree required; Master’s degree strongly preferred (MPH, MHA, MBA, JD, RN, or related field)
  • 10+ years of progressive leadership experience in healthcare compliance, quality, or risk management or regulatory oversight
  • Demonstrated experience with FQHCs, safety-net systems, or similarly highly regulated healthcare environments
  • Deep knowledge of HRSA, FTCA, Medicaid, CMS, and healthcare regulatory frameworks
  • Proven experience presenting to and advising Boards and executive leadership
  • Expert knowledge of healthcare compliance and regulatory frameworks.
  • Strong understanding of quality management, patient safety, and performance improvement.
  • Ability to exercise independent judgment and influence without direct operational authority.
  • Excellent written and verbal communication skills.
  • High degree of integrity, discretion, and professional judgment
  • Ability to communicate effectively in English is required.

Nice To Haves

  • Preferred Professional certifications (CHC, CCEP, CPHQ, RN, JD, or equivalent)
  • Additional language proficiency or fluency preferred.

Responsibilities

  • Compliance & Regulatory Oversight Lead and oversee the organization’s compliance program, including HRSA, FTCA, OIG, CMS, Medicaid, DC and Maryland regulatory requirements and HIPAA privacy compliance governance.
  • Serve as the primary organizational lead for regulatory reviews, audits, investigations, and external assessments
  • Ensure timely identification, investigation, escalation, and resolution of compliance issues and reportable events including oversight of a confidential reporting mechanism and non-retaliation standards
  • Oversee policy development, maintenance, and enterprise compliance education including mandatory annual training and targeted training based on risk
  • Coordinate legal, external counsel, and consultant engagement related to compliance matters
  • Develop an annual compliance risk assessment and work plan and lead ongoing auditing/monitoring to validate adherence
  • Chair/lead a Compliance Committee (or equivalent governance structure) and ensure timely tracking and closure of corrective action plans
  • Collaborate regularly with the CLO to review significant compliance matters, investigations, regulatory risks, and emerging issues prior to escalation to the CEO and Board
  • Quality, Risk & Patient Safety Provide executive oversight of the quality management and patient safety framework
  • Ensure effective systems for incident reporting, triage, root cause analysis (RCA), corrective action plans, and follow-through
  • Partner with clinical leadership to ensure peer review, credentialing oversight, and quality improvement processes are functioning effectively and consistently
  • Monitor and report quality metrics, trends, and risk indicators to executive leadership and the Board including oversight of clinical quality measure governance and reporting integrity
  • Ensure alignment of quality priorities with HRSA expectations, UDS-related performance measurement, and accreditation/survey readiness (as applicable)
  • Oversee enterprise risk management processes, including risk assessments and mitigation planning, in partnership with operations and clinical leaders
  • Governance & Board Reporting Serve as senior staff liaison to the Board’s Audit and/or Quality Committees
  • Prepare clear, credible, and actionable compliance and quality reports for Board review
  • Ensure governance structures, charters, workplans, and documentation meet regulatory and best-practice standards
  • Advise the CEO and Board on emerging regulatory risks and mitigation strategies
  • Maintain escalation protocols and ensure timely notification of significant compliance, safety, or reputational risks
  • Enterprise Integration & Culture Foster a culture of transparency, accountability, and continuous improvement
  • Educate leaders and staff on compliance and quality responsibilities and expectations
  • Partner with Operations, HR, IT, and Clinical leadership to embed compliance and quality into enterprise workflows
  • Support leadership development related to governance, risk, and quality maturity
  • Strengthen speak-up culture and psychological safety through consistent messaging, leader accountability, and follow-through

Benefits

  • Health Insurance: medical, dental & vision – plus retirement options through 403(b) contribution and investment opportunities
  • 25 days of paid leave annually (in addition to paid holidays), plus 5 educational days
  • Tuition reimbursement of $2000/year towards education assistance and professional development
  • Transportation subsidy via metro & bus
  • Employee Assistance Program (EAP)
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