Quality Specialist

fakeeh care group; As Sudiyah; On-site; OMR 30,000 - 45,000; Full time

Job summary

Fakeeh Care Group is looking for a quality manager to oversee EMS compliance and accreditation processes. This role involves conducting audits, training staff, and preparing reports to ensure the highest standards of healthcare quality are met.

Applicants should have a minimum of 3 years experience in healthcare and at least 2 years in a Quality Risk Management department. A Bachelor’s degree in a healthcare field is preferred, alongside strong skills in both English and Arabic.

Qualifications

• Minimum of 3 years’ experience in the healthcare field.
• At least 2 years in a Quality Risk Management department in a large healthcare facility.
• Excellent command of oral and written English and Arabic.

Responsibilities

• Review and align EMS policies with accreditation requirements.
• Conduct gap analyses and develop compliance action plans.
• Coordinate accreditation readiness activities.
• Provide training on updated policies to staff.
• Perform regular audits on EMS operations.

Skills

Service quality enhancement

Pressure management

Ownership of duties

Collaboration

Adaptability

Patient satisfaction

Understanding job responsibilities

Improvement methods

Data analysis

Risk management

Education

Bachelor’s degree in healthcare field

Emergency Medical Services degree

CPHQ certification

Job description

Responsibilities

• Review, update, and align EMS policies and procedures with requirements of international accreditation bodies (JCIA, ACHS, ABBA’s).
• Conduct regular gap analyses against accreditation standards and develop action plans for compliance.
• Coordinate readiness activities for accreditation surveys, including documentation, staff preparation, and evidence collection.
• Maintain updated knowledge of accreditation standards and regulatory requirements applicable to EMS.
• Draft, revise, and implement policies, procedures, and clinical guidelines in collaboration with EMS leadership.
• Ensure documents are standardized, properly formatted, version controlled, and easily accessible.
• Provide training and orientation to staff on updated or new policies.
• Perform qualitative review of documentation in EMR, ensuring proper documentation practices across the Fakeeh Health Care facility in compliance with clinical documentation policy.
• Perform regular quality audits on EMS operations, clinical documentation, and patient safety practices.
• Track key performance indicators (KPIs) related to EMS quality and safety, identify non-conformities and work with relevant departments to implement corrective and preventive actions.
• Generate and analyze monthly audit reports, identifying discrepancies and areas for improvement catering to both internal Fakeeh Health Care facility standards and external regulatory requirements.
• Communicate findings to the Quality Risk Management (QRM), Chief Medical Officer (CMO), and other OUL, suggesting actionable improvements.
• Serve as an active member of selected committees.
• Validate new KPI’s and collect manually collected KPI’s from assigned end users.
• Continuously monitor privacy and confidentiality of patient documents and information throughout the Fakeeh Health Care Group.
• Monitor incident reports, near-misses, and adverse events; ensure timely follow-up and reporting in OVR system.
• Support root cause analysis (RCA) and recommend system improvements to prevent recurrence.
• Promote a safety culture across EMS staff through education and active engagement.
• Collect, analyze, and present quality data, trends, and dashboards for management decision-making.
• Prepare and submit regular quality and compliance reports to the Quality Manager and senior leadership.
• Support research and benchmarking activities for EMS quality improvement.
• Contribute educational initiatives on audit processes, quality standards, and regulatory compliance, including conducting workshops on documentation accuracy, patient safety, and the effective use of patient feedback to drive service improvements.
• Facilitate ongoing professional development to keep staff updated on the latest practices in healthcare quality management and audit techniques.

Skills and Abilities

• Committed to enhancing service quality and organizational standards.
• Manage high‑pressure situations effectively, maintaining focus and composure.
• Take ownership of duties and organizational goals; proactive in resolving issues.
• Collaborate effectively to achieve shared objectives.
• Responsive to changing environments and effectively manage transitions.
• Ensure superior service delivery to enhance patient satisfaction.
• Deep understanding of job responsibilities and the broader organizational impact.
• Master methods and processes of improvement.
• Data aggregation, validation, and analysis.
• Risk identification and management.

Experience

Minimum of 3 years’ experience in the healthcare field, with at least 2 years in a QRM department in a large healthcare facility.

Education

Bachelor’s degree in healthcare field preferred. Emergency Medical Services degree along with CPHQ certification or higher.

Language

Excellent command of oral and written English and Arabic.