Director, Ambulatory Quality & Regulatory Excellence

Tallahassee Memorial HealthCare; Tallahassee (FL); On-site; USD 120,000 - 180,000; Full time

Job summary

Tallahassee Memorial HealthCare is seeking a Director of Ambulatory Quality & Regulatory Compliance to lead quality improvement and value-based care initiatives across our multi-specialty medical group. You will drive performance improvement, ensure regulatory compliance, and collaborate with physicians and leaders to optimize outcomes and financial performance.

The role focuses on HEDIS, STAR, MIPS metrics, care coordination, risk adjustment, and population health initiatives.

Qualifications

• Graduate of a school of Nursing.
• BSN degree preferred.
• Five years of experience in quality improvement/assurance.
• RN license in Florida or multistate compact.

Responsibilities

• Lead quality improvement programs and performance initiatives.
• Develop, implement, and monitor quality management strategies.
• Analyze data to identify trends and improvement opportunities.
• Oversee value-based care programs (Medicare Advantage, MSSP, ACOs, etc.).
• Develop strategies to maximize quality incentives and contracts.
• Partner with physicians and clinical leaders to improve quality metrics and outcomes.
• Create provider performance scorecards and dashboards.
• Lead population health initiatives and risk adjustment activities.
• Ensure CMS, NCQA, Joint Commission, HIPAA compliance.

Skills

Quality improvement

Performance analytics

Population health

Care coordination

Regulatory compliance

Education

Graduate of a school of Nursing

Bachelor's Degree in Nursing (BSN)

Job description

Tallahassee Memorial HealthCare is seeking a Director of Ambulatory Quality & Regulatory Compliance to lead quality improvement and value-based care initiatives across our multi-specialty medical group. You will drive performance improvement, ensure regulatory compliance, and collaborate with physicians and leaders to optimize outcomes and financial performance.

The role focuses on HEDIS, STAR, MIPS metrics, care coordination, risk adjustment, and population health initiatives.