Director of Quality

Choctaw Nation of Oklahoma; Talihina (OK); On-site; USD 120,000 - 180,000; Full time

Job summary

Choctaw Nation of Oklahoma is seeking a Director of Quality to lead quality, patient safety, risk management, and regulatory compliance programs with a focus on improving clinical outcomes and operational performance. You will drive measurable improvements, ensure survey readiness, and partner with clinical and non-clinical leaders to identify opportunities, using data analytics to inform decisions.

The role requires expertise in PDCA, Lean, and Six Sigma and a culture of continuous improvement

Qualifications

• Develop and execute quality improvement strategies that improve outcomes, safety, and performance.
• Establish and maintain a high-performing quality management program with data analysis and reporting.
• Partner with clinical and non-clinical leaders to identify improvement opportunities and reduce risk.
• Achieve and sustain compliance with Joint Commission, CMS, and survey readiness.
• Lead performance improvement initiatives impacting quality measures and productivity.
• Ensure accurate collection and reporting of core quality metrics.
• Utilize data analytics to identify trends and drive evidence-based decisions.
• Serve as an expert in quality, patient safety, regulatory compliance, and performance improvement.
• Conduct risk assessments and internal audits to support corrective action.
• Foster a culture of quality and continuous improvement across the organization.

Responsibilities

• Lead quality, patient safety, risk, and regulatory programs to improve outcomes and performance.
• Drive data-driven improvement across the organization and monitor metrics.
• Collaborate with leaders to identify opportunities and implement improvements.
• Maintain regulatory readiness and ensure ongoing compliance with standards.
• Mentor teams in PDCA, Lean, and Six Sigma methodologies.
• Report key quality metrics to leadership and the Board; ensure transparency.

Skills

Data-driven decision making

Quality leadership

Cross-functional collaboration

Healthcare quality expertise

PDCA/Lean/Six Sigma

Job description

The Director of Quality leads the organization's quality, patient safety, risk management, and regulatory compliance programs to improve clinical outcomes, strengthen operational performance, and promote a culture of continuous improvement. This role is responsible for driving measurable improvements in quality metrics, patient safety indicators, regulatory readiness, and organizational performance while ensuring alignment with strategic goals.

Success in This Role Looks Like:

• Develop and execute quality improvement strategies that support organizational objectives and result in measurable improvements in patient outcomes, safety, and operational performance.
• Establish and maintain a high-performing quality management program that provides meaningful data analysis, actionable insights, and timely reporting to leadership, medical staff, and the Board.
• Partner with clinical and non-clinical leaders to identify improvement opportunities, reduce risk, and enhance system-wide performance indicators.
• Achieve and sustain compliance with Joint Commission, CMS, and other regulatory requirements while maintaining survey readiness across the organization.
• Lead performance improvement initiatives that positively impact quality measures, patient experience, employee engagement, productivity, and financial performance.
• Ensure accurate collection, analysis, and reporting of Core Measures, MACRA, Meaningful Use, HCAHPS, and other quality metrics.
• Utilize data analytics and performance monitoring tools to identify trends, prioritize opportunities, and drive evidence-based decision-making.
• Serve as the organization's subject matter expert on quality management, patient safety, regulatory compliance, and performance improvement methodologies.
• Conduct risk assessments and internal audits that proactively identify vulnerabilities and support corrective action planning.
• Foster a culture where quality, safety, accountability, and continuous improvement are embedded throughout all levels of the organization.

Preferred Leadership Competencies

• Proven ability to drive organizational change through data-driven decision making.
• Strong analytical skills with experience translating complex data into actionable improvement plans.
• Demonstrated success leading cross-functional teams and quality improvement initiatives.
• Expertise in healthcare quality, patient safety, risk management, and regulatory compliance.
• Experience utilizing performance improvement methodologies such as PDCA, Lean, and Six Sigma to achieve measurable results.