Director of Quality, Compliance & Patient Safety

Trinity Health Senior Communities; Atlanta (GA); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Day-1 Benefits

DailyPay

Paid holidays & PTO

Vendor discounts

Job summary

Mercy Care Atlanta is seeking a mission-driven Director of Quality & Compliance to lead organization-wide Quality Improvement, Patient Safety, Risk Management, Regulatory Compliance, and Performance Excellence across all FQHC locations. As a senior leader, you will oversee quality initiatives to improve patient outcomes, ensure accreditation readiness, and promote continuous improvement.

You will mentor a team and partner with clinical, operational, and technology leaders to strengthen reporting

Qualifications

• Master's degree in Healthcare Administration, Public Health, Nursing, Health Informatics, Business Administration, or related healthcare field required.
• Seven to ten years of progressive leadership experience in healthcare quality, compliance, patient safety, risk management, or performance improvement.
• Five or more years of leadership experience within an FQHC, ambulatory care organization, health system, hospital, or managed care environment.
• Demonstrated success leading enterprise-wide quality and compliance initiatives.
• Strong knowledge of HRSA requirements, UDS reporting, accreditation standards, value-based care, and population health management.
• Experience with EPIC and healthcare analytics tools preferred.
• Preferred certifications: CPHQ, CHC, CPHRM, Lean Six Sigma.

Responsibilities

• Lead the development, implementation, and evaluation of Mercy Care's Quality Management and Performance Improvement programs.
• Establish quality goals, performance indicators, and dashboards to monitor outcomes.
• Direct enterprise-wide quality improvement initiatives using Lean, Six Sigma, PDSA, and other evidence-based methods.
• Oversee regulatory compliance activities including HRSA, UDS, FTCA, HIPAA, accreditation, payer audits, and OSV readiness.
• Lead patient safety and risk management programs including incident reporting and root cause analysis.
• Provide executive oversight of population health analytics to drive health equity initiatives.
• Chair quality committees and liaise with Board Quality Committees.
• Oversee credentialing, privileging, peer review, and clinical quality assurance.
• Develop and mentor a high-performing team; collaborate to strengthen reporting and performance management.

Skills

Quality leadership

Regulatory compliance

Patient safety

Data analytics

EPIC knowledge

Education

Master's in Healthcare Administration or related field

Tools

HRSA/UDS knowledge

Lean Six Sigma

Job description

Mercy Care Atlanta is seeking a mission-driven Director of Quality & Compliance to lead organization-wide Quality Improvement, Patient Safety, Risk Management, Regulatory Compliance, and Performance Excellence across all FQHC locations. As a senior leader, you will oversee quality initiatives to improve patient outcomes, ensure accreditation readiness, and promote continuous improvement.

You will mentor a team and partner with clinical, operational, and technology leaders to strengthen reporting