Director of Quality (On-Site)

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

Benefits offered by this job

Day-1 Benefits (PTO, retirement plan,

DailyPay

Paid holidays and PTO

Vendor discounts

Low-cost health insurance

Fast interview process

Job summary

Mercy Care Atlanta is seeking a mission-driven Director of Quality & Compliance to lead our enterprise-wide Quality Improvement, Patient Safety, Risk Management, Regulatory Compliance, and Performance Excellence programs across all FQHC locations.

You will provide strategic oversight of quality initiatives, ensure accreditation readiness, and promote continuous improvement. This senior role partners with executives, providers, and governance committees to drive outcomes and health equity.

Qualifications

• Master's degree in a healthcare field.
• 7–10 years of progressive leadership in healthcare quality, compliance, patient safety, risk management, or performance improvement.
• 5+ years leadership in FQHC, ambulatory care, health system, hospital, or managed care.
• Strong knowledge of HRSA requirements, UDS reporting, accreditation standards, value-based care, and population health management.
• Experience with EPIC and healthcare analytics tools preferred.

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 across clinical, operational, financial, and patient experience.
• Direct enterprise-wide quality improvement initiatives using Lean, Six Sigma, PDSA, and evidence-based methods.
• Oversee regulatory compliance activities including HRSA requirements, UDS reporting, FTCA, HIPAA, accreditation standards, payer audits, and readiness for site visits.
• Lead patient safety and risk management programs including incident reporting, root cause analysis, risk mitigation, and corrective actions.
• Provide executive oversight of population health analytics and use data to drive health equity initiatives.

Skills

Leadership

Quality improvement

Regulatory compliance

Patient safety

Risk management

Population health analytics

EPIC

Lean Six Sigma

Education

Master's degree in Healthcare Administration / Public Health / Nursing / Health Informatics / Business Administration

Tools

EPIC

Healthcare analytics tools

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose

Mercy Care Atlanta is seeking an experienced and mission-driven Director of Quality & Compliance to lead and advance our organization-wide Quality Improvement, Patient Safety, Risk Management, Regulatory Compliance, and Performance Excellence programs across all Federally Qualified Health Center (FQHC) locations.

Reporting as a senior leader within the organization, this role provides strategic oversight of quality initiatives that improve patient outcomes, ensure regulatory and accreditation readiness, support value-based care, and promote a culture of continuous improvement. The Director serves as a trusted advisor to executive leadership, providers, operational teams, and governance committees, ensuring accountability for clinical, operational, and population health outcomes while advancing Mercy Care's commitment to serving vulnerable and underserved populations.

What You Will Do

As the Director of Quality & Compliance, you will:

• Lead the development, implementation, and evaluation of Mercy Care's Quality Management and Performance Improvement programs.

• Establish quality goals, performance indicators, and organizational dashboards to monitor clinical, operational, financial, and patient experience outcomes.

• Direct enterprise-wide quality improvement initiatives utilizing Lean, Six Sigma, PDSA, and other evidence-based methodologies.

• Oversee regulatory compliance activities, including HRSA requirements, UDS reporting, FTCA, HIPAA, accreditation standards, payer audits, and Operational Site Visit readiness.

• Lead patient safety and risk management programs, including incident reporting, root cause analysis, risk mitigation, and corrective action planning.

• Provide executive oversight of population health analytics and use data to drive health equity initiatives and improve community outcomes.

• Chair quality-related committees and serve as the primary liaison to Board Quality Committees.

• Oversee provider credentialing, privileging, peer review, and clinical quality assurance activities.

• Develop, mentor, and lead a high-performing team of quality, compliance, population health, and risk management professionals.

• Partner with clinical, operational, and technology leaders to strengthen reporting capabilities, performance management, and organizational effectiveness.

Minimum Qualifications

• Master's degree in Healthcare Administration, Public Health, Nursing, Health Informatics, Business Administration, or a 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, and/or Lean Six Sigma.

Position Highlights and Benefits:

• Day-1 Benefits (PTO accrual, retirement plan and match, health insurance and more!)

• Opportunity to get paid daily – through DailyPay

• Paid holidays and generous Paid Time Off (PTO)

• Discounts with major vendors; AT&T, Verizon, Ford Motor Company, General Motors, Quicken Loans, AND MORE!

• Low-cost medical, dental, and vision insurance plans. Enjoy lower-cost medical services when you visit facilities within the Trinity Health network.

• Fast response interview times and job offers.

Ministry/Facility Information:

Mercy Care Atlanta, a Federally Qualified Health Center (FQHC) and comprised of 300 plus colleagues, is a healthcare organization that provides a range of health services to underserved and vulnerable populations in the Atlanta, Georgia area. We are dedicated to providing compassionate, high-quality care to individuals across all demographics. Rooted in the Mercy Philosophy, we prioritize respect, integrity, compassion, and excellence in all aspects of care delivery

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran