Director - Quality Improvement/Risk/Accreditation

Advantage Health Centers; Detroit (MI); On-site; USD 85,000 - 115,000; Full time

Job summary

Advantage Health Centers in Detroit, Michigan is seeking a Quality Improvement/Risk/Accreditation Director to oversee quality improvement initiatives and manage accreditation processes. This role requires a Master's Degree in Health Services or a related field, with preferred certifications in quality management. The candidate will lead a team, develop strategies for risk management, and ensure adherence to national standards of care and accreditation requirements. The position calls for someone with strong analytical skills and a proactive approach to quality improvement.

Qualifications

• Master's Degree in Health Services, Public Administration, or related field is mandatory.
• Certification in Certified Healthcare Quality Professional (CPHQ) or Certified Black Belt (Lean, Six Sigma) is strongly preferred.
• Demonstrated experience managing staff and setting performance standards.

Responsibilities

• Lead quality improvement initiatives and accreditation processes.
• Develop strategies for risk management and ensure adherence to national standards.
• Educate staff on quality standards and management practices.

Skills

Knowledge in Patient Centered Medical Home

Knowledge of population health management

Advanced risk analysis best practices

Advanced knowledge of Microsoft Excel and Access

Understanding of legal and regulatory requirements

Knowledge of accreditation standards

Education

Master's Degree in Health Services or Public Administration

Tools

Microsoft Excel

Microsoft Access

Job description

Job Title: Quality Improvement/Risk/Accreditation Director

Office: Corporate

Department: Quality

Reports To: Associate Chief of Clinical Operations

FLSA Status: Exempt

OVERVIEW

To lead all aspects of quality improvement, risk management and coordinating and facilitating all aspects of organization’s accreditation to ensure AHC’s performance aligns with national measures and standards.

Duties, functions and responsibilities

• Develop, implement and monitor a comprehensive organizational strategy to ensure continuous improvement;
• Subject matter expert and champion responsible for working with and supporting leadership to improve quality measures, benchmarking, best practices and patient satisfaction;
• Develop ongoing programs to educate staff regarding quality standards, risk management and organizational improvement initiatives;
• Lead and manage risk management initiatives by
  • effectively monitoring and identifying risks;
  • implementing risk mitigation strategies;
  • developing strategies to ensure adherence to desired outcomes and standards;
• Ensure interdepartmental collaboration to control costs, mitigate risks, adhere to industry standards and best practices by managing and monitoring risk management functions;
• Monitor changes from accreditation governing bodies and update policies and procedures as appropriate.
• Assist with new-hire orientation program and training of new staff in accord with grant and regulatory requirements;
• Lead and manage all Infection Control efforts at all AHC locations;
• Lead and manage Quality Improvement Staff;
• Primary contact for site visitor activities including but not limited to:
  • Appropriate projection of site visit days;
  • Performs review and acceptance of Plans of Correction (POC);
  • Finalizes accreditation finding and request-for-organization POC in response to all deficiencies;
• Leads performance improvement activities;

Knowledge, skills, and abilities

• Knowledge in principles related to Patient Centered Medical Home, Meaningful Use and Quality Improvement;
• Broad knowledge of population health management and preventive health screening standards;
• Advanced working knowledge of risk analysis best practices and procedures;
• Advanced working knowledge of Microsoft Excel, Access and system tools utilized for risk analysis;
• Advanced working knowledge of relevant legal and regulatory requirements;
• Detailed working knowledge of accreditation standards as they relate to FQHC's.

Minimum qualifications

Education

• Master's Degree in Health Services, Public Administration, or related field.

Credentials

• Certification in one or more of the following strongly preferred:
  • Certified Healthcare Quality Professional (CPHQ)
  • Certified Black Belt (Lean, Six Sigma)

Work Experience

• Demonstrated experience efficiently managing a professional staff, setting and maintaining clear and consistent standards for staff performance;
• Experience developing and managing strategic plans, implementing goals in an organized fashion;
• Experience in assessments, accreditation reviews, or audits where performance standards are established and reviewed.