Executive AVP, Quality, Regulatory & Patient Safety

Capital Health; New Jersey; On-site; USD 190,000 - 240,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

Retirement Savings

Life Insurance

Disability Benefits

Paid Time-Off

Commuter Benefits

Employee Assistance Program

Job summary

Capital Health in Pennington, NJ seeks an AVP Quality, Regulatory and Patient Safety to provide operational and strategic leadership across quality improvement, regulatory compliance, accreditation readiness, and patient safety activities.

You will translate priorities into standardized processes, partner with executives and clinicians, and drive high reliability and continuous improvement across the health system.

Qualifications

• Master’s degree in healthcare administration, nursing, business administration, or related field.
• 7+ years of progressive hospital or healthcare operational management experience.
• Clinical licensure as applicable.
• Comprehensive knowledge of healthcare regulations, governance, and accreditation processes.
• Strong leadership and team-building skills with ability to lead and build consensus.
• Expertise in quality improvement methodologies and data analytics for clinical performance tracking.
• Excellent communication and presentation skills; strategic thinker with strong decision-making abilities.

Responsibilities

• Quality: Operationalizes organizational quality priorities; leads quality improvement initiatives across the health system.
• Oversees systems for tracking, reporting, and analyzing clinical performance metrics; partners with analytics to identify gaps and monitor results.
• Ensures timely external quality reporting (CMS, Leapfrog, etc.) and reporting to leadership and quality committees.
• Monitors KPIs and provides reports, trends, risks, and actions to executives.
• Supports Board Quality committee activities and coordinates quality reporting.
• Regulatory: Interprets requirements; translates into compliant practices; coordinates survey preparedness and corrective action plans.
• Escalates regulatory risks and ensures action plans are developed and closed.
• Patient Safety: Leads patient safety program and supports Patient Safety Officer; oversees event review and trend analysis.
• Advances High Reliability Organization principles; promotes a just, learning culture and transparent reporting.
• Patient Experience: Oversees patient experience metrics and collaborates to improve communication and service recovery.
• Leadership & System Collaboration: Manages quality/safety staff; partners with executives to integrate quality into daily operations.

Skills

Leadership

Data analytics

Regulatory compliance

Quality improvement

Healthcare experience

Communication skills

Financial acumen

Strategic thinking

Education

Master’s degree in healthcare administration or related field

Job description

Capital Health in Pennington, NJ seeks an AVP Quality, Regulatory and Patient Safety to provide operational and strategic leadership across quality improvement, regulatory compliance, accreditation readiness, and patient safety activities.

You will translate priorities into standardized processes, partner with executives and clinicians, and drive high reliability and continuous improvement across the health system.