Quality Assurance & Utilization Lead — Healthcare

NYC Health + Hospitals; New York (NY); On-site; USD 100,000 - 160,000; Full time

Job summary

NYC Health + Hospitals/Jacobi is a major teaching hospital in New York providing comprehensive health services and an array of specialty programs. The role focuses on monitoring standards, assuring quality and regulatory compliance, and guiding policy development across hospital operations.

Under supervision, the position leads quality assurance activities, utilization review oversight, and collaboration with PSRO partners to align clinical delivery with federal and state requirements.

Qualifications

• A Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization; and four years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.
• A Masters Degree in Public Administration, Public Health or Health Care Specialization; and three years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.

Responsibilities

• Monitors hospital performance to assure compliance with professional standards.
• Directs and coordinates the implementation of hospitals’ representation and participation in Professional Standards Review Organization.
• Monitors utilization review committees in all health facilities.
• Reviews legislation and implementing administrative procedures and policies of Professional Standards Review Organization in New York City.
• Represents the Corporation in negotiations and discussions with P.S.R.O. representatives.

Skills

Policy guidance

Healthcare administration

Quality monitoring

Regulatory compliance

Education

Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization

Masters Degree in Public Administration, Public Health or Health Care Specialization

Job description

NYC Health + Hospitals/Jacobi is a major teaching hospital in New York providing comprehensive health services and an array of specialty programs. The role focuses on monitoring standards, assuring quality and regulatory compliance, and guiding policy development across hospital operations.

Under supervision, the position leads quality assurance activities, utilization review oversight, and collaboration with PSRO partners to align clinical delivery with federal and state requirements.