Quality Improvement Director

Organizations Mission: To deliver high-impact mission-driven medical care and community-based education while providing comprehensive services that support the well-being of individuals families and partner agencies.

Job Title: Director of Quality Improvement & Program Performance

Level: Director

Position Summary: The Director of Quality Improvement & Program Performance serves as an operational leader dedicated to embedding continuous improvement data-driven governance and regulatory standards across clinical service lines. Working cross-functionally with clinical and operational teams this role bridges quality frameworks with daily care delivery driving service optimization health equity and high-quality patient outcomes.

Primary Purpose: To manage implement and monitor the organizations clinical operational and safety quality initiatives across designated service lines. The Director of Quality Improvement and Program Performance executes the framework for clinical effectiveness evidence-based practices and ongoing program evaluation and performance.

Top 5 Key Activities:

• Implement Operational Excellence and Process Optimization: Execute continuous improvement initiatives across clinical service lines to streamline workflows eliminate process waste and maintain standardized care practices.
• Support Performance Management and Lean Process Improvement: Facilitate PDSA cycles and Lean methodologies to support service line quality goals. Assist teams in reducing clinical variation adhering to standardized workflows executing improvement plans and corrective actions and tracking follow-up metrics.
• Maintain Clinical Excellence and Evidence-Based Standards: Support the implementation of best-known practices (EBP) fidelity models and clinical protocols. Monitor compliance with Joint Commission CARF and COA standards through regular audits and quality reviews addressing service access disparities and patient feedback.
• Promote Patient Experience Health Equity and Engagement: Support a patient-centered culture by gathering patient feedback helping address care barriers and incorporating trauma-informed principles into routine program evaluations.
• Track Outcomes Framework and Quality Analytics: Collect and analyze quality metrics to support clinical effectiveness and quality payment initiatives. Maintain program performance dashboards and utilize data trends to recommend continuous improvement actions.

Key Performance Indicators (KPI) (Success Measures):

• Clinical Path Fid and Standardized Outcome Achievement Rate:
• Quality Improvement Plan (QIP) Execution and Sustainability Rate: Achieve a 90% on-time completion rate for all milestones within Performance Improvement Plans and Corrective Action Plans (CAPs) within the required timeline paired with a 0% recurrence rate of the target process failure during the subsequent 12-month monitoring period.
• Patient Experience Optimization: Achieve >98% compliance on treatment plans and treatment plan review timelines.

Reports to: Chief Operating Officer

Qualifications

Education & Experience:

• Strong leadership skills.
• Demonstrates effective project-management skills.
• Outstanding verbal and written communication skills.
• Knows how to remove obstacles and barriers while keeping others accountable.
• Excellent ability to prioritize.
• Bachelors degree in Healthcare Management Nursing Social Work Counseling or related field required; Masters degree preferred.

What Comprehensive Healthcare Can Offer You

Training and Development

• A variety of career opportunities in a wide range of settings with room for mobility and promotion
• Regular training opportunities including support supervision and consultation in implementing evidence-based services and programs

Innovative Program & Services

• A strong reputation for providing quality evidence-based services within a collaborative multi-disciplinary team environment
• Innovative forward-looking leadership that seeks to thrive in an ever-changing healthcare environment
• Joint Commission-accredited organization committed to continuous quality improvement
• Established partnerships with major research universities and other community and healthcare providers to implement cutting-edge treatment programs and services

Excellent Benefits

• Competitive salaries within our communities and industry
• Healthcare coverage for employee and qualified family members
• Generous vacation paid holiday and sick leave policies
• Access to Employee Assistance Program services
• Agency-funded retirement plan with contributions equal to 5% of compensation
• Additional retirement investment opportunities with a 50% investment match of up to 4% of compensation
• Agency-funded life and disability insurance program
• Financial incentives to further employee education

Comprehensive Healthcare is proud to be an equal opportunity employer. We do not discriminate based on race sex age color religion national origin sexual orientation gender identity or expression marital status veteran status disability status or any other basis prohibited by federal state or local law. We value the diverse perspectives and strengths that our employees bring to the workplace and we encourage individuals from underrepresented groups to apply for our positions. The Human Resources department provides accommodations and assistance to complete the application and interview process; please contact us to make arrangements.