Associate Director of Quality

Under minimal supervision, the Associate Director of Quality carries out the day to day management and operations of the Quality Department managing staff and projects to accomplish its goals and objectives. This position is responsible for all quality of care complaints and grievances including timely processing, tracking data and analysis and presentation of outcomes and improvement efforts around trending issues. The Associate Director of Quality also handles all internal potential quality improvement issues, root cause analysis and or other assigned investigations.

This position assist the organization by leading or participating projects and clinical programs designed to make care safer, promote effective coordination of care, promote preventive care, help communities support better health, reduce costs of care through utilization management, and promote person-centered care. This position is responsible for coordinating and implementing a broad range of collaborative activities among private and public entities to improve health and health care for all Medicare beneficiaries, Medicaid recipients/enrollees, Ryan White Grant clients, other third party payer clients and organizational Healthcare Centers nationwide.

Quality and Performance Improvement

• Manages, completes and submits required analyses and reports to meet regulatory and accreditation requirements (e.g., Grievances, HEDIS, UM/CM Dashboard).
• Coordinates activities of internal departments, external partners, and external vendors for quality analysis and reporting.
• Collaborates with health care providers to develop and implement interventions designed to promote health and wellness and improve organizational performance based on trended results of data from Grievances and UM/CM.
• Provides technical support to the organization that includes but is not limited to: designing process maps, performing gap analysis, conducting root cause analysis, directing implementation of interventions, identifying and overcoming barriers, and instigating organizational culture change.
• Builds sustainable relationships with internal and external customers, utilizing knowledge and skills to provide references.
• Performs the functions required and maintains certification as the Facility Site Review Nurse.
• Prepares supporting documentation for accreditation, audits and surveys.
• Communicates/consults with healthcare providers to assist with advancing their quality improvement objectives.
• Communicates and works well on tasks with ancillary and ad hoc team members, partners and stakeholders to plan, facilitate, and execute improvement activities.
• Remains current and knowledgeable about new initiatives, including the healthcare environment, activities, tools, and techniques through research, training, education, and a variety of nationally recognized sources.
• Routinely, accurately and concisely, documents and reports on project status, onsite visit activities, provider activities, and barriers/solutions using appropriate company and/or reporting tools and databases.
• Collaborates with written reports, proposals, and project budgets.
• Completes QI Assessment annually.

Dimensions of Practice

Leads and directs the work of others. Supervise, mentor and develop staff and ensure appropriate, educational programs, orientation and training courses to maintain current and future competency.

• Leads large scale quality improvement program initiatives and major health outcomes improvement projects, facilitates continuous departmental (divisional) process projects and quality improvement activities to measurably improve the health of people living with HIV/AIDS
• Evaluates data needs and collaborates with Information Technology Department and other analytics teams to identify opportunities to support organizational goals.
• Designs, develops and implements solutions that address the identified opportunity.
• Assesses, reviews, and educates providers regarding the quality of care and services provided to their members through on-site assessments and data analysis.
• Provides assistance with the design, development and implementation of solutions which address opportunities identified by provider data…