At Snoqualmie Valley Health,werenot just in the business of healthcare;werein the business of empowering our community to live boldly and live well.Our commitment to excellence and innovation calls for team memberswhowillbuild trust,obsess over excellence, lead innovation,anddeepen connectionswithin our community.We are guided by our core values, andwerelooking for someone who can embody those principles as part of our dynamic and growing team. Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a jobitsan opportunity to be part of something bigger. JOB TITLE:Director of Quality, Risk, and Compliance POSITION SUMMARY:The Director plays a critical role in cultivating a culture of patient safety, continuous improvement, and regulatory excellence to ensure the highest standards of care for the community. This position leads the organizations quality, risk, and compliance programs, partnering closely with clinical and operational leaders to strengthen performance and drive measurable improvements in patient outcomes. The Director oversees the development, implementation, and evaluation of key quality initiatives, ensuring strict adherence to regulatory requirements and accreditation standards. This includesidentifyingtrends, prioritizing improvement opportunities, and guiding hospital departments in the execution of effective corrective actions. Serving as a strategic resource, the Director provides expert leadership and consultative support to hospital and medical staff in achieving regulatory success andmaintainingorganizational compliance across all quality improvement activities. This role also manages the coordination of certification standards and survey readiness, including the drafting and revision of policies and procedures related to quality, compliance, and risk management. The ideal candidate brings extensive experience in survey preparation and functions as a Subject Matter Expert in quality, championing a strong culture of safety and operational excellence throughout the organization. ESSENTIAL FUNCTIONS: Build Trust:Weexhibitintegrity,transparencyand compassion in every interaction. Oversee patient complaints and grievance processes ensuring compliance, documentation,followâ€'up, service recovery, and improvement. Investigate and address incident reports resolving care issues and recommending prevention strategies. Ensure confidentiality of allqualityâ€'relateddata and provideaccuratereports to the Board of Commissionersand leadership Respond to and prepare information for publicrecordrequests. Develop and direct strategies for Compliance including HIPAA investigations, auditing, the organizational Compliance plan, and serving in the Privacy Officer role. Build andmaintainstrong relationships with stakeholders including patients, families, employees, and regulatory bodies. Ability to function under stressful situationsmaintainingprofessionalism and compassion duringhighâ€'pressureevents. Obsess Over Excellence:Wehavehigh standardsand seek continuous improvement. Maintain and implement theDistrictâ€'wideQuality Plan ensuring alignment with regulatory standards and organizational goals. Develop and direct strategies for riskmanagement including investigating incidents, training staff, andaddressing legal concerns or actions. Assistdepartment managers inidentifyingimprovement opportunities aligned with annual District Quality Goals. Assistmanagers in event managementreviewselecting effective corrective actions for safety issues. Oversee patient experience processes and metrics ensuringhighâ€'quality, consistent care Serve as a resource for QI initiatives providing leadership, education, and guidance. Lead Innovation:We lead with creativity, agility andthinkbold in our approach. Lead efforts to educate staff on regulations and best practices fostering a learning culture that adapts to evolving standards. Facilitate and chair committees such as the Patient Safety and Quality MetricsSubâ€'Committee, driving innovative safety and performance strategies. Develop and directforwardâ€'thinkingstrategies for compliance, risk management, and quality improvement. Integrate patient feedback creatively using surveys and data to shape new approaches to care. Managing and developing quality data reporting, both internal and external. Deepen Connections:We build strong relationships with our patients, theirfamiliesand partners in the communities we serve. Oversee and manage Patient Relations ensuring compassionate, responsive communication. Assure the voice of our customers is incorporated through patient satisfaction surveys andcareâ€'relateddata. Build andmaintainstrong relationships with allstakeholders,strengthentrust and collaboration. Oversee patient experience processes ensuring patients and families feel heard, respected, and supported. QUALIFICATIONS: Required Education:Bachelorsdegreerequiredin Professional clinical discipline, such as, but not limited to, Nursing, Occupational or Physical Therapy, Laboratory etc. Preferred Education:Advanceddegree desirable in health care administration, quality management, adult learning, or other discipline with emphasis on outcomes assessment and data management. Specialty CertificationPreferred:CPHQ, Certified Professional Healthcare Quality CPHRM, Certified Professional in Healthcare Risk Management LEAN Six Sigma Required Experience: At least5-years professionalhealthcare experience At least 3-5-years experience in quality assurance, quality improvement, or risk management Experience managing quality improvement activities such as process improvement, lean methodologies, quality system assessment Experience interpreting healthcare regulations and accreditation requirements and designing systems to meet them. Experience with customer service and patient relations Survey design as well as interpretation and communication of survey results Proficiencyin data management, statistical methods, and effective communication across all organizational levels Preferred experience working for a Public Hospital District/Critical Access Hospital and CMS certified Rural Health Clinic Preferred experience with public record requests. Skills: Strong ability tomaintainconfidentiality, navigate complex situations, and express ideas effectively to groups. ExperienceutilizingEPIC EMR Group facilitation skillsrequired Strong communicationskillsbothwritten and verbal. Demonstration of strong strategic and change management leadership. Demonstrated ability to work with cross functional teams to achieve organizationalobjectives. Ability to effectively interact with patients and families and deescalate stressful situations Problem solving and coaching in a team environment Computer skills including Microsoft Word, Microsoft Excel, Microsoft Visio, and on-line database management WORK ENVIRONMENT: Office and clinical settings with potential exposure to patient care areas. Flexibility to work extended hours as needed. PHYSICAL DEMANDS: Ability to work in a fast-paced environment and handle multiple priorities. May require occasional travel between facility locations. OTHER DUTIES:Please note this job description is not designed to cover orcontaina comprehensive listing of activities, duties or responsibilities that arerequired ofthe employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. BENEFITS:We believe in taking care of those who take care of our community.Wereproud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan,youllhave access to multiple in-network tiers, including top-quality care from Snoqualmie ValleyHealth, Eastside Health, and First Choice/First Health providers.The best part?Anyonecovered under our plancan receive care at SVH at no cost!Itsall about giving you the options and support you need toexperience lifes great adventures. Medical Dental Vision Pharmacy Life and ADD Retirement Plan Employee Assistance Program (EAP) Flexible Spending Account (FSA) Travel Assistance ID Theft Protection Pet Insurance OtherVoluntary Benefits BenefitEligibility Requirements-Employees regularly scheduled at least 20 hours per week. Employee Dependents-Your legal spouse or domestic partner; dependent children until age 26. Waiting Period-1st of the month fromthedate of hire. PLEASE NOTE: The flu shot (during flu season)isrequiredfor employment, with exemptions available for valid medical or religious reasons. Snoqualmie Valley Health is a drug-free workplace. We complete drug screenings asa partof our onboarding process.