Budgeting, Business Processes, Clinical Medicine, Content Management Systems (CMS), Corrective Action, Data Analysis, Equal Employment Opportunity (EEO), Failure Mode and Effects Analysis (FMEA), Health Plan, Healthcare, Healthcare Administration, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Quality, High Tech Industry, Hospital, Leadership, Leading Edge Technology, Lean Six Sigma, Market Surveys, Mentoring, National Committee for Quality Assurance (NCQA), Operations Management, Patient Safety, Performance Metrics, Process Improvement, Quality Management, Quality Metrics, Quality Monitoring, Registered Nurse (RN), Regulations, Regulatory Compliance, Risk Management, Software Development, Spreadsheets
We leverage cutting-edge technologies to create scalable, secure, and user-friendly applications. As we continue to grow, we’re looking for a skilled Sr. Director, Clinical Quality Governance & Regulatoryjoin our dynamic team and contribute to our mission of transforming business processes through technology.
This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential.
Job Title: Sr. Director, Clinical Quality Governance & Regulatory
Location: Atlanta, GA
Onsite
Salary: $194,700 – $251,900/year | Bonus: 20% target
Job Summary
We are seeking a Senior Director, Clinical Quality Governance & Regulatory to lead clinical quality, patient safety, risk management, credentialing, peer review, quality governance, and regulatory compliance across a complex healthcare and health plan environment.
Key Responsibilities- Lead clinical quality, patient safety, risk management, credentialing, peer review, and regulatory compliance programs.
- Oversee quality governance, continuous survey readiness, and Joint Commission/accreditation requirements.
- Develop and monitor quality improvement strategies, corrective action plans, and performance metrics.
- Lead data analysis and reporting related to HEDIS, CMS Five-Star Ratings, NCQA outcomes, and other quality measures.
- Use RCA, FMEA, Lean, Six Sigma, and other quality improvement methodologies to reduce risk and improve outcomes.
- Serve as a strategic advisor to executive leadership, boards, regulatory agencies, and external stakeholders.
- Lead, develop, and mentor quality teams while managing operational and project budgets.
Required Qualifications- Senior quality leadership experience in a large healthcare system or hospital setting.
- Experience in a health plan environment and clinical quality operations.
- Experience with credentialing, peer review, patient safety, risk management, quality governance, HEDIS, CMS Five-Star Ratings, Joint Commission surveys, and NCQA outcomes.
- 8+ years of experience in healthcare quality, clinical care, healthcare administration, or a related field.
- 6+ years of leadership experience with direct reports.
- 4+ years managing operational or project budgets.
- 2+ years using databases, spreadsheets, or CQI tools.
- Master’s degree + 8 years of relevant experience, Bachelor’s degree + 10 years, or 13+ years of relevant experience.
- Georgia RN license required.
- Must obtain CPPS, CPHQ, or CPHRM certification within 24 months of hire.
Would you like to know more about this opportunity? For immediate consideration, please send your resume to ayushi@bvteck.com or contact us at (908) 650-6382
Bright Vision Technologies, we are committed to equal employment opportunities and fostering an inclusive work environment. If you require accommodations during the recruitment process, please let us know.
Position offered by “No Fee agency.”Equal Employment Opportunity (EEO) Statement
Bright Vision Technologies (BV Teck) is committed to equal employment opportunity (EEO) for all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, veteran status, or any other protected status as defined by applicable federal, state, or local laws. This commitment extends to all aspects of employment, including recruitment, hiring, training, compensation, promotion, transfer, leaves of absence, termination, layoffs, and recall.
BV Teck expressly prohibits any form of workplace harassment or discrimination. Any improper interference with employees' ability to perform their job duties may result in disciplinary action up to and including termination of employment.
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