Job Summary: In addition to the responsibilities listed below, this position is also responsible for providing strategic oversight and guidance to large-sized service areas (i.e., facilities with more than 300 licensed beds) by leading the development and implementation of broad, complex quality programs and initiatives; serving as a leader and expert on clinical quality management programs and initiatives; proactively monitoring performance metrics and performance improvement activities across large, complex services lines and facilities; championing and overseeing the use of evidence-based guidelines and criteria to optimize clinical outcomes; directing accreditation, licensing, and regulatory activities and ensuring compliance in all applicable settings, including compliance with administrative, legal, and regulatory requirements; partnering with and directing medical staff in large service areas to support peer review, practitioner performance review, and oversight processes across broad, complex services lines and facilities; and developing, evaluating, and managing ongoing improvement systems to reduce care delivery risk and medical errors across broad, complex services lines and facilities. Oversees development of new clinical quality improvement programs by: maintaining relationships with key stakeholders, senior management, and external stakeholders to influence the long-term strategic plans for guidelines, metrics, and operational definitions of quality improvement, and ensuring the sustainability of the program; serving as a subject matter expert on a variety of health concepts, regulatory requirements, and change management principles to ensure KP strategies prioritize programs that optimize clinical quality, safety, or health outcomes; and providing insight into KPs capability of realizing strategic opportunities to develop as a learning organization by advocating for the program and consulting with executive management, technology stakeholders, and external vendors.