Responsible for the leadership, strategic direction, and management of the day-to-day activities of all Quality Management & Accreditation/Quality and Risk Management program, including accreditation, infection prevention and control, employee health screening, patient safety, risk management, compliance, credentialing, coordination of regulatory and accreditation compliance survey, and all other quality related activities. Works with Electronic Health Record (EHR) staff to incorporate capacity for quality measure; trains staff, providers, etc. to input quality measurement data; develops quality measurement reports.