Master s degree in health related or business field preferred Certified Professional in Healthcare Quality (CPHQ) required within 18 months of hire Experience Required Five years health care administration or performance improvement management experience Three years experience supervising health care professionals Knowledge of Quality and performance improvement strategies and processes Accrediting agency requirements, infection prevention, safety practices, risk management and total quality management principles Alaska Native/American Indian health problems and the health service delivery program for Alaska Native/American Indians Skills in Program planning, implementation and evaluation Critical thinking Ability to Lead, motivate and maintain a high performing team through effective performance management, communication and mentoring/coaching Communicate with all levels of the organization professionally and comfortably present to internal and external audiences, physicians, media, and administration Affect change through influence, working closely with all departments Operate with a sense of urgency with rapid response capabilities, on constricted timelines and able to manage multiple projects at one time, with varying priority Understand changing healthcare market dynamics, translating them into actionable strategy and implementing the strategy to achieve pre-set objectives Apply broad knowledge and experiences when making sound decisions under conditions of uncertainty and time pressure. ******************************************************************************* 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.