Job Summary: In addition to the responsibilities listed below, this position is also responsible for providing strategic oversight and guidance to small- and/or medium-sized service areas (i.e., facilities with less than 300 licensed beds) by leading the development and implementation of quality programs and initiatives; serving as a leader and expert on clinical quality management programs and initiatives across small- and/or medium-sized services lines and facilities; proactively monitoring performance metrics and performance improvement activities; 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 small- and/or medium-sized service areas to support peer review, practitioner performance review, and oversight processes; and developing, evaluating, and managing ongoing improvement systems to reduce care delivery risk and medical errors. 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 strategies prioritize programs that optimize clinical quality, safety, or health outcomes; and providing insight into 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.