Director Clinical Quality

Job Summary:

The Director, Clinical Quality is responsible for leading accreditation and clinical quality initiatives within the Quality department, with a primary focus on accreditation readiness, audit preparedness, process improvement, CAPA support, and clinical quality metrics. This role serves as a Quality department resource supporting accreditation management, process improvement, audit readiness, CAPAs, and quality oversight activities across the organization. The position partners cross-functionally with operational and support departments to help ensure accreditation standards, quality expectations, and regulatory or contractual requirements are effectively incorporated into workflows, documentation, monitoring activities, and quality initiatives. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements.

Primary Duties and Responsibilities

1. Lead and support accreditation readiness activities for URAC, ACHC, and other applicable accreditation standards.
2. Coordinate accreditation evidence preparation, standards interpretation, gap assessments, and ongoing readiness activities.
3. Partner with the Director, Quality Operations to support inspection and audit readiness initiatives.
4. Support development, implementation, and monitoring of accreditation-related metrics and quality KPIs.
5. Lead or support process improvement initiatives related to patient management, operational workflows, and accreditation findings.
6. Collaborate cross-functionally to identify process gaps, compliance risks, and quality improvement opportunities.
7. Support CAPA investigations, corrective actions, effectiveness monitoring, and process improvement activities related to accreditation or quality findings.
8. Participate in therapy, program, or operational launches to ensure accreditation and quality requirements are incorporated into workflows and documentation.
9. Assist with development, review, and revision of policies, SOPs, work instructions, forms, and quality documentation related to accreditation and quality oversight activities.
10. Participate in Quality Committee, Clinical Oversight Committee, and other cross-functional meetings as needed.
11. Support implementation and quality oversight of clinical software updates, assessments, protocols, and documentation workflows.
12. Serve as a resource for interpretation of accreditation standards and quality expectations impacting operational workflows.
13. Support preparation and presentation of accreditation and quality metrics for leadership meetings, committees, and audits.
14. Regular and reliable attendance is expected.
15. Other work-related duties as assigned by supervisor/manager.

Minimum Knowledge, Abilities, and Skills Required