Director of Quality Improvement, Strategic Resource and Support

Job description

Job Summary
The Corporate Director of Quality Improvement (CDQI)—Strategic Resource/Support is a high-level leadership role dedicated to the company’s mission through the strategic allocation of resources and the successful execution of clinical outcome strategies across the Enterprise. This position serves as a critical bridge between corporate leadership and facility-based teams, operationalizing system-wide initiatives and standardizing quality practices to reduce clinical variation and improve patient safety. The CDQI provides expertise, education, and direct support to CHS-affiliated organizations, regional leaders, and corporate departments to prioritize and achieve the organization's quality agenda.
Reporting Structure
• Reports To: Senior Vice President, Quality
• Direct Support: Provides direct support and guidance to facility-based quality leaders and staff.
• Supervision: Responsible for the direct supervision of staff within the assigned area of responsibility.

Core Responsibilities
Operational Execution & Strategy
• Lead corporate-wide projects aimed at improving quality and clinical outcomes, including publicly reported measures.
• Operationalize system-wide initiatives and standardizing practices across multiple sites, including Ambulatory Surgery Centers.
• Ensure proper planning, organization, and implementation of quality strategic initiatives.
• Collaborate with senior leadership and service-line departments to implement processes that prevent patient harm.

Data Oversight & Public Reporting
• Provide leadership collaboration for quality improvement efforts related to publicly reported data (e.g., CMS Programs, Leapfrog Hospital Survey, Leapfrog Safety Grade).
• Analyze regional data to identify trends, prioritize improvement opportunities, and assess progress toward quality goals.
• Utilize statistical and process improvement tools to interpret data and develop sound improvement plans.

Standardization & Policy Maintenance
• Lead efforts to standardize policies, procedures, and products across the health system to reduce clinical variation.
• Provide oversight for the development and maintenance of quality toolkits and evidence-based policies.
• Ensure all policies reflect current evidence-based principles and regulatory standards.

Regulatory Readiness & Support
• Support assigned facilities in maintaining "survey-ready" status.
• Provide on-site support during regulatory audits and as needed by specific facilities.
• Coordinate with internal support departments to achieve individual, hospital, and corporate goals.

Staff Development & Education
• Recruit, orient, and mentor facility-level quality leaders to ensure consistent competency across the system.
• Design and lead company-wide, regional, and facility education programs and resource materials.
• Foster professional growth and help facility leaders develop core competencies in healthcare quality leadership.

Required Qualifications
Education
• Required: Bachelor’s degree in Nursing or another clinical healthcare degree.
• Preferred: Master’s degree (MPH, MSN, or MBA).

Experience
• Minimum Total: 5 years of current experience in Healthcare Quality.
• Management: At least 3 years of recent experience in quality management, performance improvement, or patient safety in a multi-site healthcare environment.
• Demonstrated Success: Proven track record in improving clinical outcomes and reducing patient harm or HAIs.

Certificates and Licenses
• Required: Certified Professional in Healthcare Quality (CPHQ), or obtain within two years
• Required: Current RN licensure or other applicable clinical licensure.

Skills & Abilities
• Technical: Proficiency in Google Workspace (Docs, Sheets, Slides, Meet) and the ability to troubleshoot quality/operational software.
• Communication: Ability to communicate effectively with all levels of leadership and external vendors.
• Project Management: Basic project management skills with the ability to lead multiple simultaneous initiatives.