Director of Risk Management & Quality Assurance

Director of Risk Management & Quality Assurance

Compensation: $140K-$150K per year
Job Type: Full Time, Monday - Friday. Flexible | Time will be split between two clinic locations

We are seeking a strategic and operationally-minded Director of Risk Management & Quality Assurance (RM/QA). This pivotal leadership role is responsible for safeguarding clinical excellence and operational integrity across the organization. You will oversee daily clinical operations and service coordination, ensuring our facility remains a leader in patient safety, regulatory compliance, and continuous quality improvement (CQI).

Responsibilities

• Clinical Operations & Performance Leadership
  • Manage daily clinical operations, staffing, and patient care workflows to ensure seamless service delivery.
  • Lead the design and execution of performance improvement projects aimed at achieving the "Triple Aim": better care, better outcomes, and lower costs.
  • Drive data‑driven changes, including team‑based care and Patient‑Centered Medical Home (PCMH) initiatives, in collaboration with the Chief Medical Officer.
• Act as the primary point of contact for HRSA, NYSDOH, and CMS; facilitate inspections and manage all Plans of Corrective Action (CAP).
• Ensure 100% compliance with the 19 BPHC program requirements and oversee the annual FTCA application submission.
• Manage the end-to‑end incident reporting process, ensuring timely notification to state agencies and mandated reporting for sensitive cases.
• Data Analytics & Quality Assurance
  • Leverage EMR (eCW) and reporting tools (COGNOS) to conduct audits and generate actionable quality data.
  • Chair the RM/QA Committee and represent clinical quality data to the Board of Directors and Key Management.
  • Serve as the primary liaison for IPA and ACO contracts, overseeing quality measurement activities and patient satisfaction analytics.
• Safety & Environment of Care
  • Standardize protocols and policies to ensure a consistent culture of safety across all departments (Medical, Dental, and Operations).
  • Oversee emergency preparedness (CMS rules), equipment maintenance, and the overall security/supply chain of the health center.
  • Protect patient rights and lead the resolution of grievances and recommendations.
• Partner with HR to oversee regulatory training programs, staff recruitment, and succession planning.
• Coordinate with the Compliance Administrator to ensure rigorous maintenance of personnel records, licenses, and certifications.
• Manage Code Rule 59 and 60 applications and annual reporting in partnership with the HR Director.
• Retirement: 403(b) with matching
• Financial Benefits: CME reimbursement, NHSC loan forgiveness, FSAs, pre‑tax commuting contributions

Job Requirements

• Bachelor’s or Master’s degree in Nursing, Healthcare Administration, or a related field.
• Minimum of five years of progressive leadership experience in healthcare operations, risk management, or quality assurance.
• Direct experience working within an FQHC or a comparable community‑based healthcare organization.
• Comprehensive knowledge of HRSA, NYSDOH, and CMS regulatory requirements.
• Proficiency in Medicare, Medicaid, and third‑party billing requirements.
• Current Basic Life Support (BLS) certification.
• Demonstrated ability to lead multi‑disciplinary teams and manage complex clinical workflows.
• Experience utilizing EMR systems for data management and quality reporting.
• Exceptional communication skills for reporting to executive leadership and the Board of Directors.
• Familiarity with serving individuals with intellectual and developmental disabilities is highly desirable.

Salary

The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.

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