Director of Risk Management & Quality Assurance

Director of Risk Management & Quality Assurance

Compensation: $150K-$160K pr/yr 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. Our client is a premier Federally Qualified Health Center who specializes in comprehensive medical and dental, and behavioral health services with a dedicated focus on individuals with autism and developmental disabilities. They are heavily leaning into skills-based hiring for this critical leadership role. They recognize that outstanding talent comes from diverse backgrounds, so the exact title on your resume matters far less than your underlying expertise. They are fully open to broader or alternative titles, including:

• Director of Quality & Patient Safety
• Director of Performance Improvement
• Healthcare Chief Operating Officer (COO)

This pivotal role is responsible for safeguarding clinical excellence, data integrity, and operational performance across the organization. You will oversee daily clinical operations and service coordination, ensuring the facility remains a leader in patient safety, regulatory compliance, and continuous quality improvement (CQI).

Whether your background is rooted in a hospital setting, a large group practice, or a community health center, we want to talk to you if you are an expert at optimizing Electronic Health Records (EHR), navigating the shift toward value-based care, and turning data into improved patient outcomes.

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.
• Risk Management & Compliance
• 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.
• Collaborative Human Resources Support
• 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.

Benefits

• 403(b) with matching
• Medical, prescription, dental, life, AD&D, malpractice (occurrence-based)
• Generous PTO (vacation, sick, holiday, CME)
• CME reimbursement, NHSC loan forgiveness, FSAs, pre-tax commuting contributions
• Eligible to receive $2K by the end of the 1st year and 2K annually moving forward

Job Requirements:

• Bachelor's or Master's degree in Nursing, Healthcare Administration, Health Informatics, or a related field.
• Minimum of 5 years of progressive leadership experience in healthcare operations, quality assurance, performance improvement, or risk management. Open to candidates coming directly from a hospital setting.
• Advanced proficiency in eClinicalWorks (eCW) is critical. Ideal candidates will have "super-user" depth of knowledge regarding eCW data extraction, benchmarking, and quality tracking.
• Demonstrated understanding of Accountable Care Organizations (ACOs), value-based reimbursement models, and standard healthcare regulations (CMS, DOH).
• A data-driven problem solver who excels at managing multi-disciplinary teams and complex workflows.
• Familiarity with serving individuals with intellectual and developmental disabilities is a strong plus.
• Prefer candidates from Long Island, Western Suffolk, Nassau, Smithtown and Queens.

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.

If you're excited about the potential of this role, we'd love to hear from you!