Associate Executive Director Of Strategy and Quality & Safety
Gouverneur Health
NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
1. Lead strategic planning efforts in alignment with health system strategic pillars, priorities and evolving healthcare trends.
2. Design and operationalize multi-year strategic initiatives for quality, safety, and performance improvement across the division's programs and services.
3. Partner with finance, operations, and clinical leadership to set measurable goals for growth, patient outcomes, and value-based performance.
4. Oversee integration of care delivery models that support population health, reduce disparities, and align with regulatory and payer requirements. Quality, Safety, and Performance Improvement:
1. Direct the development and implementation of a division-wide Quality Management Program.
2. Establish systems to measure, monitor, and improve clinical quality, patient safety, patient experience, and service delivery outcomes.
3. Ensure compliance with all applicable CMS Conditions of Participation, Joint Commission standards, state Department of Health regulations, and managed care quality metrics (e.g., HEDIS, CAHPS, VBP).
4. Lead investigations, root cause analyses, and corrective action planning for adverse events, clinical variances, and quality of care concerns.
5. Develop and review the division's QAPI quarterly board report and annual QAPI plan
6. Serve as quality advisor for performance improvement projects reported to the QAPI Committee of the Board of Directors Regulatory and Accreditation Oversight:
1. Serve as the division's executive lead for regulatory surveys, accreditation site visits, and external audits.
2. Ensure ongoing readiness for state and federal inspections across all programs.
3. Liaise with compliance, legal, and risk departments to ensure policy development and documentation standards meet regulatory expectations. Data Analytics and Reporting:
1. Oversee the development and dissemination of dashboards, scorecards, and reports that provide actionable insights on quality, utilization, and patient outcomes.
2. Collaborate with IT, data and analytics teams to improve data accuracy, risk stratification, and predictive modeling tools. Utilize data to drive evidence-based decision-making and program refinement. Clinical Risk Management and Patient Safety:
1. Champion a high-reliability culture focused on proactive risk identification, mitigation, and safety event prevention.
2. Develop policies, training, and interventions to reduce preventable harm, hospitalizations, and emergency visits.
3. Implement systems to capture, analyze, and report patient safety events and near misses. Leadership, Staff Development, and Culture:
1. Lead and mentor directors, managers, and specialists/analysts in quality, strategy, and safety roles.
2. Promote a just culture that values transparency, learning, and continuous professional development.
3. Foster cross-functional collaboration among clinical, operational, and administrative teams External Relations and Innovation:
1. Represent the organization in quality collaboratives, VBP partnerships, and city/state/national improvement initiatives.
2. Identify and implement innovative practices and technologies to enhance care delivery in the home and community.
3. Support strategic payer/provider relationships through data-sharing, performance reporting, and contract alignment. Performs other duties as assigned by the Senior VP/ Chief Nursing Executive Officer and leadership of the NYCH+H Office of Quality and Safety. Minimum Qualifications CERTIFICATION(S)/LICENSE(S): Licensed and currently registered to practice as a professional nurse in New York State, plus (2) or (3), below.
1. Master's degree in nursing administration, Education, Clinical Specialty or equivalent field and five years of satisfactory nursing experience, of which three years shall have been in a supervisory or teaching capacity;
2. or a Baccalaureate Degree in Nursing and six years of satisfactory nursing experience, four years of which shall have been in a supervisory or teaching capacity Department Preferences Knowledge In: Deep knowledge of CMS, DOH, and NCQA quality standards and performance measures. Proven ability to lead organizational change and quality transformation in complex environments. Strong analytical, strategic planning, and project management skills. Effective communication and presentation skills for internal and external stakeholders. Collaborative leadership style with the ability to influence across matrixed teams.
Excellent verbal, written, organizational and analytical skills.
YEARS OF EXPERIENCE: Minimum 10 years of progressive leadership experience in healthcare strategy, quality improvement, or patient safety. At least 5 years of experience in home care, care management, or community-based health services.
Demonstrated success in leading large-scale quality programs and navigating regulatory and value-based environments. Working Conditions :
Occasional travel to patient care sites and administrative offices.
Must be available to respond to critical issues during off-hours as needed.
CPHQ Preferred Benefits NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- Loan Forgiveness Programs for eligible employees
- College tuition discounts and professional development opportunities
- College Savings Program
- Union Benefits for eligible titles
- Multiple employee discounts programs
- Commuter Benefits Programs
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