Upstate Family Health Center, Inc.
Director of Quality, Risk Management, and Compliance
Upstate Family Health Center, Inc., Utica, New York, United States, 13501
Director of Quality, Risk Management, and Compliance Join to apply for the
Director of Quality, Risk Management, and Compliance
role at
Upstate Family Health Center, Inc. Director of Quality, Risk Management, and Compliance 1 day ago Be among the first 25 applicants Join to apply for the
Director of Quality, Risk Management, and Compliance
role at
Upstate Family Health Center, Inc. Get AI-powered advice on this job and more exclusive features. Upstate Family Health Center, Inc. provided pay range This range is provided by Upstate Family Health Center, Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $100,000.00/yr - $120,000.00/yr Upstate Family Health Care Inc. is a Federally Qualified Health Center (FQHC) and we are expanding in the Mohawk Valley. Hours of operation are Monday - Friday 8:00am - 6:00 pm
All potential candidates should read through the following details of this job with care before making an application.
The Director of Quality, Risk Management, and Compliance is responsible for overseeing and directing all activities related to quality improvement, risk management, and regulatory compliance within the Federally Qualified Health Center (FQHC). This role ensures that the organization maintains high standards of care and operates in compliance with federal, state, and local regulations. The Director will develop and implement strategies to enhance patient care quality, minimize risks, and ensure adherence to applicable laws and guidelines.
The Director Quality, Risk Management and Compliance reports to the Chief Medical Officer.
Qualifications: Master's degree or higher in a field related to leadership or a specific clinical specialty. Should be able to show certification in their Provider discipline. No less than 3 years of experience in a leadership position in healthcare, preferably an FQHC. The ideal candidate will also possess interpersonal skills which allow effective interaction with clients and multiple providers while maintaining a spirit of hope and empathy. Proficiency in Microsoft Office Suite, Electronic Health Records (EHR), and familiarity with regulations governing healthcare and practice scope is strongly preferred. Other skills and experience include but are not limited to:
Experience in dealing with a diverse and dynamic workforce
Experience in partnering with Executive Leadership and Board of Directors resulting in the development and implementation of operational strategies.
Experience working in Quality Assurance, Risk Management and Compliance is required.
Previous Supervisory/managerial Experience Is Preferred.
Experience working with a non-profit community health center is preferred.
Experience working with clinical informatics databases containing Protected Health Information.
Responsibilities include:
Quality Improvement
Develop, implement, and manage the organization's Quality Improvement (QI) program to enhance patient care and operational efficiency.
Monitor and evaluate clinical performance indicators and patient outcomes.
Facilitate and lead QI initiatives, including setting goals, developing action plans, and tracking progress.
Conduct regular audits and assessments to ensure compliance with internal policies and external regulations.
Working knowledge of a comprehensive health quality program (e.g. patient safety, peer review, and infection control)
Ensure accomplishment of organization's mission through creating infrastructure that enhances clinical and quality outcomes
Ensures continuous improvement by evaluating and making recommendations considering market demands, regulatory standards and clinical practice
Work closely with CMO and key stakeholders to ensure all clinical and quality metrics are accomplished
Ensure that Quality Improvement Compliance standards are met for all major grants and funders (FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS, etc.)
Work closely with Grants Manager and assist in grant writing for new funding sources and competitive and non-competitive grant renewals for continued funding
In coordination with CMO, develop, implement and enforce clinical policies in accordance with funding requirements
Chair the Quality Management program of UFHC and attend at least one Quality Improvement conference per year.
Work with Clinical Leadership and Practice Management to create custom reports needed for ongoing maintenance of quality care and operations.
Respond to Ad hoc internal data requests from Leadership
Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows (i.e. EHR, etc.)
Monitor clinical compliance of medical providers MD, NP, PA and RNs and share findings with Chief Medical Officer (CMO), Senior Director of Clinical Operations, and through regularly generated reporting. (Examples include note closure, proper billing, performance measure feedback)
Responsible for quality incentive programs, CCA, ACO, IPA
Risk Management
Identify potential risks and implement strategies to mitigate them, including the development of risk management policies and procedures.
Conduct risk assessments and develop action plans to address identified risks.
Oversee incident reporting and investigation processes to identify trends and prevent recurrence.
Provide training and support to staff on risk management practices and protocols.
Compliance Management
Serve as Program administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS funding grants
Ensure the organization complies with all federal, state, and local regulations, including those specific to FQHCs.
Develop and update compliance policies and procedures to reflect changes in regulations and best practices.
Conduct regular compliance audits and reviews to identify and address potential issues.
Serve as the primary point of contact for regulatory agencies and manage compliance-related correspondence and documentation.
Leadership and Team Management
Lead and mentor the Quality, Risk Management, and Compliance team to foster a culture of continuous improvement and accountability.
Collaborate with other departments to integrate quality, risk management, and compliance efforts into overall organizational operations.
Develop and deliver training programs to educate staff on quality improvement, risk management, and compliance matters.
Supervisory responsibilities are subject to change based on organizational needs and department growth.
Reporting and Communication
Prepare and present reports on quality, risk management, and compliance activities to senior management and the Board of Directors.
Communicate effectively with staff, patients, and stakeholders regarding quality, risk, and compliance issues.
Stay current with industry trends, best practices, and regulatory changes to ensure the organization remains up-to-date and compliant.
Administer and analyze annual Patient Satisfaction Survey
Coordinate quarterly Continuing Quality Management Committee and monthly Sub-committees
Coordinate and Manage Quality Improvement Projects
Present Monthly reports to the QPI Committee of the Board and Quarterly updates to the Board of Directors which include key Data Reports, progress reporting on Quality Improvement Projects, annual updates on UDS and Pt Satisfaction Survey, and other key Quality Improvement/Assurance activities.
Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures and present to the Board of Directors for review and approval as needed.
In coordination with CMO design and administer biannual peer-to-peer chart reviews
Coordinate with Risk Management to design and implement Quality Improvement Projects in response to risk events
Ensure timely submission of monthly and quarterly data progress reports required by funders
Work with Clinical Leadership and Practice Management to great custom reports needed for ongoing maintenance of quality care and operations.
Respond to Ad hoc internal data requests from Leadership
Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows (i.e. EHR, etc.)
Monitor clinical compliance of medical providers MD, NP, PA and RNs and share findings with Chief Medical Officer (CMO), Senior Director of Clinical Operations, and through regularly generated reporting. (Examples include note closure, proper billing, performance measure feedback)
Other Duties As Assigned
Work environment: Generally, works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting. Availability for occasional work outside of regular office hours.
Travel requirements: Occasional local travel required between main clinic and SBHCs.
Work hours: 40 Hours/Week (M-F 8:00am - 4:30pm)
Required Screenings: Must complete UFHC Credentialing and Privileging to provide direct services with Federally Qualified Health Centers.
Upstate Family Health Center is an Equal Opportunity Employer. Seniority level
Seniority levelDirector Employment type
Employment typeFull-time Job function
Job functionQuality Assurance IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Upstate Family Health Center, Inc. by 2x Get notified about new Director of Quality jobs in
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Director of Quality, Risk Management, and Compliance
role at
Upstate Family Health Center, Inc. Director of Quality, Risk Management, and Compliance 1 day ago Be among the first 25 applicants Join to apply for the
Director of Quality, Risk Management, and Compliance
role at
Upstate Family Health Center, Inc. Get AI-powered advice on this job and more exclusive features. Upstate Family Health Center, Inc. provided pay range This range is provided by Upstate Family Health Center, Inc.. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $100,000.00/yr - $120,000.00/yr Upstate Family Health Care Inc. is a Federally Qualified Health Center (FQHC) and we are expanding in the Mohawk Valley. Hours of operation are Monday - Friday 8:00am - 6:00 pm
All potential candidates should read through the following details of this job with care before making an application.
The Director of Quality, Risk Management, and Compliance is responsible for overseeing and directing all activities related to quality improvement, risk management, and regulatory compliance within the Federally Qualified Health Center (FQHC). This role ensures that the organization maintains high standards of care and operates in compliance with federal, state, and local regulations. The Director will develop and implement strategies to enhance patient care quality, minimize risks, and ensure adherence to applicable laws and guidelines.
The Director Quality, Risk Management and Compliance reports to the Chief Medical Officer.
Qualifications: Master's degree or higher in a field related to leadership or a specific clinical specialty. Should be able to show certification in their Provider discipline. No less than 3 years of experience in a leadership position in healthcare, preferably an FQHC. The ideal candidate will also possess interpersonal skills which allow effective interaction with clients and multiple providers while maintaining a spirit of hope and empathy. Proficiency in Microsoft Office Suite, Electronic Health Records (EHR), and familiarity with regulations governing healthcare and practice scope is strongly preferred. Other skills and experience include but are not limited to:
Experience in dealing with a diverse and dynamic workforce
Experience in partnering with Executive Leadership and Board of Directors resulting in the development and implementation of operational strategies.
Experience working in Quality Assurance, Risk Management and Compliance is required.
Previous Supervisory/managerial Experience Is Preferred.
Experience working with a non-profit community health center is preferred.
Experience working with clinical informatics databases containing Protected Health Information.
Responsibilities include:
Quality Improvement
Develop, implement, and manage the organization's Quality Improvement (QI) program to enhance patient care and operational efficiency.
Monitor and evaluate clinical performance indicators and patient outcomes.
Facilitate and lead QI initiatives, including setting goals, developing action plans, and tracking progress.
Conduct regular audits and assessments to ensure compliance with internal policies and external regulations.
Working knowledge of a comprehensive health quality program (e.g. patient safety, peer review, and infection control)
Ensure accomplishment of organization's mission through creating infrastructure that enhances clinical and quality outcomes
Ensures continuous improvement by evaluating and making recommendations considering market demands, regulatory standards and clinical practice
Work closely with CMO and key stakeholders to ensure all clinical and quality metrics are accomplished
Ensure that Quality Improvement Compliance standards are met for all major grants and funders (FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS, etc.)
Work closely with Grants Manager and assist in grant writing for new funding sources and competitive and non-competitive grant renewals for continued funding
In coordination with CMO, develop, implement and enforce clinical policies in accordance with funding requirements
Chair the Quality Management program of UFHC and attend at least one Quality Improvement conference per year.
Work with Clinical Leadership and Practice Management to create custom reports needed for ongoing maintenance of quality care and operations.
Respond to Ad hoc internal data requests from Leadership
Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows (i.e. EHR, etc.)
Monitor clinical compliance of medical providers MD, NP, PA and RNs and share findings with Chief Medical Officer (CMO), Senior Director of Clinical Operations, and through regularly generated reporting. (Examples include note closure, proper billing, performance measure feedback)
Responsible for quality incentive programs, CCA, ACO, IPA
Risk Management
Identify potential risks and implement strategies to mitigate them, including the development of risk management policies and procedures.
Conduct risk assessments and develop action plans to address identified risks.
Oversee incident reporting and investigation processes to identify trends and prevent recurrence.
Provide training and support to staff on risk management practices and protocols.
Compliance Management
Serve as Program administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), HHS funding grants
Ensure the organization complies with all federal, state, and local regulations, including those specific to FQHCs.
Develop and update compliance policies and procedures to reflect changes in regulations and best practices.
Conduct regular compliance audits and reviews to identify and address potential issues.
Serve as the primary point of contact for regulatory agencies and manage compliance-related correspondence and documentation.
Leadership and Team Management
Lead and mentor the Quality, Risk Management, and Compliance team to foster a culture of continuous improvement and accountability.
Collaborate with other departments to integrate quality, risk management, and compliance efforts into overall organizational operations.
Develop and deliver training programs to educate staff on quality improvement, risk management, and compliance matters.
Supervisory responsibilities are subject to change based on organizational needs and department growth.
Reporting and Communication
Prepare and present reports on quality, risk management, and compliance activities to senior management and the Board of Directors.
Communicate effectively with staff, patients, and stakeholders regarding quality, risk, and compliance issues.
Stay current with industry trends, best practices, and regulatory changes to ensure the organization remains up-to-date and compliant.
Administer and analyze annual Patient Satisfaction Survey
Coordinate quarterly Continuing Quality Management Committee and monthly Sub-committees
Coordinate and Manage Quality Improvement Projects
Present Monthly reports to the QPI Committee of the Board and Quarterly updates to the Board of Directors which include key Data Reports, progress reporting on Quality Improvement Projects, annual updates on UDS and Pt Satisfaction Survey, and other key Quality Improvement/Assurance activities.
Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures and present to the Board of Directors for review and approval as needed.
In coordination with CMO design and administer biannual peer-to-peer chart reviews
Coordinate with Risk Management to design and implement Quality Improvement Projects in response to risk events
Ensure timely submission of monthly and quarterly data progress reports required by funders
Work with Clinical Leadership and Practice Management to great custom reports needed for ongoing maintenance of quality care and operations.
Respond to Ad hoc internal data requests from Leadership
Oversee Clinical Applications to ensure quality and data accuracy and cohesive workflows (i.e. EHR, etc.)
Monitor clinical compliance of medical providers MD, NP, PA and RNs and share findings with Chief Medical Officer (CMO), Senior Director of Clinical Operations, and through regularly generated reporting. (Examples include note closure, proper billing, performance measure feedback)
Other Duties As Assigned
Work environment: Generally, works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting. Availability for occasional work outside of regular office hours.
Travel requirements: Occasional local travel required between main clinic and SBHCs.
Work hours: 40 Hours/Week (M-F 8:00am - 4:30pm)
Required Screenings: Must complete UFHC Credentialing and Privileging to provide direct services with Federally Qualified Health Centers.
Upstate Family Health Center is an Equal Opportunity Employer. Seniority level
Seniority levelDirector Employment type
Employment typeFull-time Job function
Job functionQuality Assurance IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Upstate Family Health Center, Inc. by 2x Get notified about new Director of Quality jobs in
Utica, NY . New York, United States $140,000.00-$170,000.00 1 day ago New York, United States $132,000.00-$244,100.00 3 days ago Sr Director Quality Management & Regulatory AffairsSr Director Quality Management & Regulatory Affairs - Full Time - Days Utica, NY $117,000.00-$175,000.00 2 days ago Utica, NY $171,000.00-$222,000.00 1 week ago Operations (Director / VP) - Startup Generalist New York, United States $120,000.00-$170,000.00 1 month ago Director of Procurement – Group Sourcing (MRO) New York, United States $100,000.00-$120,000.00 4 days ago Utica, NY $65,000.00-$85,000.00 4 weeks ago Utica, NY $125,000.00-$130,000.00 3 days ago New York, United States $62,000.00-$65,000.00 3 days ago Director, Construction Operations - New York New York, United States $175,000.00-$200,000.00 1 day ago Immunization Manager, P-4, Temporary Position, 364 days, Programme Group, Health Section, New York HQ, #00134169 (364 days) New York, United States $145,100.00-$268,800.00 20 hours ago Director, Operations Excellence, Chief Innovation Office, Danaher Diagnostics New York, United States $175,000.00-$225,000.00 2 weeks ago Director of Operations - Bilingual Mandarin/English New York, United States $110,000.00-$140,000.00 1 day ago Assistant Director of Environmental Services Utica, NY $65,000.00-$85,000.00 4 days ago Senior Director of Professional Services ConsultingGlobal Surge Team Roster: Country Director Utica, NY $65,000.00-$70,000.00 3 weeks ago New York, United States $231,900.00-$440,500.00 1 week ago New York, United States $115,000.00-$140,000.00 1 week ago Managing Director - Transaction Advisory Services (TAS) New York, United States $300,000.00-$300,000.00 1 day ago Clinton, NY $60,000.00-$65,000.00 3 weeks ago Director, Client Accounting Services (CAS) New York, United States $160,000.00-$220,000.00 1 month ago New York, United States $140,000.00-$240,125.00 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr