Upstate Family Health Center, Inc.
Director of Quality, Risk Management, and Compliance
Upstate Family Health Center, Inc., Utica, New York, United States
Director of Quality, Risk Management, and Compliance
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Upstate Family Health Center, Inc. provided 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 - 6:00pm.
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.
Responsibilities
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.
Maintain knowledge of comprehensive health quality programs, such as patient safety, peer review, and infection control.
Create infrastructure that enhances clinical and quality outcomes to support the organization’s mission.
Evaluate and make recommendations for continuous improvement considering market demands, regulatory standards, and clinical practice.
Work closely with the Chief Medical Officer 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, including FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), and HHS.
Assist the Grants Manager with grant writing for new funding sources, competitive and non‑competitive renewals, and related reporting.
Develop, implement, and enforce clinical policies in accordance with funding requirements.
Chair the Quality Management program and attend at least one Quality Improvement conference per year.
Collaborate 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, data accuracy, and cohesive workflows, such as EHR.
Monitor clinical compliance of medical providers (MD, NP, PA, RN) and share findings with the Chief Medical Officer, Senior Director of Clinical Operations, and through regular reporting.
Manage quality incentive programs, including CCA, ACO, and IPA.
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.
Serve as Program Administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), and HHS funding grants.
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.
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.
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 the annual Patient Satisfaction Survey.
Coordinate quarterly Continuing Quality Management Committee meetings and monthly sub‑committees.
Coordinate and manage Quality Improvement Projects.
Present monthly reports to the QPI Committee and quarterly updates to the Board of Directors, including key data reports, progress on projects, and updates on UDS and patient satisfaction.
Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures, and present for board approval as needed.
Design and administer biannual peer‑to‑peer chart reviews in coordination with the Chief Medical Officer.
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.
Qualifications
Master’s degree or higher in a field related to leadership or a specific clinical specialty.
Certification in the provider discipline.
Minimum of 3 years of experience in a leadership position in healthcare, preferably an FQHC.
Proficiency in Microsoft Office Suite and Electronic Health Records (EHR).
Familiarity with regulations governing healthcare and practice scope.
Experience working with a diverse and dynamic workforce.
Experience partnering with Executive Leadership and Board of Directors to develop and implement operational strategies.
Strong experience in Quality Assurance, Risk Management, and Compliance.
Preferred Qualifications
Previous supervisory/managerial experience.
Experience working with a non‑profit community health center.
Experience working with clinical informatics databases containing Protected Health Information.
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 Director
Employment type Full‑time
Job function Quality Assurance
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Upstate Family Health Center, Inc. provided 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 - 6:00pm.
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.
Responsibilities
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.
Maintain knowledge of comprehensive health quality programs, such as patient safety, peer review, and infection control.
Create infrastructure that enhances clinical and quality outcomes to support the organization’s mission.
Evaluate and make recommendations for continuous improvement considering market demands, regulatory standards, and clinical practice.
Work closely with the Chief Medical Officer 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, including FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), and HHS.
Assist the Grants Manager with grant writing for new funding sources, competitive and non‑competitive renewals, and related reporting.
Develop, implement, and enforce clinical policies in accordance with funding requirements.
Chair the Quality Management program and attend at least one Quality Improvement conference per year.
Collaborate 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, data accuracy, and cohesive workflows, such as EHR.
Monitor clinical compliance of medical providers (MD, NP, PA, RN) and share findings with the Chief Medical Officer, Senior Director of Clinical Operations, and through regular reporting.
Manage quality incentive programs, including CCA, ACO, and IPA.
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.
Serve as Program Administrator for FQHC/HRSA, FTCA, DHH/HRSA (Ryan White), and HHS funding grants.
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.
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.
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 the annual Patient Satisfaction Survey.
Coordinate quarterly Continuing Quality Management Committee meetings and monthly sub‑committees.
Coordinate and manage Quality Improvement Projects.
Present monthly reports to the QPI Committee and quarterly updates to the Board of Directors, including key data reports, progress on projects, and updates on UDS and patient satisfaction.
Develop, update, and maintain Quality Improvement/Assurance and Clinical Application Policies and Procedures, and present for board approval as needed.
Design and administer biannual peer‑to‑peer chart reviews in coordination with the Chief Medical Officer.
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.
Qualifications
Master’s degree or higher in a field related to leadership or a specific clinical specialty.
Certification in the provider discipline.
Minimum of 3 years of experience in a leadership position in healthcare, preferably an FQHC.
Proficiency in Microsoft Office Suite and Electronic Health Records (EHR).
Familiarity with regulations governing healthcare and practice scope.
Experience working with a diverse and dynamic workforce.
Experience partnering with Executive Leadership and Board of Directors to develop and implement operational strategies.
Strong experience in Quality Assurance, Risk Management, and Compliance.
Preferred Qualifications
Previous supervisory/managerial experience.
Experience working with a non‑profit community health center.
Experience working with clinical informatics databases containing Protected Health Information.
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 Director
Employment type Full‑time
Job function Quality Assurance
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