St. Barnabas

Lead quality improvement initiatives, facilitate committees, and ensure regulatory compliance in ambulatory care settings. | Minimum 5 years in healthcare, 3 years in leadership, knowledge of healthcare regulations, and experience with outpatient settings. | Under the direction of the Vice President, the Director of Ambulatory Care Quality plans, implements, and directs quality improvement and patient experience initiatives across all SBH Ambulatory Care sites. The Director is responsible for developing and managing action plans to improve performance on quality metrics, maintain regulatory compliance, and enhance the patient experience. The position leads the governance and facilitation of the Ambulatory Quality Committee and the Ambulatory Patient Experience Workgroup. The role oversees performance improvement projects, chart audits, documentation reviews, and new workflow implementations to enhance outcomes and patient-centered care. The director also assists the VP with departmental compliance programs and reviews. Responsibilities: • Provides leadership to the Ambulatory Care Quality & Population Health department, supporting the VP with department strategy, operations and management. • Prepares and facilitates the Ambulatory Quality Committee, including agenda development, data reporting, and tracking of follow-up items and performance improvement plans. • Prepares and facilitates the Ambulatory Patient Experience Workgroup, including agenda development, data reporting, and tracking of follow-up items and performance improvement plans. • Designs and implements quality assurance and performance improvement (QAPI) initiatives to improve patient care, advance population health, and drive value-based care outcomes. • Supports Ambulatory Care Directors and leaders to implement QAPI initiatives in their own areas, and to develop QAPI reports and Performance Improvement posters. • Develops training content and performance feedback tools to coach ambulatory providers and staff on quality improvement best practices. • Leads internal audit processes, regulatory survey readiness (e.g., Joint Commission, NCQA, NYS DOH), and documentation compliance reviews. • Assists the VP with departmental compliance programs and reviews including chart and billing audits, and investigations. • Performs other related duties at the discretion of the Vice President. • Attends scheduled department and division meetings and participates as appropriate. Education: • Master's degree in public health, healthcare administration, nursing, or related field preferred • Bachelor's Degree essential License(s) Required - N/A Experience/Skills Required: • Five years' active experience in a healthcare, including ambulatory / outpatient settings. • Minimum of three years' experience in progressive leadership roles. • Knowledge of Joint Commission, HEDIS/QARR, NCQA, CMS, and NYS DOH regulations. • Experience working in safety net hospital or community health setting is desirable. • Excellent communication, problem solving and writing skills. • Proficient in MS Office Suite; experience with Epic EMR preferred. • Ability to work with all levels of staff, including administration, physicians, nurses and clerical.