Job Description

The Associate Director – Quality is responsible for leading and advancing the organization’s quality improvement and performance innovation initiatives to enhance patient safety, clinical outcomes, and operational excellence. This role oversees the development and implementation of a comprehensive quality improvement program, ensures effective collection and analysis of healthcare performance data, and drives evidence-based decision-making. By providing strategic leadership to the Quality and Performance Innovation function, building strong relationships with clinical and operational stakeholders, educating staff on quality and patient safety standards, and managing a multidisciplinary team, the Associate Director fosters a culture of continuous improvement, compliance, and high-quality patient-centered care across the organization.

• Initiating and overseeing the development of a comprehensive quality improvement program in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
• Reviewing the quality improvement program regularly in light of changing organizational needs, changing law and changing policies and procedures of managerial and governmental bodies.
• Directing and coordinating in conjunction with facility leadership, the quality initiatives for the organization.
• Developing and implementing systems, policies, and procedures for the identification, collection, and analysis of performance measurement data.
• Collecting and summarizing performance data, identifying opportunities for improvement, and presenting findings quarterly to the committee and Board of Directors.
• Analyzing customer survey data to identify opportunities for improvement and presenting findings to appropriate departments.
• Providing strategic oversight of proactive and reactive quality improvement activities.
• Providing overall direction necessary in to ensure that services are provided in accordance to the established standards.
• Overseeing the reporting of events as required by regulatory agencies.
• Providing input for the department budget related to quality (e.g., information systems).
• Educating and training the leadership, staff and business associates as to the quality improvement plan, and their respective responsibilities in carrying out the quality improvement program.
• Communicating performance innovation and medical safety activities on a regular basis to the medical staff and engaging medical staff in all quality and safety initiatives.
• Reviewing and evaluating services of the facility that are affected by quality/medical safety/regulatory issues, identifying problems, making recommendations for improvement, and monitoring services to ensure that safety/regulatory recommendations are implemented and the desired results are obtained.
• Establishing relationships with external agencies related to quality improvement programs, including but not limited to purchasers, government agencies, and other stakeholders.
• Leading, facilitating, and advising internal quality improvement teams.
• Planning and supervising the day to day activities of the section; streamlining processes wherever possible.
• Evaluating workload, conducting performance evaluation and initiating necessary disciplinary actions.
• Understanding the training requirements of the team and communicating the same for the benefit of the training department.
• Providing practical training and education across areas such as: conflict resolution, grievance handling, employment law, performance management and negotiation with staff associations.
• Providing on the job training and orientation for the team during course of work.
• Complying consistently with facility policies, procedures and practices and ensuring alignment with SEHA facilities policies.
• Completing and maintaining regulatory requirements including: licensure and certification and other mandatory training within established time frames.
• Adhering to requirements of the Occupational Health and safety guidelines and infection control guidelines.
• Understanding and adhering to emergency preparedness plans/policies.
  
  

Education Required:

• Bachelor's degree or equivalent in relevant field such as quality, Occupational Health, Safety, Environment or Industrial Hygiene or Diploma in relevant field with 3 years of additional experience
  
  Desired: Master degree in relevant field
• Recognized certifications such as Professional in Healthcare Quality (CPHQ), Certified Quality Engineer (CQE), Certified Quality Analyst (CQA), Certified Quality Management (CQM) etc.

Experience Required:

• 8-10 years of relevant experience in a similar industry of which minimum 5 years progressive leadership responsibility in a large organization
  
  Desired: Experience in a large healthcare facility

Additional Qualification Requirements:

• Proficiency in English and Arabic language
• MS Office and computer proficiency
• Excellent communication skills and ability to present his/her ideas
• Strong analytical and problem-solving skills
• Ability to deal with multiple issues simultaneously (multitask) and move them all towards resolution
• Strong service orientation with ability to influence others and collaborate cross functionally