VP of Quality- Quality Administration

Job Requirements

POSITION SUMMARY

The System Vice President of Quality, Patient Safety and Regulatory Compliance oversees and leads

the strategic direction, implementation and oversight of quality improvement, patient safety, regulatory

compliance across the Health First Integrated Delivery Network (IDN), ensuring the delivery of safe,

effective, and patient-centered care. Under the direction of the Senior Vice President, Chief Nursing

Executive, The System Vice President of Quality, Patient Safety and Regulatory Compliance directs a

comprehensive quality program encompassing all divisions across Health First achieving organization

goals of clinical excellence.

PRIMARY ACCOUNTABILITIES

1. Develops and executes system wide quality, patient safety and regulatory compliance strategies

across the system, aligning initiatives with the mission, vision and regulatory requirements of the

organization

2. Oversees performance improvement programs and clinical quality metrics across the IDN,

promoting a culture of safety and zero harm.

3. Ensures compliance with The Joint Commission (TJC), Centers for Medicare and Medicaid

Services (CMS), and other accrediting bodies.

4. Oversees the submission, monitoring, and strategic planning for national publicly reported

ratings to ensure accurate representation of performance (CMS 5-Star, Leapfrog, National

clinical registries, etc.).

5. Leads preparation for regulatory readiness, including audits and surveys.

6. Works with division leadership in the implementation of strategic initiatives aiming to meet

organizational goals.

7. In collaboration with clinical leaders, medical staff leadership, physicians and front-line staff, will

design and implement training on quality improvement and patient safety best practices.

8. Collaborates with the Chief Quality Officer and Chief Nurse Executive to align the work of all

quality areas across the organization to achieve results.

9. Partners with and advises physician leaders such as campus Chief Medical Officer’s (CMO’s),

Medical Directors, elected medical staff and program directors to achieve organizational goals.

10. Holds direct and matrix leaders accountable for the execution to achieve clinical excellence and

organizational goals

1. Works together with clinical risk management, enterprise risk management and emergency

preparedness safety to achieve organizational goals for the delivery of safe, effective care.

LEADERSHIP ACCOUNTABILITIES

1. Define and communicate a clear, compelling vision for the team that effectively ties into the

mission and vision of Health First and inspire the team to achieve that vision.

2. Provide leadership, motivation, coaching, feedback and support to foster and strengthen growth

and development of an effective, high performing team.

3. Lead change through effective communication, explaining the connection and value to the

organization, creating stronger buy-in and urgency, while understanding impact to the team to

obtain commitment.

4. Demonstrate openness to hearing diverse ideas and thoughts; create a sense of inclusivity; and

encourage collaboration across teams to help break down silos to meet the team’s and

organization’s goals.

5. Recruit, select, grow, and retain highly engaged, high performing diverse and inclusive

associates.

6. Display strong strategic and financial acumen in areas of responsibility in alignment with the

organization's strategic objectives.

Work Experience

MINIMUM QUALIFICATIONS

• Education: Master’s degree in Healthcare Administration (MHA), Nursing (MSN), Public Health

(MPH), or a relevant field.

• Work Experience: Ten (10) years’ progressive leadership experience in healthcare.
• Licensure: Registered Nurse (RN) licensure in the State of Florida or endorsement.
• Certification: None
• Skills/Knowledge/Abilities:

o Ability to develop and implement short- and long-term strategies that align departmental

goals with organizational priorities.

o Skilled in interpreting, analyzing, and leveraging data to inform decision-making, monitor

outcomes, and drive continuous improvement.

o Strong understanding of applicable healthcare regulations, accreditation standards, and

compliance requirements, with the ability to apply them to daily operations and strategic

initiatives.

o Demonstrated ability to lead, collaborate, and build consensus across diverse

professional teams, fostering a culture of accountability and high performance.

o Excellent verbal and written communication skills, with the ability to convey complex

information clearly to associates, leaders, physicians, and external stakeholders.

PREFERRED QUALIFICATIONS

• Work Experience: Five (5) years’ experience in quality and patient safety.
• Certification: Any one of the following:

o Certified Professional in Healthcare Quality (CPQH) OR

o Certified Professional in Patient Safety (CPPS) OR

o Equivalent quality and/or safety certification.

PHYSICAL REQUIREMENTS

• Majority of time involves sitting or standing; occasional walking, bending, and stooping.
• Long periods of computer time or at workstation.
• Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
• May be exposed to inside environments with varied temperatures, air quality, lighting and/or low

to moderate noise.

• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities within and beyond county perimeter; may require use of

personal vehicle.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule : Full-Time