ASSISTANT VICE PRESIDENT OF QUALITY Greater New York City, NY Area

JOB PURPOSE:

The Assistant Vice President (AVP) of Quality provides leadership and oversight of the Organization's Quality Improvement and Performance Improvement (QAPI functions. This position is responsible for developing, implementing, and monitoring quality programs, performance improvement initiatives, quality audits/reviews, and regulatory quality requirements to support improved participant outcomes, patient safety, and organizational performance.

The AVP collaborates with clinical and operational leadership to identify opportunities for improvement, establish measurable quality goals, monitors key performance indicators (KPI), and ensures that the Organization maintains an effective and sustainable quality improvement program.

JOB RESPONSIBILITIES:

Quality Management and Oversight

Provide leadership and operational oversight of the Quality and Quality Improvement departments, ensuring effective performance, regulatory compliance, and achievement of departmental goals.

Develop, implement, and maintain the Organization's Quality Management and Quality Improvement programs in accordance with applicable federal and state regulations, contractual requirements, and organizational standards.

Establish and monitor quality performance indicators, departmental goals, and improvement targets, ensuring timely identification and resolution of performance gaps.

Oversee the collection, validation, analysis, and reporting of quality data to support regulatory submissions, organizational decision-making, and performance improvement initiatives.

Monitor quality outcomes, identify trends and deficiencies, and develop corrective actions in collaboration with clinical and operational departments.

Ensure quality-related policies, procedures, processes, and documentation remain current and compliant with applicable requirements.

Develops, reviews, and updates the organization’s Quality Workplan as regulatorily required.

Quality Improvement and Performance Initiatives

Lead the development, implementation, and evaluation of organization-wide quality improvement initiatives to improve participant outcomes, patient safety, service delivery, and operational effectiveness.

Apply established quality improvement methodologies, including root cause analysis, process improvement, and performance monitoring, to address identified deficiencies.

Collaborate with department leaders to develop measurable improvement plans, establish accountability, and monitor progress toward defined goals.

Oversee the development, implementation, and evaluation of required quality improvement projects and performance improvement activities.

Identify opportunities to standardize processes, reduce errors, improve efficiency, and promote evidence-based practices.

Evaluate the effectiveness of quality improvement initiatives and recommend adjustments based on measurable outcomes.

Regulatory Compliance and Audit Readiness

Ensure the Quality and Quality Improvement functions comply with applicable CMS, New York State Department of Health (NYSDOH), PACE, and other relevant regulatory and contractual requirements.

Oversee preparation and submission of quality-related reports, performance measures, and other required documentation to regulatory agencies and organizational leadership.

Lead the Quality department's preparation for and participation in regulatory surveys, audits, monitoring activities, and external reviews.

Coordinate responses to quality-related audit findings and oversee the development, implementation, and monitoring of Corrective Action Plans (CAPs), ensuring timely resolution and documentation.

Maintain ongoing readiness for regulatory inspections and ensure appropriate supporting documentation is available and accurate.

Monitor regulatory changes affecting quality programs and implement necessary updates to departmental processes and procedures.

Quality Committees and Organizational Collaboration

Coordinate and support applicable Quality and Quality Improvement committees, including preparation of performance reports, identification of improvement opportunities, and monitoring of action items.

Present quality performance results, trends, improvement initiatives, and regulatory concerns to executive leadership and designated organizational committees.

Collaborate with clinical leadership, the Interdisciplinary Team (IDT), and operational departments to identify quality concerns and implement appropriate improvement strategies.

Promote a culture of continuous quality improvement, accountability, patient safety, and evidence-based decision-making.

Provide guidance and education to department leaders and staff regarding quality improvement methodologies, performance measures, and applicable quality standards.

Department Leadership and Management

Provide direct and indirect supervision of Quality and Quality Improvement personnel, including assigned managers and other staff.

Establish departmental goals, key performance indicators (KPIs), productivity expectations, and performance standards aligned with organizational priorities.

Monitor departmental performance and ensure timely completion of assigned responsibilities, regulatory deliverables, and improvement initiatives.

Address performance deficiencies promptly, provide constructive feedback, and maintain appropriate documentation of management actions.

Develop and manage departmental budgets, monitor expenditures, and identify opportunities for operational efficiencies and cost savings.

Ensure departmental policies and procedures are developed, reviewed annually, communicated to applicable personnel, and submitted through the Organization's established approval process.

Perform other related responsibilities as assigned.

Schedule: 8:30 AM – 5:30 PM

Weekly Hours: 40

Location: Uniondale, Crown Heights, or closest Site.

QUALIFICATIONS:

Education:

Bachelor's degree in Healthcare Administration, Nursing, Public Health, Business Administration, Health Sciences, or a related field required.

Master's degree in Healthcare Administration, Public Health, Nursing, Business Administration, or a related field preferred.

Active clinical professional license, such as Registered Nurse (RN), preferred but not required.

Experience:

Minimum of five (5) years of progressively responsible experience in healthcare quality management, quality improvement, or healthcare performance improvement.

Minimum of three (3) years of direct management experience at the Manager, Director, or higher level overseeing a Quality Management or Quality Improvement function within a managed care organization, health plan, or comparable healthcare payer organization.

Demonstrated experience developing, implementing, and monitoring quality management programs, quality improvement initiatives, and performance measures.

Strong knowledge of managed care regulatory requirements, quality reporting, corrective action processes, and quality improvement methodologies.

Highly skilled with data collection and analytics.

Experience working with CMS, state regulatory agencies, regulatory audits, and quality-related reporting requirements.

Experience with PACE, Medicare Advantage, Medicaid Managed Care, Managed Long-Term Care (MLTC), or similar managed care programs strongly preferred.

Experience overseeing quality committees, quality improvement projects, regulatory submissions, and departmental performance reporting.

Additional Requirements:

Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State of New York.

Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact.

Physical Requirements

Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to:

Standing – Duration of up to 6 hours a day.

Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.

Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely and using OSHA guidelines, etc.

Bending/Squatting – Must be able to safely bend or squat to care for patients, use medical supplies, etc.

Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas Position requires the individual to be able to travel, and walk between sites/locations and work areas throughout the day.

Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools (ie. typing, use of medical supplies, equipment, etc.)

Sight/Visual Requirements – Must be able to visually assess patients, read orders type/write documentation, etc. with accuracy.

Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, providers, etc., and intake information through audio processing with accuracy. In addition, must be able to speak comfortably and clearly with language motor skills for customers to understand the individual.

Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job.

Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max):

$155,000.00 - $165,000.00

Every application is reviewed by our recruitment team. We do not use AI to make hiring decisions or automatically reject applicants. All employment decisions are based on job-related qualifications and applicable employment laws.