Director - Quality Management & Regulatory Affairs

About this role

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. 

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

Lead with purpose. Influence with impact. Stanford Health Care is seeking a dynamic leader to guide quality management and regulatory affairs across one of the nation's premier academic health systems. In this highly visible role, you'll partner with executive and clinical leaders, mentor high-performing teams, and drive the strategies that strengthen regulatory excellence, patient safety, and continuous readiness.

A Brief Overview The Director of Quality Management and Regulatory Affairs is responsible for oversight, and direction of accreditation, regulatory, and licensing across Stanford Health Care. This includes but not limited to continuous readiness plans, document management, peer review process, and care improvement committee responsibilities. Reporting to the Executive Director for Quality, Patient Safety & Infection Prevention, the Director collaborates with cross-functional leaders and teams within Stanford Health Care and Stanford School of Medicine to develop and implement the quality assessment and performance improvement plan (QAPI).

The key areas of responsibility include development and implementation of the tactics and communication plans which ensure that the organization is continually prepared for reliable care in accordance of accreditation, federal and state regulatory requirements.

This is an onsite job that will require traveling to the various locations to round with the operational teams and develop appropriate plans and relationships.

Locations Stanford Health Care

What you will do • Serve as contact for accreditation, certification, and regulatory activities, including survey preparation and readiness assessments for all licensed care areas. Assist with interpretation of standards and regulations and serve as the point of contact for accreditation bodies.

• Establish and implement organizational regulatory guidelines and planning. Coordinate accreditation activities through the organization, ensure continuous readiness for surveys, and work with senior leadership to target interventions to improve a culture of continuous patient readiness.

• Responsible for overseeing the organization’s administrative manual and policy and procedure processes.

• Plan and provide oversight for the peer review staff and management in support of the Chief of Staff and in alignment with medical staff bylaws. Ensure compliance with peer review standards in collaboration with the Chief of Staff and Executive Director for Quality, Patient safety, and Infection Prevention.

• Plan and manage the analysis, summaries, and reports regarding accreditation activities and performance to organizational leadership.

• Apply project management, people management, and communication skills to lead the continuous readiness plan creation and implementation.

• Oversee the equitable distribution of accreditation and regulatory team resources, ensuring teams are integrated, visible, and effectively contribute to the organization's strategic objectives. Balance resource allocation to maximize impact and efficiency.

• Create a working environment that supports the ongoing professional growth and development of all staff, high morale, and optimal job satisfaction.

• Lead, mentor, coach, and inspire a team of quality professionals through a positive, team-first attitude.

• Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the health system. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.

Education Qualifications • Master’s degree in a work-related field/discipline from an accredited college or university required.

• Master's in Healthcare Quality, Health Policy, Public Health, Health Services Administration, Business Administration or equivalent

Experience Qualifications • Five years of progressively responsible and directly related work experience working with senior executive leadership. Health system operations experience preferred.

Required Knowledge, Skills and Abilities • Demonstration of effective verbal and written communications skills

• Exceptional leadership, communication, and relationship-building skills, with a strong emphasis on emotional intelligence

• Demonstrated ability to navigate and influence across all levels of an organization, translating strategic vision into tangible outcomes

• Ability to interact effectively in a complex organization and in ambiguous situations; ability to manage sensitive situations with exceptional judgment and discretion

• Knowledge of governmental and other regulatory standards, requirements, and guidelines, specifically, Joint Commission, CMS Conditions of Participation, Title 22, California Business & Professions code, California Health and Safety Code

• Knowledge of principles and practices of organization, administration, fiscal and personnel management.

• Knowledge of local, state and federal regulatory requirements related to the functional area.

• Knowledge of computer systems and software used in functional area, including Electronic Health Records (EHR).

• Experience with Microsoft Office Products (including Word, Excel, PowerPoint) and Visio.

• Experience with tracing/auditing, OPPE/FPPE, Peer review, and policy management electronic systems.

• Demonstrated ability to manage, organize, prioritize and adapt to changing priorities.

• Ability to provide leadership and influence others.

• Ability to foster effective working relationships and build consensus.

• Ability to mediate and resolve complex problems and issues.

Licenses and Certifications • CPHQ - Health Care Quality Certification preferred.

• PMP - Project Management Professio

Similar jobs

• Director, Quality & Regulatory — Manscaped · Remote
• Director, Quality Systems & Compliance — Elevatebio · Waltham, Massachusetts, United States
• Director, Quality Management Systems — Dynetherapeutics · Waltham, MA
• Director of Regulatory Affairs and Quality Assurance (RA / QA) — Eightsleep · San Francisco
• Director, Quality Systems — Annexonbioscience · San Francisco Bay Area
• Director, Quality Assurance — Scopely · US - United States
• Director, Quality Assurance — Insitro · South San Francisco, CA
• Director, Quality — Catalent · Philadelphia, PA