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, Recent 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

📌 ASSISTANT VICE PRESIDENT OF QUALITY (Quebec City)
🏢 Centerlight Healthcare
📍 Quebec City