Salary: $90,000/year - $100,000/year

Position Summary

The Director of Compliance & Quality Assurance provides strategic leadership and oversight of the agency's compliance, quality assurance (QA), and continuous quality improvement (QI) programs across medical, dental, care management, and behavioral health services delivered in school-based and community clinic settings throughout New York City.

The Director ensures full compliance with New York State Department of Health (NYSDOH) and New York State Office of Mental Health (OMH) regulatory requirements for Article 28 Diagnostic and Treatment Centers, Article 29I Health Facilities, and Article 31 Mental Health Clinics, as well as federal requirements under Title X and Patient-Centered Medical Home (PCMH), while advancing a culture of quality, patient safety, and continuous improvement. This role partners closely with clinical leadership, operations, compliance, and data teams to translate regulatory requirements into effective practice, strengthen clinical quality and outcomes, and prepare the agency for audits, surveys, and licensing reviews.

Reporting to the Vice President of Health Services, the Director of Compliance & Quality Assurance is accountable for regulatory compliance, accreditation readiness, quality improvement initiatives, risk mitigation, performance monitoring, and the development of systems that promote high-quality, safe, and effective patient care across all Health Services programs.

Essential Duties and Responsibilities

Regulatory Compliance & Oversight

• Provide agency-wide support for compliance with NYSDOH and OMH regulations governing Article 28, Article 29I, Title X and Article 31 licensure, including all applicable state, federal, and Medicaid requirements.
• Serve as the primary subject matter expert on clinical regulatory standards impacting medical, dental, and behavioral health programs in school-based and community settings.
• Coordinate and support preparation for, response to, and follow-up from external audits, licensure surveys, and regulatory reviews conducted by NYSDOH, OMH, managed care organizations, and other oversight entities.
• Collaborate with agency Compliance, Legal, and Risk Management functions to ensure alignment with agency-wide compliance programs.

Quality Assurance & Continuous Quality Improvement

• Design, implement, and oversee a comprehensive Quality Assurance and Continuous Quality Improvement (CQI) programthat aligns regulatory requirements with national standards of care and agency priorities.
• Supportsthe development, implementation, and annual evaluation of the agency's Quality Improvement Plan, including clinical, operational, and patient experience measures.
• Lead CQI committees and subcommittees, ensuring regular review of quality indicators, audit findings, incident trends, patient complaints, and clinical outcomes across disciplines.
• Promote the use of data driven improvement methodologies to improve quality, safety, access, and equity in care delivery.

Clinical Quality & Patient Safety

• Partner with Medical, Dental, and Behavioral Health leadership to monitor clinical quality metrics, adherence to evidence-based practices, and outcomes across service lines.
• Ensure effective systems for incident reporting, root cause analysis, corrective and preventive action planning, and follow-up.
• Oversee infection control, patient safety, and risk mitigation activities across all clinic sites.

Policies, Procedures & Training

• Lead the development, review, and maintenance of clinical and quality related policies and procedures to ensure consistency with regulatory standards and best practices.
• Develop and deliver training and technical assistance for clinical, operational, and leadership staff on compliance, quality, documentation, and regulatory readiness.
• Support a culture of accountability, transparency, and continuous learning across multidisciplinary teams.

Data, Reporting & Performance Monitoring

• Collaborate with data teams to define quality measures, dashboards, and reporting structures to support regulatory reporting and internal oversight.
• Analyze trends in performance data and prepare reports for executive leadership, governing bodies, and external stakeholders.

Ensure documentation systems and medical records support compliance, quality monitoring, and audit readiness.

Minimum Qualifications

• Master's degree in Public Health, Health Administration, Nursing, Social Work, Psychology, or a related health or human services field preferred.
• Minimum 7-10 years of progressively responsible experience in healthcare compliance, quality assurance, or quality improvement within regulated healthcare settings.
• Demonstrated experience with NYSDOH and/or OMH regulatory environments, including Article 28, Article 29I, Title X and/or Article 31 licensure.
• Experience overseeing quality programs in community health centers, school-based health programs, or nonprofit healthcare organizations strongly preferred.

The incumbent is expected to work a schedule, whether in-person or hybrid, as determined by the department's needs to facilitate effective collaboration with the team. This flexibility is essential for maintaining seamless communication, fostering teamwork, and ensuring the smooth operation of the department's processes. The position's requirements are subject to periodic review and adjustment based on organizational needs and changes in work dynamics.