**Responsibilities:**

+ Manages performance improvement regarding SQPE across a hospital location or assigned business units.
+ Acts as an accountable partner and support for all clinical areas within their areas of responsibility
+ Understands and implements elements of performance as outlined by regulations, bylaws, and rules and regulations established by the medical staff. Acts as the primary resource for staff to facilitate overall operations of programs.
+ Develop meaningful quality assurance and improvement activities with clinical and operations leadership to establish when a deviation in standard practice has occurred.
+ Analyzes performance data and participates in improvement strategy development.
+ Acts as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards of care.
+ Supports medical staff quality assurance activities such as peer review, ongoing professional practi...