Director of Quality, Risk, and Compliance (On Site )

At Snoqualmie Valley Health,#we#re#not just in the business of healthcare;#we#re#in the business of empowering our community to live boldly and live well.#Our commitment to excellence and innovation calls for team members#who#will#build trust,#obsess over excellence, lead innovation,#and#deepen connections#within our community.

#We are guided by our core values, and#we#re#looking for someone who can embody those principles as part of our dynamic and growing team.## Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection.

This is more than a job#it#s#an opportunity to be part of something bigger.## JOB TITLE:#Director of Quality, Risk, and Compliance# POSITION SUMMARY:#The Director plays a critical role in cultivating a culture of patient safety, continuous improvement, and regulatory excellence to ensure the highest standards of care for the community.

This position leads the organization#s quality, risk, and compliance programs, partnering closely with clinical and operational leaders to strengthen performance and drive measurable improvements in patient outcomes.# The Director oversees the development, implementation, and evaluation of key quality initiatives, ensuring strict adherence to regulatory requirements and accreditation standards.

This includes#identifying#trends, prioritizing improvement opportunities, and guiding hospital departments in the execution of effective corrective actions. Serving as a strategic resource, the Director provides expert leadership and consultative support to hospital and medical staff in achieving regulatory success and#maintaining#organizational compliance across all quality improvement activities.

This role also manages the coordination of certification standards and survey readiness, including the drafting and revision of policies and procedures related to quality, compliance, and risk management. The ideal candidate brings extensive experience in survey preparation and functions as a Subject Matter Expert in quality, championing a strong culture of safety and operational excellence throughout the organization.

ESSENTIAL FUNCTIONS:# Build Trust:#We#exhibit#integrity,#transparency#and compassion in every interaction.## Oversee patient complaints and grievance processes ensuring compliance, documentation,#follow‑up, service recovery, and improvement.# Investigate and address incident reports resolving care issues and recommending prevention strategies.

Ensure confidentiality of all#quality‑related#data and provide#accurate#reports to the Board of Commissioners#and leadership# Respond to and prepare information for public#record#requests.# Develop and direct strategies for Compliance including HIPAA investigations, auditing, the organizational Compliance plan, and serving in the Privacy Officer role.

Build and#maintain#strong relationships with stakeholders including patients, families, employees, and regulatory bodies.# Ability to function under stressful situations#maintaining#professionalism and compassion during#high‑pressure#events.# Obsess Over Excellence:##We#have#high standards#and seek continuous improvement.

Maintain and implement the#District‑wide#Quality Plan ensuring alignment with regulatory standards and organizational goals.# Develop and direct strategies for risk#management including investigating incidents, training staff, and#addressing legal concerns or actions.# Assist#department managers in#identifying#improvement opportunities aligned with annual District Quality Goals.

Assist#managers in event management#review#selecting effective corrective actions for safety issues.# Oversee patient experience processes and metrics ensuring#high‑quality, consistent care# Serve as a resource for QI initiatives providing leadership, education, and guidance.# # Lead Innovation:#We lead with creativity, agility and#think#bold in our approach.

Lead efforts to educate staff on regulations and best practices fostering a learning culture that adapts to evolving standards.# Facilitate and chair committees such as the Patient Safety and Quality Metrics#Sub‑Committee, driving innovative safety and performance strategies.# Develop and direct#forward‑thinking#strategies for compliance, risk management, and quality improvement.

Integrate patient feedback creatively using surveys and data to shape new approaches to care.# Managing and developing quality data reporting, both internal and external.# Deepen Connections:#We build strong relationships with our patients, their#families#and partners in the communities we serve.## Oversee and manage Patient Relations ensuring compassionate, responsive communication.

Assure the #voice of our customers# is incorporated through patient satisfaction surveys and#care‑related#data.# Build and#maintain#strong relationships with all#stakeholders,#strengthen#trust and collaboration.# Oversee patient experience processes ensuring patients and families feel heard, respected, and supported.

# QUALIFICATIONS:# Required Education:#Bachelor#s#degree#required#in Professional clinical discipline, such as, but not limited to, Nursing, Occupational or Physical Therapy, Laboratory etc.# Preferred Education:#Advanced#degree desirable in health care administration, quality management, adult learning, or other discipline with emphasis on outcomes assessment and data management.

Specialty Certification#Preferred:##CPHQ, Certified Professional Healthcare Quality CPHRM, Certified Professional in Healthcare Risk Management LEAN Six Sigma# Required Experience:### At least#5-years professional#healthcare experience## At least 3-5-years# experience in quality assurance, quality improvement, or risk management## Experience managing quality improvement activities such as process improvement, lean methodologies, quality system assessment## Experience interpreting healthcare regulations and accreditation requirements and designing systems to meet them.

Experience with customer service and patient relations## Survey design as well as interpretation and communication of survey results## Proficiency#in data management, statistical methods, and effective communication across all organizational levels# Preferred experience working for a Public Hospital District/Critical Access Hospital and CMS certified Rural Health Clinic# Preferred experience with public record requests.

Skills:### Strong ability to#maintain#confidentiality, navigate complex situations, and express ideas effectively to groups.## Experience#utilizing#EPIC EMR## Group facilitation skills#required## Strong communication#skills#both#written and verbal.## Demonstration of strong strategic and change management leadership.

Demonstrated ability to work with cross functional teams to achieve organizational#objectives.## Ability to effectively interact with patients and families and deescalate stressful situations# Problem solving and coaching in a team environment## Computer skills including Microsoft Word, Microsoft Excel, Microsoft Visio, and on-line database management# # WORK ENVIRONMENT:# Office and clinical settings with potential exposure to patient care areas.

Flexibility to work extended hours as needed.# PHYSICAL DEMANDS:# Ability to work in a fast-paced environment and handle multiple priorities.# May require occasional travel between facility locations.# OTHER DUTIES:#Please note this job description is not designed to cover or#contain#a comprehensive listing of activities, duties or responsibilities that are#required of#the employee for this job.

Duties, responsibilities, and activities may change at any time with or without notice.# BENEFITS:#We believe in taking care of those who take care of our community.#We#re#proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan,#you#ll#have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley#Health, Eastside Health, and First Choice/First Health providers.

#The best part?#Anyone#covered under our plan#can receive care at SVH at no cost!#It#s#all about giving you the options and support you need to#experience life#s great adventures.## Medical# Dental# Vision# Pharmacy# Life and AD#D## Retirement Plan# Employee Assistance Program (EAP)# Flexible Spending Account (FSA)# Travel Assistance # ID Theft Protection## Pet Insurance# Other#Voluntary Benefits## Benefit#Eligibility Requirements#-#Employees regularly scheduled at least 20 hours per week.

Employee Dependents#-#Your legal spouse or domestic partner; dependent children until age 26.# Waiting Period#-#1st of the month from#the#date of hire.# PLEASE NOTE:# The flu shot (during flu season)#is#required#for employment, with exemptions available for valid medical or religious reasons.# Snoqualmie Valley Health is a drug-free workplace.

We complete drug screenings as#a part#of our onboarding process.#