Associate Director – Quality (Corniche Hospital)

Role Overview

Associate Director – Quality at Corniche Hospital, SEHA HOSPITALS.

Company Overview

SEHA HOSPITALS operates large healthcare facilities with comprehensive quality, safety, and regulatory requirements aligned across multiple locations.

Role Purpose

Lead and advance the organization's quality improvement and performance innovation initiatives to enhance patient safety, clinical outcomes, and operational excellence. Develop and implement comprehensive quality improvement programs, ensure effective collection and analysis of healthcare performance data, drive evidence-based decision-making, and foster a culture of continuous improvement, compliance, and high-quality patient-centered care.

Key Responsibilities

Quality Program Development & Oversight

• Initiate and oversee development of a comprehensive quality improvement program in accordance with the organization's mission, strategic goals, federal and state laws and regulations, and accreditation standards.
• Review the quality improvement program regularly in light of changing organizational needs, changing law, and changing policies and procedures of managerial and governmental bodies.
• Direct and coordinate quality initiatives for the organization in conjunction with facility leadership.
• Provide strategic oversight of proactive and reactive quality improvement activities.
• Provide overall direction necessary to ensure that services are provided in accordance with established standards.

Data Collection, Analysis & Performance Measurement

• Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data.
• Collect and summarize performance data, identify opportunities for improvement, and present findings quarterly to the committee and Board of Directors.
• Analyze customer survey data to identify opportunities for improvement and present findings to appropriate departments.
• Oversee the reporting of events as required by regulatory agencies.

Quality & Safety Communication & Engagement

• Communicate performance innovation and medical safety activities on a regular basis to the medical staff.
• Engage medical staff in all quality and safety initiatives.
• Review and evaluate services of the facility that are affected by quality, medical safety, or regulatory issues, identifying problems, making recommendations for improvement, and monitoring services to ensure that safety and regulatory recommendations are implemented and desired results are obtained.
• Establish relationships with external agencies related to quality improvement programs, including purchasers, government agencies, and other stakeholders.

Leadership & Team Management

• Lead, facilitate, and advise internal quality improvement teams.
• Plan and supervise the day-to-day activities of the section; streamline processes wherever possible.
• Evaluate workload, conduct performance evaluations, and initiate necessary disciplinary actions.
• Understand the training requirements of the team and communicate the same for the benefit of the training department.
• Provide practical training and education across areas such as conflict resolution, grievance handling, employment law, performance management, and negotiation with staff associations.
• Provide on-the-job training and orientation for the team during the course of work.

Education & Staff Development

• Educate and train the leadership, staff, and business associates on the quality improvement plan and their respective responsibilities in carrying out the quality improvement program.

Budget & Administrative Management

• Provide input for the department budget related to quality, including information systems.

Compliance & Regulatory Requirements

• Comply consistently with facility policies, procedures, and practices and ensure alignment with SEHA facilities policies.
• Complete and maintain regulatory requirements including licensure, certification, and other mandatory training within established timeframes.
• Adhere to requirements of Occupational Health and Safety guidelines and infection control guidelines.
• Understand and adhere to emergency preparedness plans and policies.

Qualifications & Experience

Required Education

• Bachelor's degree or equivalent in a relevant field such as quality, Occupational Health, Safety, Environment, or Industrial Hygiene.
• OR Diploma in a relevant field with a minimum of 3 years of additional experience.

Desired Education

• Master's degree in a relevant field.

Certifications

• Recognized certifications such as Professional in Healthcare Quality (CPHQ), Certified Quality Engineer (CQE), Certified Quality Analyst (CQA), or Certified Quality Management (CQM).

Required Experience

• 8–10 years of relevant experience in a similar industry.
• Minimum 5 years of progressive leadership responsibility in a large organization.

Desired Experience

• Experience in a large healthcare facility.

Skills & Competencies

• Proficiency in English and Arabic language.
• MS Office and computer proficiency.
• Excellent communication skills and ability to present ideas.
• Strong analytical and problem-solving skills.
• Ability to deal with multiple issues simultaneously and move them all towards resolution.
• Strong service orientation with ability to influence others and collaborate cross-functionally.