Director of Quality & Risk Management

Job purpose

Department leadership

• Direct the department’s daily work across QRM documents, risk and data management, audits, reviews, and performance improvement.
• Manage assignments, schedules, recruitment, annual evaluations, and development of team skills and competencies.

Quality, compliance, and improvement

• Lead healthcare regulatory and accreditation compliance and manage hospital accreditation processes.
• Oversee quality and safety programs, policy development, and performance improvement initiatives.
• Ensure data is collected, analyzed, validated, interpreted, and shared in a timely manner; identify suboptimal trends.
• Oversee clinical documentation reviews and QRM documents, and address performance issues with leaders and committees.

Risk and patient safety

• Oversee risk analysis and the development of mitigation plans, programs, and related policies.
• Conduct safety culture surveys, rounds, and tracers to assess compliance with standards and International Patient Safety Goals.
• Organize safety campaigns and awareness activities and develop staff education content.

Training and organizational duties

• Coordinate staff training in quality improvement, risk assessment, policy development, data management, just culture, occurrence investigation, and accreditation.
• Participate in hospital committees, leadership rounds, and the annual budget process; maintain a database of leadership-round feedback and actions.
• Develop departmental orientation and ongoing in-service programs.

Experience and education

• At least five years of quality and performance improvement experience, including four years at managerial level.
• Bachelor’s degree in healthcare administration, Nursing, Medical Science, or a related medical or clinical field.
• Relevant certification in quality management, risk management, or patient safety is required.
• Master’s degree is preferred.

Skills and languages

• Excellent oral and written English and Arabic.
• Computer literacy, communication, analytical and critical thinking, judgment, decision-making, organization, and time management.
• Ability to interpret studies, reports, literature, and regulations and apply them to work processes.
• Expertise in improvement methods, data aggregation and validation, and risk identification and management.

Employee responsibilities