Director of Quality

Director of Quality

Families & Youth Innovations Plus (FYI+)

Position Title: Full-Time

Salary: $80,000 -  Negotiated (3 levels based on experience and education)
Reports To: Senior Director of Operations

FLSA Status: Salaried/Exempt

Location:  Solano Site, Dona Ana county, with travel to other FYI+ locations

Department:  Quality Improvement & Evaluation

Job Summary

The Quality Director leads FYI+'s quality improvement and compliance infrastructure across our three-tiered Continuum of Care, with emphasis on Certified Community Behavioral Health Clinic (CCBHC) standards. This position provides strategic oversight of quality assurance systems, data management operations, regulatory compliance, and data-driven performance improvement, aligned with our trauma-informed, person-centered, and identity-affirming values. The Quality Director supervises the Quality Manager and the Data Manager, making sure quality monitoring, improvement work, and data analytics operate as one system. This is a leadership position: the Quality Director spends as much time coaching the team and influencing the organization as on hands-on quality work.

What You’ll Do

Leadership & Strategy

• Supervise, coach, and develop the Quality Improvement Manager and Data Manager, and coordinate their workflows
• Set the organizational quality and data vision, goals, and strategy in collaboration with senior leadership
• Partner with the Senior Director of Operations, Chief Programs Officer, CCBHC Program Director, and Medical Director
• Champion a data-driven culture and evidence-based practice, and make sure the client voice is part of how we measure quality
• Represent quality and data in executive leadership discussions and strategic planning

Quality Improvement & Performance

• Oversee QI programs across clinical and non-clinical services, including audit tools, monitoring protocols, and evaluation frameworks
• Establish and monitor KPIs aligned with CCBHC standards and organizational goals
• Ensure continuous improvement cycles (PDSA) function across all programs
• Provide oversight and accountability for the monthly program file review process and monthly reporting systems

Compliance & Risk

• Ensure compliance with CCBHC certification, Medicaid regulations, state behavioral health standards, and federal requirements
• Serve as the agency’s designated compliance officer and maintain the risk register
• Direct preparation for external audits, site visits, and accreditation reviews, and manage corrective action plans
• Oversee incident reporting, client grievances and appeals, organizational credentialing, and sentinel event debriefings
• Maintain relationships with regulatory bodies and accrediting organizations
• Report compliance findings and risks to the Board Quality Committee and Senior Director of Operations

Data Strategy & Analytics

• Provide strategic direction for data management, analytics, and business intelligence
• Hold accountability for data integrity, accuracy, security, and governance, including HIPAA and 42 CFR Part 2 compliance
• Approve required data submissions to payers, state agencies, Medicaid, and federal funders, as well as data sharing agreements
• Guide use of the EHR for quality monitoring, compliance reporting, and operational decisions
• Oversee dashboards and visualizations that make data accessible and actionable

Reporting, Systems & Training

• Prepare and present quality and data reports to executive leadership, the Board, and external stakeholders
• Represent FYI+ in external quality improvement collaborative, and support grant applications with quality data and outcome measures
• Develop policies and protocols for quality, compliance, and data management
• Design and oversee training on quality standards, documentation, compliance, and data literacy
• Partner with IT, Finance, and Programs so systems support organizational needs

What You Need

• Bachelor’s degree in healthcare administration, public health, social work, psychology, business administration, organizational leadership, or a related field
• Progressive experience in healthcare, behavioral health, quality improvement, compliance, or performance management within a regulated environment
• Experience supervising and coaching teams, and leading organizational change
• Experience developing or overseeing quality improvement initiatives, performance monitoring systems, or compliance processes
• Knowledge of healthcare and behavioral health regulations and QI methodologies (PDSA, root cause analysis, process improvement)
• Ability to interpret data and translate findings into actionable recommendations for frontline staff, leadership, partners, and governing boards
• Strong strategic thinking, project management, and ability to manage competing priorities
• Proficiency with Google Suite and familiarity with EHR systems and data management platforms
• Understanding of data privacy and security requirements, including HIPAA and 42 CFR Part 2
• Commitment to trauma-informed, person-centered, culturally responsive, and identity-affirming practices

Preferred

• Master’s degree or higher in a related field
• CPHQ or other quality, compliance, or healthcare administration certification
• Experience with CCBHC standards, integrated behavioral health, or comparable accreditation frameworks
• Experience with Tableau or Power BI
• Bilingual (English/Spanish)
• Familiarity with the New Mexico behavioral health system and Medicaid environment, particularly in Doña Ana County
• Experience in nonprofit, community-based, or publicly funded organizations
• Experience building or expanding quality, compliance, or data infrastructure, and supporting audit or accreditation readiness