Director of Quality, Accreditation and Compliance

Advertised Job Summary

The USC Neurological Hospital is seeking to hire a Director of Quality, Accreditation and Compliance to join our team.

The Director of Quality, Accreditation and Compliance provides strategic leadership and operational oversight for the hospital’s quality management, patient safety, regulatory compliance and accreditation programs. This role is accountable for ensuring safe, effective, and patient‑centered care through continuous performance improvement, regulatory readiness, and accreditation compliance. The Director leads organization-wide initiatives that strengthen regulatory compliance, reduce organizational exposure, and enhance operational reliability while promoting a culture of excellence, transparency, and Just Culture.

Working collaboratively with clinical and administrative leaders, this position drives the development, implementation, and monitoring of quality systems, policies, and performance measures to ensure alignment with organizational goals, regulatory requirements, and national best practices.

Minimum Qualifications (Classified and Unclassified positions)

Preferred Qualifications

• Clinical Degree strongly preferred or master’s degree in healthcare administration, Nursing, or a related field
• Minimum of ten (10) years of progressive leadership experience in acute care quality management, quality assurance, risk management, or regulatory compliance.
• Six Sigma Green Belt or Black Belt and/or Project Management Professional (PMP) certification.
• Demonstrated experience leading large‑scale performance improvement initiatives within complex healthcare organizations.
• Extensive knowledge of hospital clinical operations, patient safety principles, infection prevention, risk management, and regulatory requirements.

Knowledge/Skills/Abilities

• Proven ability to build strong internal and external relationships and work effectively across multidisciplinary teams.
• Strategic thinker with the ability to develop and execute short‑ and long‑term quality and safety improvement plans.
• Demonstrated success leading organizational change through influence rather than authority.
• Strong knowledge of healthcare regulations, accreditation standards, improvement methodologies, payer programs, and emerging healthcare trends.
• Ability to lead through uncertainty, establish Just Culture principles, and create psychological safety.
• Expertise in performance improvement methodologies and tools, with the ability to manage multiple projects simultaneously while coaching others.
• Strong analytical, communication, and presentation skills.
• Proficiency in Microsoft Word, Excel, PowerPoint, Visio, and database systems.