Director of Performance Improvement

Job ID
Job Locations
Posted Date
1 week ago(2/18/2021 4:21 PM)


Company Summary

If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include company matching 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.


We are seeking an experienced healthcare professional whose will own:

  • Driving successful accreditation maintenance and acquisition, within the National Healthcare sector.
  • Ensure required applications and documentation are completed and filed into DCF electronic filing system.
  • Manage ROI needs related to patient medical record requests.
  • Manage monthly Incident Reporting.
  • Function as subject matter expert in areas of regulatory or licensure requirements or concerns
  • Corporate reporting
  • Create, revise, and ensure compliance with policy ensuring compliance with DCF, TJC, CARF, and JC accreditation.
  • Facilitating weekly chart audits
  • Managing a Compliance and QA Coordinator.


Duties and Responsibilities: to include but not limited to the following

  • Work collaboratively with leadership to increase efficiencies, decrease costs, reduce variability, reduce errors/defects, and involve all appropriate personnel.
  • Facilitate multiple continuous improvement projects utilizing a variety of improvement methodologies including Lean, Six Sigma, process flow, root cause analysis, theory of constraints, human factors design and group management techniques to support individuals and teams through process improvement initiatives.
  • Evaluate, analyze and design workflow and financial impact, manage process improvement, and evaluate post-implementation processes.
  • Document specifics of entire improvement process, from discovery of issue through implementation, and post implementation evaluation.
  • Evaluate, analyze and present post-project/process findings to practice, institution and other internal committees and groups.
  • Creates a system-wide "lean" and/or other process improvement culture and is dedicated to coaching and driving operational efficiencies.
  • Expert consultant and coach for organization to develop the knowledge base, skills, and ability to apply and demonstrate Lean Six Sigma principles, A3 project management, continuous improvement programs, quality initiatives by educating and coaching others to align efforts, improve compliance, and accomplish organizational strategic goals.
  • Drives lean improvement initiatives in concert with leadership partners including initiatives related to waste and/or cost reduction, improved patient experience, patient safety, and risk mitigation.
  • Design and evaluate education tools to assist clinical practice in process improvement.
  • Integrates innovation into the redesign of systems and processes to ensure optimal outcomes and value.
  • Provides leadership for performance excellence program, including Baldrige and Studer training and projects, and operating excellence initiatives to work toward optimal processes, quality and functionality to pursue the Malcolm Baldrige National Quality Award.
  • Ensure sustainability of improvements and changes by demonstrating, coaching to, and leveraging Studer principles, Baldrige system, and change management best practices.



  • Bachelor's Degree in Business or related field
  • Five or more years related experience and training
  • Strong customer service and account servicing ability
  • Extensive Knowledge of healthcare compliance, regulatory affairs, fraud and abuse laws, accreditation and CMS regulations.
  • Required: Bachelor’s Degree with preference given to Nursing, Psychology, Quality Management or Healthcare Administration or ten years + experience in healthcare quality and patient safety.
  • Preferred: Master’s degree in healthcare, nursing, quality or business. Advanced training in Quality.
  • Strong influencing skills and the capability to collaborate with stakeholders at every level.
  • Strong interpersonal and presentation skills with the ability to communication succinctly and effectively across all levels of the organization.

AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.


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