Director of Safety and Performance Improvement (Hospital and Health Centers, Quality Department)

Posting number: VWFA-2026B

Department: Health Services - Only

Job classification: Director of Safety and Performance Improvement

Posting type: Open

Categories: Health Services, Safety

Summary

The Contra Costa County Health Services Department is seeking a qualified individual for one (1) vacant Director of Safety and Performance Improvement (Hospital and Health Centers, Quality Department) position at Contra Costa Regional Medical Center, located in Martinez, California. 

The Director of Safety and Performance Improvement maintains a functional Quality Management Division and manages and directs the daily operations and functions of the Safety and Performance Improvement Program; participates in the development, implementation, and evaluation of the organization's continuous quality improvement initiatives and activities, including training and team consultations; develops goals and objectives for the division; establishes and maintains a continuous and accountable process for measuring and improving the quality and appropriateness of patient care and services. Additional responsibilities include maintaining division budget maintenance; ensuring a safe patient environment and adhering to safety practices; developing and maintaining strong collaborative relationships with organization-wide divisions and members of the medical staff to ensure open communication and the sharing of information; assuring that the Quality Improvement Program, and related medical and clinical services meet the compliance standards of the Joint Commission, California Coding regulations, Title 22 and other accrediting agencies; and monitoring operational compliance with licensure, accreditation, regulatory standards, and recommending and implementing changes as needed; and participating in staff meetings as required.

• Deep knowledge of healthcare regulatory and accreditation standards – especially agencies like The Joint Commission, Centers for Medicare & Medicaid Services, and California Department of Public Health (CDPH)
• Strong leadership and staff development skills – able to guide and support quality managers and program coordinators
• Analytical and data-driven mindset – uses quality metrics, audits, and performance data to drive improvement initiatives
• Excellent communication and influence – can translate regulatory requirements into operational practice across clinical teams
• Strategic thinker – aligns quality programs with organizational priorities set by executive leadership (e.g., Chief Quality Officer)
• Detail-oriented and compliance-focused – ensures policies, documentation, and practices consistently meet regulatory standards
• Collaborative and relationship-driven – works effectively with clinical leaders, operations, and external surveyors

• Overseeing regulatory compliance and quality improvement initiatives across Contra Costa Regional Medical Center (CCRMC) 
• Supervising a team of quality managers and program coordinators, providing direction, mentorship, and accountability for key quality programs
• Ensuring organizational readiness for regulatory surveys and maintaining compliance with standards set by agencies such as The Joint Commission and Centers for Medicare & Medicaid Services and other regulatory agencies
• Analyzing performance data, leading audits, and implementing corrective action plans to address gaps in compliance or patient safety
• Collaborating with clinical and operational leaders to integrate quality standards into workflows and drive continuous improvement
• Developing, implementing, and maintaining policies, procedures, and reporting systems that support regulatory requirements
• Serving as a liaison between CCRMC leadership and external regulatory bodies, ensuring timely communication and response to findings 
• Promoting patient safety, improving care outcomes
• Maintaining the organization’s accreditation and compliance standing