University of Texas System
DIRECTOR OF CLINICAL QUALITY UT HEALTH RGV
Edinburg, TX
About the role
Institution: UT Rio Grande Valley
Posting Number
SRGV9190Working Title
DIRECTOR OF CLINICAL QUALITY UT HEALTH RGVNumber of Vacancies
1Location
Edinburg, TexasDepartment
School of Medicine / Ambulatory OperationsFTE
1.0FLSA
ExemptScope of Job
To direct and maintain operational oversight of all clinic (enterprise, hospitals liaison) performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience, peer review, policy review, and regulatory management operations.
Description of Duties
- Directs and maintains operational oversight of all clinic (enterprise, hospitals liaison) performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience, peer review, policy review, training and development, and regulatory management operations.
- In collaboration with the Associate Dean for Clinical Affairs, establishes where appropriate and supports or leads committees responsible for the development of the UT Health RGV clinical performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience and regulatory management operational annual goals, and reporting.
- Leads quality measurement, reporting, and improvement for value-based and pay-for performance arrangements, including Accountable Care Organizations (ACO/MSSP/ACO REACH), Medicare Advantage (CMS Star Ratings and HEDIS), and CMS quality programs (MIPS/MVPs under the CMS Quality Payment Program,
- Partners with payers any affiliated IPA/ACO on measure performance, care-gap closure, and incentive optimization.
- Leads the design, implementation, and optimization of operational workflows grounded in evidence-based best practices to improve clinical quality performance, enhance operational efficiency, and advance value-based care initiatives across the medical school and health practice.
- Assumes responsibility for communication and education regarding performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience and regulatory management operations throughout the clinical enterprise.
- Assists the department with development of peer reviews. Prepares initial on boarding orientation plan and annual competencies for purposes of training and development.
- Directs the quality program and serves as Patient Safety Officer for UT Health RGV
- Maintains and monitors current infection control practices.
- Coordinates and directs activities related to selected accreditation standards and continuous readiness and ensues identified deficiencies are addressed and resolved.
- Develops, promotes and monitors patient satisfaction efforts.
- Follows all current standards and guidelines in the application of performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience and regulatory management operations.
- Works collaboratively with legal counsel, physicians, staff and executive administration in coordinating and overseeing activities.
- Collaborates when appropriate with external hospitals and clinic partners in areas of performance improvement, quality outcomes, risk reduction/mitigation, infection control, patient safety, patient experience and regulatory management operations.
- Reviews policies and procedures for regulatory guidelines and standards of care. Works closely with compliance to monitor annual compliance requirements.
- Performs other duties as assigned.
Supervision Received
General supervision from assigned supervisor.
Supervision Given
Direct supervision of assigned staff.
Required Education
Bachelor’s degree in Nursing or related field from an accredited university.
Preferred Education
Master’s degree in Nursing or a related field from an accredited university.
Licenses/Certifications
Texas Registered Nurse (RN) license in good standing (or a multistate/compact license eligible for practice in Texas).
Preferred: Lean or Six Sigma certification; Certified Professional in Healthcare Quality (CPHQ).
Preferred: Lean or Six Sigma certification; Certified Professional in Healthcare Quality (CPHQ).
Required Experience
- Five (5) years of progressive responsible experience in clinical quality, performance improvement, and quality management principles and processes or
- Seven (7) years of the required experience with an Associate’s degree in Nursing (ADN).
- Demonstrated expertise in quality metrics, performance improvement methodologies, and driving measurable organizational outcomes. Strong working knowledge of value-based care and pay-for-performance programs, including Accountable Care Organizations (ACO’s), Medicare Advantage (Star Ratings/HEDIS), and CMS quality programs such as MIPS, MVPs, and Value-Based Purchasing.
Preferred Experience
Recent leadership and quality and/or risk management exposure trough clinical activity, consultative activities, or a managerial role. Experience designing, managing, or reporting on pay-for-performance or value-based contracts.
Equipment
Use of standard office equipment.
Working Conditions
Needs to be able to successfully perform all required duties. Work is performed primarily in a general office/clinical environment. Some travel and weekend work is required. UTRGV is a distributed institution, which may require presence at multiple locations throughout the Rio Grande Valley.
As part of their essential duties, employees in these roles are expected to maintain a consistent, in-person presence on campus at their assigned locations. Limited exceptions may apply for positions that are approved as hybrid or fully remote in accordance with UTRGV policies.
As part of their essential duties, employees in these roles are expected to maintain a consistent, in-person presence on campus at their assigned locations. Limited exceptions may apply for positions that are approved as hybrid or fully remote in accordance with UTRGV policies.
Other
Exceptional planning and organizational skills. Exceptional leadership, communication, and interpersonal skills. Comfort working with quality dashboards, analytics, and measure-level data to drive improvement. Comfortable and skilled at working with stakeholders in a variety of settings.
Physical Capabilities
N/A
Employment Category
Full-TimeMinimum Salary
Commensurate with ExperiencePosted Salary
Commensurate with ExperiencePosition Available Date
11/01/2026Grant Funded Position
NoIf Yes, Provide Grant Expiration Date
EEO Statement
It is the policy of The University of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status. In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage women, minorities and differently abled persons to apply for employment positions of interest.
Special Instructions to Applicants
Dear Applicant,
Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following:
Date of Birth
Gender
*Ethnicity/Race
Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. The University of Texas Rio Grande Valley reserves the right to discontinue accepting applications prior to the stated close date of this position, after meeting the posting requirement of three (3) calendar days.
If you have any questions, please do not hesitate to contact us at (956) 665-2451 and/or [email protected].
Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following:
Date of Birth
Gender
*Ethnicity/Race
Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. The University of Texas Rio Grande Valley reserves the right to discontinue accepting applications prior to the stated close date of this position, after meeting the posting requirement of three (3) calendar days.
If you have any questions, please do not hesitate to contact us at (956) 665-2451 and/or [email protected].
Additional Information
UTRGV is a distributed location institution and working location is subject to change based on need.
All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.
Substitutions to the above requirements must have prior approval from the VP of Human Resources.
All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.
Substitutions to the above requirements must have prior approval from the VP of Human Resources.