Assistant Executive Director Regulatory Accreditation & Compliance

Job description / Role

As Qatar’s leading medical services organization, we are offering you an exciting opportunity to be a part of our dedicated and enthusiastic team of healthcare professionals.

Our healthcare services are internationally recognized as a high standard, comparable with other developed countries. We have a countrywide network of hospitals and healthcare centers which utilize the most advanced medical equipment available today and provide care from highly qualified staff.

Now is your chance to be part of this world-class team!

Purpose: Assist the Executive director of RACS in the management and coordination of RACS activities

Principal Accountabilities:
- Demonstrates knowledge and application of the HMC mission, vision, and values.
- Participates in the planning, development, coordination, and presentation of specific training and educational programs as appropriate to JCI needs.
- Participates in planning, coordinating and conducting workshops, training and education related to JCI and other accreditation agencies standards.
- Maintains conformity to the survey findings and provides written summaries as needed, communicates deficiencies and problem and JCI concerns to department directors.
- Participates in coordinating the development of feedback and process improvement for the committees and facilities
- Participates in designing, scheduling and conducting meeting to discuss JCI deficiencies in the facilities.
- Collaborates and consults with other associated facilities regarding current JCI issues and improvement activities.
- Works with all HMC clinical and managerial leadership to assure continuous monitoring and improvement.
- Follow up the development and implementation of facilities and corporate mission and accreditation standards.
- Participates with facilities/committees in developing and implementing JCI standards plans, policies and procedures among all level of staff.
- Cooperates fully in surveys activities and other JCI activities among all facilities.
- Works with leader to ensure that improvement initiatives are continuously identified and driven to implementation and sustainability.
- Consults with and advise the director on problems relating to the accreditation action plans at HMC.
- Assumes duties assigned by Executive director during her absence.
- Represents Executive director on various internal and external committees, commissions, andagencies
- Conducts special studies at the request of the Executive director and prepare subsequent reports, analyses and recommendations.
- Develops standards and methods for measurement of HMC activities for each facility.
- Acts as liaison between medical staff and director on professional care standards and patient safety.
- Interprets and transmit facilities and departmental policies, objectives, and operating procedures, to department heads and support staff..
- Recommends improvement of facilities, including constructions or renovations of structures and major problem to meet accreditation requirement.
- Monitors and implements accreditation and inspection standards.
- Attends accreditation programs training, courses and conferences in order to remain current on changes or updates to the JCI standards and other agencies standards.
- Establishes and maintains confidentiality and effective working relationships with corporate levels.

Requirements

- Masters degree in Hospital administration, public health or business administration or the equivalent combination of education and experience is necessary
- (10) Ten years extensive experience in hospital management is necessary, out of which five years experience in Accreditation as Internal Surveyor.
- Considerable knowledge of the laws and accreditation standards applicable to hospital is necessary.
- Preferred Experience: An additional five years experience in an accredited hospital.

Computer Skills: Advanced

Required Certification/Licensure/ Registration:
- Lean Six Sigma Black Belt and Master of Business Administration (MBA) preferred.

Language Skills: Excellent command of Arabic and English.

Key Competencies:
- Ability to think strategically in relation to planning and implementation of quality Management programs.
- Ability to translate variation in findings to action plans.
- Ability to implement action plans and identify changes.
- Ability to communicate and reason with various staff categories at HMC.
- Ability to conduct complex statistical analysis and to extrapolate meaningful findings that assist decision makers in having their decision based on evidence.
- Ability to design Six Sigma tools/ techniques.
- Ability to demonstrate performance improvement and patient safety processes.
- Ability to function as arbitrator and to resolve conflict.

Problem Solving/Decision Making:
- Excellent critical thinking and problem solving skills

Key Relationships:
- Executive Director of RACS
- HMC leaders and staff

You will be rewarded with a tax free salary and fantastic benefits including accommodation, transport allowance, medical cover, a generous annual leave allowance and more. If you are interested in being considered for this role please click the Apply button below.

About the Company

Hamad Medical Corporation (HMC) is the principal public healthcare provider for the State of Qatar. HMC is committed to actively contributing to and enabling the sustainable development of Qatar and its people in alignment with the Qatar National Vision (QNV) 2030.

HMC believes in excellence in healthcare, education and research with each supporting the other to provide the safest, most effective and compassionate care to each and every one of our patients.

To meet the healthcare challenges of Qatars growing population, Hamad has transformed into a thriving and integrated Academic Health System which will make significant, positive impacts upon patient care, medical education and medical research.

In addition to three general hospitals (Al Khor Hospital, Al Wakra Hospital and The Cuban Hospital) HMC also manages five specialist hospitals (Hamad General Hospital, Rumailah Hospital, Womens Hospital, the National Center for Cancer Care and Research and Heart Hospital) which look after patients with the most prevalent conditions, including cancer, heart conditions, rehabilitation, and providing specialist treatment for women and children.