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Overview

GENERAL SUMMARY:

The Senior Associate Director, SIG Operations and Quality Assurance is responsible for assisting the Director of Standards Interpretation in addressing complex department operations issues affecting internal and external customers. They will also implement and manage large projects that may reach across divisions within the Enterprise in addition to assisting the Director of Standards Interpretation in the clinical support of technology enhancements. They will manage the operations of the Quality Assurance Program for the Standards Interpretation Group. They will ensure ongoing operational effectiveness of day-to-day SIG Operations by supporting the SIG Team Leaders. In addition, they will provide interpretation of all Joint Commission standards with special emphasis on standards issues related to specific settings, professional disciplines, or accreditation programs.

Combines systems analysis skills with in-depth general and program-specific knowledge to evaluate health care organizations’ compliance and ability to provide high quality, safe patient care. Participates as a consultant in the development and revision of standards and survey process. Participates in ongoing accreditation services and special projects. Serves as faculty for surveyor and other education programs and represents the Joint Commission as liaison to various professional organizations. Will ensures that accredited organizations receive excellent customer service and that their accreditation needs are met.

Responsibilities

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Directs SIG Operations, in the absence of the SIG Clinical Director

1. Implement and Manage large complex projects within SIG or serve as SIG Director delegate in cross division/department operations projects.

1. Manage the operational components of the SIG Quality Assurance Program and ensure program integrity.

1. Assist the SIG Director in department goal development and implementation.

1. Assist in development of departmental policies and procedures.

1. Assist in oversight of daily operations to support the Director Clinical Standards Interpretation Group with tasks as assigned in collaboration with the SIG Team Leaders.

1. Resolve potentially difficult, moderate to complex internal and external operations issues.

1. Evaluate on-site survey issues to determine level of risk and need for immediate threat declaration.

1. Provide input into Associate Director and Team Leader Performance Evaluations.

1. Provides guidance on and expert interpretation of Joint Commission standards and Medicare requirements, professional standards of practice, and law and regulation to internal and external customers including but not limited to: field representatives, service teams, Office of Quality and Patient Safety (OQPS), other divisions, Joint Commission Resources (JCR) field staff, accredited organizations, those seeking accreditation or certification, professional associations, governmental agencies, consultants, educators and students.

1. Provide guidance and direction to SIG Associate Directors with difficult and complex accreditation/certification situations in regards to their review and analysis of survey reports and outcomes, interactions with the field representatives and accredited customers, serving as a resource to the account executives and making recommendations on accreditation/certification decisions to the Accreditation Council.

1. Works closely with OQPS to provide support to the complaint analysis process through the review of complaints providing information on potential standards non-compliance; the development of assessment maps to guide the surveyor(s) conducting OQPS surveys and participates in preparatory conference calls as needed.

1. Serves as a role model in the support of and implementation of enterprise, division and departmental mission and initiatives utilizing Robust Process Improvement (RPI) tools and strategies as indicated. Leads and/or participates in internal work groups to identify and implement improvements to our internal processes.

1. Provides direction and guidance to internal and external customers in the consistency of standards interpretation through inquiry and frequently asked questions (FAQ) management processes, educational offerings, publications and media and social networking opportunities. Serves as faculty for field representative training (both TJC and JCR), Speaker’s Bureau and JCR seminars and workshops. Participates in strategic business unit (SBU) teams or other program specific committees and work groups, as assigned.

1. Effectively communicates with internal and external customers in a respectful, constructive and collegial style. Consistently provides excellent customer service to all internal and external customers.

1. Embraces The Joint Commission culture of safety and serves as a role model in incorporating the SIG Department Guidelines into daily work and interactions.

Qualifications

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

+ Healthcare clinician with master’s degree required

+ 7+ years of progressive leadership or supervisory experience and current clinical knowledge.

+ Demonstrated analytical, inductive and deductive reasoning skills. Knowledge of statistical analysis processes.

+ Demonstrated excellent customer relationship management skills.

+ Demonstrated positive peer and leadership relationships

+ Interpersonal skills to interact effectively with individuals at various levels both inside and outside of the organization, often in sensitive situations.

+ Strong writing and speaking skills.

+ Demonstrated ability to function well in a fast-paced, highly visible and challenging environment.

+ Demonstrated ability to problem solve and manage multiple priorities meeting and/or exceeding customer expectations with regards to turn around time and quality of the response/interaction.

+ Strong computer skills preferred including word processing, presentation software and databases.

+ Yellow belt RPI Certification required

WORKING CONDITIONS:

+ Must be able to lift 25 pounds

+ Must be able to climb stairs and ladders and work in settings with infectious diseases

+ Must be able to travel up to 20% of work time.

We offer a comprehensive benefit package for our permanent employees. For a complete overview of our benefits package, please visit ourJoint Commission Career Page (https://www.jointcommission.org/careers/#434f5b531a144a35906939ce76ce893c\_cf7b457e1e9842329663d569f5c839cb)

_This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills, and abilities, and working conditions associated with this position_

Min

USD $117,000.00/year

Max

USD $156,000.00/year

**Job Locations** _US-IL-Oakbrook Terrace_

**Job ID** _2025-6802_

**\# of Openings** _1_

**Category** _Professional_

+ Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

+ Please view Equal Employment Opportunity Posters provided by OFCCP here.

+ The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

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