In addition to the responsibilities listed above, this position is also responsible for consulting with the Board of Directors and providing strategic direction on the oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care; alleviating or resolving issues in quality improvement systems; aligning and directing others on resolving issues related to the organization meeting the standards established by regulatory agencies and accreditation organizations and meeting public expectations; communicating and championing best practices for maintaining the integrity of systems related to the selection, credentialing and competence of physicians and other health care practitioners; driving the implementation of systems for granting or terminating clinical privileges, professional staff or medical staff or clinical staff membership, proctoring and continuing education; championing the use of standardized and established processes for reviewing and approving medical staff or provider staff Bylaws, Rules and Regulations and amendments; and serving as a liaison for the oversight of systems of all contracted entities including but not limited to the Permanente Medical Groups. This role is also responsible for championing the peer review process, committees, and forums to evaluate and ensure hospital or health system performance; developing strategic insights and guidance based on preliminary and comprehensive feedback; and defining and driving a strategic development plan to address needs and solve problems.

Essential Responsibilities: