Quality & Risk Management Director

DSFH Madinah
JOB Type
Requisition ID

Duties and Responsibilities:

  • Provides oversight and direction of the Quality and Risk Management Department for all quality, risk and patient safety activities.
  • Assists medical staff, senior management, department directors, managers and staff in the development of activities that promote improvement in patient care, patient safety, customer service , operational efficiency and systems management and improvements and that will meet, and exceed accreditation and regulatory requirements.
  • Enables the organization to be continuously in compliance with accreditation standards and with country laws and regulations. Responsible for coordination, oversight and management of accreditation readiness activities.
  • Responds to requests from governance to investigate and evaluate specific aspects of care and failures in care delivery through Root Cause analysis or Sentinel event review and to formulate and follow up on recommendations to improve practice and correct deficits.
  • Maintain a Key Performance Indicator Repository, as approved through the Data Warehouse Committee and ensure timely submission of data and reports to: · Governance · Committees · Departments and Service Leaders · Others as requested through Executive Teams
  • Oversees the creation of applications to collect, analyze and report measures including dashboards and reports.
  • Reviews performance data and makes recommendations for performance improvements to involved parties/ organizational unit leaders, to CEO, and to Performance Improvement Council and Quality Improvement and Patient Safety Committees.
  • Oversees the development of corporate and other documents including plans and programs, policies and procedures across the institution and maintain Fakeeh Care document repository and responsible to make sure it is periodically revised by end users and is up to date at all times.
  • Manages day to day logistics of the QRM department including decision on work assignments and schedules of members of the department. Responsible for developing skills and competencies of members of the department.
  • Supports and actively contributes all Performance Improvement and Patient Safety Committee activities.
  • Oversees the appointed Risk Manager, in management of the risk management program including OVR analysis and interpretation, and design and development of risk and threats mitigating plans and programs and oversees the development of relevant policies and procedures related to risk identification, risk management and risk mitigation.
  • Responsible for QI designee program including developing skills and competence and assigning responsibilities and receiving feedback
  • Coordinate and ensure validation of all manual data as per the policy requirement.
  • Establish and implement process for an effective mortality and morbidity review process in line with the Mortality and Morbidity Policy.
  • Implement and assign training programs, in coordination with the Academic Training Affairs Department within the organization involving all staff and focusing on quality improvement methodologies and tools, risk assessment, policy development, data management and interpretation, just culture, investigation of occurrence and accreditation.
  • Promote quality volunteer training programs in line with Fakeeh Care Vision and Mission.
  • Managed and coordinate Safety Huddle Program within Fakeeh Care.
  • Established and monitor an effective qualitative clinical documentation audit program and report results and outcome to the Health Information Management Committee, Department Leaders and appropriate individuals.
  • Participate in Leadership Safety Round and maintain database on all feedback and action taken.
  • Coordinate all performance improvement related activities as identified through the Performance Improvement Council and the Quality Improvement and Patient Safety Committee.
  • Develop, in line with the Human Capital Management and the Academic and Training Affairs, a Quality and Risk management Department orientation and ongoing in-service program.
  • Participate in the Fakeeh Care Budget process once per year and as per the outline within the policy.
  • Develop, in line with Fakeeh Care Strategic Plan, Quality objectives, goals and key indicators.

    Other Job Functions:

  • Perform all duties and tasks in line with Person Centered Care Values, and Fakeeh Care Values.
  • Adherence to all policies, procedures, plans and programs within Fakeeh Care.
  • Perform duties as per the code of conduct requirement and ethical standards as outlined in the HCM policies and guidelines.
  • Complete mandatory education as per the requirement at least one month prior to expiration.
  • Maintain up to date knowledge on information relating to quality and safety, accreditation, policy management and document management systems."


Required Licenses/Registrations:

BSc in a related field (Healthcare or Business Management). Quality Management


Minimum of 10 years’ experience in a managerial role involving, quality, and performance improvement and leadership


English fluency, both spoken and written. Arabic preferred
Apply NowApply Now
Max file size 10MB.
Upload failed. Max size for files is 10 MB.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.