Website Comagine Health

Tracking Code2021-105Job Description

The Director, Patient Safety oversees the Partnership to Advance Tribal Health (PATH) project in the patient safety service line within the Systemwide Quality Improvement (SQI) department of Comagine Health. SQI encompasses a broad portfolio of contracts and grants, organized into three primary service lines (practice transformation, patient safety, and community engagement) serving clients including federal and state governments and private institutions. The SQI team includes quality improvement and public health experts who apply their skills to improve the delivery of health care across a variety of settings.


The Partnership to Advance Tribal Health (PATH) project is a Centers for Medicare and Medicaid Services (CMS) funded national program that collaborates with Indian Health Service (IHS) to improve healthcare for American Indians and Alaska Natives by implementing best practices and identifying operational improvement needs in IHS managed hospitals.


PATH assists IHS managed Medicare participating hospitals to:

  • Use system wide transformation to improve behavioral health outcomes, increase patient safety and increase quality of care transitions
  • Respond to public health emergencies
  • Develop leaders through training and networking
  • Build strong hospital systems through team-based care and clinical quality improvement
  • Strengthen patient, family, and tribal engagement
  • Promote and spread best practices in hospitals using national and local technical assistance and a relevant change package
  • Ensure that clinical, operational and safety standards are met or exceeded for survey and certification accreditation
  • Assist with the development and implementation of hospital support plans
  • Use data and improve systems for quality improvement and reporting purposes

Accountable to SQI operational leadership (Senior Director, Patient Safety and/or Vice President, SQI), the Director, Patient Safety will be responsible for overall communication with CMS and IHS, management and accountability for meeting all outcomes, goals, and milestones included in the contract. The successful candidate will have:

  • Proven experience in managing large-scale change that achieves results.
  • Demonstrated experience in healthcare quality improvement.
  • Proven skill and experience in large-scale project management, managing people, project planning, coordination of daily activities, data analysis, and constructive reporting.
  • Experience working with IHS-managed hospitals to improve healthcare quality.
  • Experience leading federal contracts and communicating with federal agency officers.

Guided by the values of Comagine Health the Director, Patient Safety contributes to achieving the organization’s mission and vision through their leadership of contracts and teams. Typical duties and responsibilities include:



  • Leverages relationships with local partners and knowledge of the local health care quality needs and needs of the hospital, nursing home and home health settings to surface business development opportunities
  • Actively seeks opportunities to improve and expand programs and projects to leverage existing services and grow Comagine Health’s contract portfolio.
  • Supports business development activities (e.g. strategic planning, proposal response), including the development of a strategic plan to diversify funding sources in the relevant operational service line.

Financial Health

  • Monitors completion of timecards to ensure staff accuracy, timeliness, and compliance with related policies and procedures.
  • Works closely with SQI leadership to monitor financial performance against contract budgets and takes corrective action necessary in a timely manner to remain fiscally responsible for Comagine Health resources.

Operational Excellence

  • Sets the strategic vision to achieve Comagine Health contract goals and deliverables, including a focus on recruitment, data acquisition, design of effective interventions and methods of engagement
  • Communicates the vision effectively to a team of staff and supports their implementation of that vision utilizing tracking mechanisms, regular team communication, and data review to ensure targets are met
  • Coordinates with the State Directors, Community Boards, patient and family advisory councils, and other stakeholders as needed to ensure the vision and work align with community needs.
  • Acts as key program spokesperson as needed. Convenes, delivers, and prepares panels and presentations for Senior Executives, Board of Directors, and external state and national stakeholders.
  • In close collaboration with SQI Senior Leadership, provides leadership, strategic direction, and oversight of project contracts (federal, state, and/or local initiatives).
  • Ensures internal coordination of issues/topics related to assigned contracts so that there is adequate communication and contract deliverables and client expectations are efficiently and effectively met.
  • Ensures project teams are meeting contract deliverables and evaluation measures utilizing a strategic approach, including coaching and mentoring of team members, supporting the creation of well-defined program plans, and consistently engaging local stakeholders and customers to ensure Comagine Health initiatives are aligned with and responsive to community needs.
  • Ensures that customers receive timely and appropriate contract deliverables with requested services. Initiates timely and appropriate communication, and other managerial interventions with internal staff and external stakeholders to identify and resolve issues.
  • Uses the principles of continuous QI internally to identify and implement better processes in partnership with the teams.
    • Develops, monitors, and reports on department goals, standards, and objectives, through collaboration with the Senior Director, Patient Safety, or designee.
    • Ensures that the Senior Director, Patient Safety and/or other leaders are informed in a timely manner regarding significant operational issues, performance measures, complaints/grievances, compliments, quality management initiatives, staffing concerns, and risk management issues.
    • Maintains compliance with organizations policies and procedures, including but not limited to the strategic plan, organizational structure, confidentiality, safety, and complaint/grievance resolution.
    • Utilizes customer relationship management database (CRM) for project monitoring, as appropriate.
    • Understands and adheres to Comagine Health’s Code of Business Conduct and Ethics, Corporate Compliance Program and related policies and procedures.
    • Participates in Comagine Health’s internal quality improvement activities as appropriate.
    • Performs related duties as required and assigned.

    Employee Engagement and Retention

    Ensures that performance expectations of direct reports are developed in accordance with standards and timeframes and expectations are developed in conjunction with the employee’s professional goals to the degree possible.
    Develops and implements a professional growth plan for each employee to maximize the use of their current skills while mentoring new skills in each employee. Ensures that employees have the resources and opportunities needed to perform their assigned duties at a high level of effectiveness.

Required Skills

  • Comprehensive understanding of health care reform initiatives/environment.
  • Experience managing programs or large-scale projects, including project planning, budget creation and monitoring, managing teams, subcontractors and/or vendors
  • Intermediate proficiency with Microsoft Office Suite (Outlook, Word, PowerPoint, Excel)
  • Familiar with video conference technology (e.g. Zoom)
  • Ability to organize and coordinate multiple simultaneous tasks in a team environment.
  • Excellent oral and written communication skills
  • Theoretical and practical knowledge of quality improvement theory, methods, and tools; and systems thinking in health care improvement
  • Strategic understanding of the levers to transform health care delivery in settings such as hospitals, nursing homes, and home health agencies, including demonstrated ability to work within and support the health care delivery system
  • Strong skills convening and engaging health care leaders
  • Thorough understanding of how to use data to monitor progress and make improvements
  • Technical report writing and proposal writing
  • Management of multiple teams and collaborating partners


Leadership Competencies

  • Provides timely, continuous recognition and feedback using objective, job-related data and observations (including documented performance appraisals at least annually); timely initiates performance improvement opportunities in alignment with Comagine Health policy and practice.
  • Develops and monitors professional development goals and objectives; assigns work and delegates authority appropriate for established, job-related duties, responsibilities, and qualifications, maximizes the use of current skills while mentoring new skills in each employee.
  • Ensures that performance expectations of direct reports are developed in accordance with Comagine Health’s standards and timeframes and expectations are developed in conjunction with the employee’s professional goals to the degree possible.
  • Develops, maintains, and enforces individual- and team-level performance expectations for deliverables; applies Comagine Health’s general conduct standards.
  • Delivers, or ensures delivery, of initial orientation and training (including review of direct reports’ job descriptions), plus on-going training.
  • Ensures availability of procedures, technology, and other resources necessary to conduct work activities; provides subject matter expertise as applicable.
  • Conducts a variety of personnel management activities, including but not limited to recruitment, selection, on-boarding, training, evaluation, and separation, according to Comagine Health policy and practice and in collaboration with leadership and Human Resources.
  • Facilitates diverse groups to work together toward mutual goals and interfaces effectively, both face-to-face and virtually, with a variety of stakeholders.

Required Experience

  • MA/MS in a related field (Equivalent combination of education and/or work experience in related field may be substituted)
  • 8+ years of experience in health care, including quality improvement, hospital or long-term care administration, or clinical care.
  • 5+ years of management experience


Comagine Health’s mission is to work together with our partners to improve health and create a better health care system so that people and communities will flourish. As part of our mission and values, we recognize the importance of having our employees vaccinated against COVID-19–both as a protection for our larger community and to keep our employees and their families safe.


As a federal contractor, and in compliance with Executive Order 14042, Comagine Health requires its employees and contractors to be fully vaccinated against COVID-19 (including any booster shots if required), unless they are approved for a reasonable accommodation based on medical condition or religious belief that prevents them from being vaccinated.  Being fully vaccinated against COVID-19 is a condition of employment at Comagine Health.


  • If you are fully vaccinated, you will be required to provide proof of your completed COVID-19 vaccination prior to the first day of your employment. Failure to provide timely proof of your COVID-19 vaccination status may result in your offer of employment being rescinded or your start being delayed.
  • If you are unable to be fully vaccinated due to medical condition or religious belief, you will be required to request an exemption upon acceptance of the offer of employment. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an exemption is not approved, then your offer of employment may be rescinded.

Job LocationAny City, United States

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