BoldAge PACE · 10 hours ago
VP of Clinical Excellence and Quality
Oceanport, NJ, US
Full-time
Hybrid
Director/Executive
10+ years expBoldAge PACE is an organization dedicated to enhancing the quality of life for seniors. The Vice President of Clinical Excellence and Quality will provide national leadership for quality, clinical performance improvement, and participant safety across all BoldAge PACE centers, ensuring high-quality care and positive participant experiences.
Hospital & Health Care
Responsibilities
In conjunction with the CCO will develop and execute the national quality and to support organizational growth and participant-centered care
Lead enterprise-wide QI initiatives that strengthen clinical outcomes, reduce adverse events, and improve service experience
Drive alignment across all markets through standardized quality processes, tools, and expectations
Manage policy & procedures for organization, managing, creating and rolling out new policies and procedures with implementation and execution across the national footprint
Lead and manage the standard operating procedures () committee from a national perspective and provide guidance to all members of the organization
Collaborate with the Director of Compliance and VP of Operations on survey readiness, corrective action plans, and regulatory risk identification
Focus on clinical outcomes, participant safety, and improvement initiatives while Compliance oversees regulatory audits, investigations, and reporting
Participate as the clinical leader in surveys with oversight and approval of submission documents related to clinical care and requests for additional information and plan of corrections as needed
Designs and participates in chart audits, survey readiness and clinical emergency preparedness (mock codes, etc.) in conjunction with site level clinical leadership and compliance team
Oversee dashboards, key performance indicators, scorecards, and national reporting for quality, safety, utilization and participant experience indicators
Lead root cause analyses (RCA) and organization-wide improvement initiatives based on data-driven and team-informed insights
Present outcomes and recommendations to executive leadership and the National Quality Committee
Evaluate data to identify trends, create and implement change management, education and implementation based on data outcomes and monitors and tracks improvement
Monitor and implement strategies for specialist utilization and high-cost outliners management
Participate in and lead the central authorization process (in conjunction with CCO, CAO and other appropriate team members) for hospital and SNF use
Lead system-wide safety efforts, including sentinel event reviews, mitigation strategies, and improvement plans
Strengthen processes for incident management, risk identification, and prevention of harm
Participate in Complex Care Committee and Ethics Committee meetings
Implement evidence-based standards, clinical pathways, and quality education programs across all PACE centers
Mentor and lead regional and site-level Quality leaders, promoting consistent and high-performing quality operations
Provide effective education to employees as needed (clinical and non-clinical) and monitoring of adherence
Oversee participant satisfaction, service quality initiatives, and grievance/appeal trending in partnership with site, national, and compliance leaders
Develop strategies that enhance communication, responsiveness, and service excellence
Contribute to readiness activities for new PACE centers, acquisitions, and geographic expansion, ensuring quality infrastructure and performance expectations are in place
Ability to travel nationally up to 40–60%
Ability to work in remote, administrative, and clinical environments
Qualification
Required
Doctorate in Nursing preferred, Master's in Nursing, Healthcare Administration, Public Health, Gerontology, or related field required
RN strongly preferred; clinical certifications (CPHQ, CPPS) desirable
10+ years of progressive healthcare quality experience, with 5+ years in senior leadership
Deep knowledge of CMS regulations, quality methodologies, improvement science, and patient safety systems
Deep knowledge of data driven analytics, data analysis and advanced data interpretation
Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact
Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen
Preferred
Experience in PACE, managed care, long-term care, or complex geriatric populations preferred
Benefits
Medical/Dental
Flex Time Off
401K with Match*
Life Insurance
Tuition Reimbursement
Flexible Spending Account
Employee Assistance Program
Company
BoldAge PACE
BoldAge PACE is helping older adults live meaningful, independent lives with grace and dignity.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Mary Austin
Chief Executive Officer
Recent News
Business Wire
2025-11-04
2025-08-26
2025-08-25
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