Director of Compliance, Quality, Ethics and Risk Management

The Director of Compliance, Quality, Ethics & Risk Management provides enterprise leadership and oversight of Planned Parenthood of Michigan’s (PPMI) integrated Compliance, Quality Improvement, Patient Safety, Infection Prevention, Ethics, Risk Management, and Organizational Excellence programs.

 

Reporting to the Vice President of Compliance, Quality, Excellence & Risk Management (CQERM), this role is accountable for the design, implementation, and sustained performance of a unified enterprise framework that ensures regulatory compliance, patient safety, high-quality care, ethical practice, and proactive risk reduction across all clinical and operational functions.

 

This position serves as HIPAA Privacy Officer and Patient Safety & Infection Prevention Officer, maintaining compliance with all applicable federal, state, and local regulations, PPFA Medical Standards & Guidelines (MS&G), and accreditation standards.

 

As a key enterprise leader, the Director partners with executive leadership, clinical and operational teams, and governance committees to drive a culture of accountability, transparency, safety, and continuous improvement. This leader will fully embody a commitment to race equity; evidenced in all interactions with PPMI colleagues, external stakeholders and in their supervision of staff.

 

Essential Functions

Enterprise Leadership & Integration

• Establish and operationalize an integrated CQERM framework that unifies compliance, quality, safety, and risk management across the organization.

• Under supervision of and in partnership with VP; report out and advise ELT, Board, and department leadership using data-driven insights on risk, compliance, and quality performance.

• Embed accountability for compliance, safety, and quality outcomes at all levels of the organization.

• Maintain the independence and integrity of the compliance function, including appropriate escalation to executive leadership and the Board.

 

Compliance, Ethics & Regulatory Oversight

• Serve as HIPAA Privacy Officer and ensure enterprise compliance with applicable regulatory and accreditation requirements.

• Direct compliance audits, monitoring, and investigations, ensuring timely resolution and validated corrective actions.

• Lead organizational readiness for external audits, surveys, and regulatory reviews.

• Translate regulatory and legislative changes into operational requirements, policies, and workflows.

• Implement effective compliance education and communication strategies that drive workforce understanding and accountability.

• Serve as the primary liaison to regulators, accreditation bodies, and external partners.

 

Quality Improvement, Patient Safety & Clinical Excellence

• Lead enterprise quality improvement and patient safety programs with defined performance expectations and measurable outcomes.

• Oversee clinical audits, documentation compliance, and performance monitoring to identify trends and gaps.

• Ensure consistent application of patient safety event review processes, including incident triage, root cause analysis, and system-level corrective actions.

• Standardize evidence-based practices and workflows across service lines.

• Advance high-reliability and continuous improvement methodologies across the organization.

 

Infection Prevention & Emergency Preparedness

• Provide enterprise oversight of infection prevention and control programs, ensuring regulatory compliance and effective implementation across all sites.

• Direct monitoring, evaluation, and improvement of infection prevention practices, including exposure response and outbreak mitigation.

• Partner with clinical leadership to ensure effective medical emergency preparedness, training, and response systems.

 

Enterprise Risk Management & Incident Oversight

• Lead the Enterprise Risk Management program, including maintenance of the enterprise risk register and prioritization of mitigation strategies.

• Ensure consistent identification, assessment, and management of risk across all departments.

• Oversee incident reporting and management systems (AIMS), including investigations, claims, and risk analyses.

• Integrate risk, compliance, and quality data to inform organizational priorities and decision-making.

• Support business continuity and disaster recovery planning.

 

Data, Analytics & Enterprise Reporting

• Establish and maintain integrated dashboards and performance metrics across compliance, quality, and risk domains.

• Ensure data integrity, timely analysis, and clear translation into actionable insights.

• Provide structured, routine reporting to the VP CQERM, ELT, Board, and governance committees.

• Use data to drive prioritization, resource allocation, and continuous improvement.

 

Governance & Program Infrastructure

• Operationalize governance structures to ensure clear accountability, escalation pathways, and follow-through.

• Support and align key committees, including Risk, Compliance & Ethics; Quality; Safety Review and Policy Committees.

• Ensure policy lifecycle management is standardized, current, and aligned with regulatory and accreditation requirements.

 

Corrective Action & Continuous Monitoring

• Implement and sustain a centralized corrective action system across clinical and non-clinical functions.

• Ensure all identified risks, audit findings, and incidents are tracked, assigned, and resolved with validated outcomes.

• Integrate corrective action monitoring into the Risk & Quality Management (RQM) program.

• Reinforce continuous readiness through ongoing monitoring rather than point-in-time compliance efforts.

 

Leadership & Team Oversight

• Direct and develop CQERM team functions, including compliance, quality, risk, and HIM/analytics support.

• Establish clear performance expectations, accountability, and professional development plans.

• Ensure alignment of team outputs with enterprise priorities and timelines.

• Foster cross-functional collaboration and shared ownership of compliance, quality, and risk outcomes.

 

The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time.

 

Qualifications and Experience

 

Required

• Bachelor’s degree in healthcare administration, public health, quality, compliance, risk management or a related field.

• Minimum 10 years of progressively responsible senior leadership experience in healthcare compliance, quality, patient safety, and risk management.

• Demonstrated experience in regulatory compliance, audit management, quality improvement, and enterprise risk management.

• In-depth knowledge of Michigan local, state and federal healthcare regulations and accreditation requirements.

• Knowledge of quality improvement, patient safety, and infection prevention practices.

• Knowledge of enterprise risk management and governance frameworks.

• Knowledge of data analytics and performance measurement.

• High ethical standards, discretion, and ability to handle sensitive information with integrity.

• Demonstrated ability to achieve objectives in collaboration with other functional areas

• Demonstrated commitment to Planned Parenthood’s mission, vision and values

Ability to:

• Integrate compliance, quality, and risk into a cohesive strategy.

• Influence decision-making at executive and governance levels.

• Build and sustain a culture of compliance, ethics, safety, and continuous improvement.

• Drive accountability through structured processes and data.

• Manage audits, investigations, and complex risk scenarios.

• Translate regulatory and quality requirements into operational systems.

• Lead enterprise wide, cross functional programs.

• Work under pressure on multiple projects concurrently and meet deadlines in a fast-paced work environment with frequent interruptions and changing priorities.

• Facilitate meetings, ensuring that all viewpoints, ideas and problems are addressed.

• Attend to detail while maintaining a big picture orientation.

• Be an engaged listener with the ability to build consensus both within and outside the organization.

• Gather information, identify links and trends and apply findings to assignments.

• Inspire enthusiasm and influence, motivate and persuade others to achieve desired outcomes.

• Interpret and apply organizational policies and identify and recommend changes as appropriate.

• Communicate effectively, both verbally and in writing across all levels of the organization.

• Work independently as well as collaboratively within a team environment.

• Lead and work in a remote environment.

• Handle stressful situations and provide a high level of customer service in a calm and professional manner.

• Establish and maintain effective working relationships.

• Solve problems, analyze information and data, and manage projects.

• Exercise a high degree of judgment and diplomacy and maintain confidentiality.

 

Preferred

·        Advanced degree (MHA, MPH, MSN, MBA, JD or related)

·        Clinical licensure (e.g., RN)

·        Relevant certifications (CHC, CHPC, CCEP, CPHQ, CPPS, CPHRM, CIC, Lean Six Sigma)

 

Key Requirements of All PPMI Employees

• Commitment to advancing race (+) equity in one's work: interest in expanding knowledge about the role that racial inequity plays in our society.

• Awareness of multiple group identities and their dynamics; bring a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions.

• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity.

• Strong sense of accountability to diversity, equity and inclusion principles and practices.

• Understand of the impact of identity dynamics on organizational culture.

• Commitment to Planned Parenthood's In This Together service ethos, workplace values, and service standards.