• Develop and implement quality improvement programs to enhance patient care and operational efficiency. • Analyze data to identify trends and ensure compliance with standards (e.g., JCAHO, CMS). • Lead multidisciplinary teams and report performance metrics to senior leadership. • Oversee regulatory and accreditation processes, ensuring UAMS meets institutional priorities and strategic goals. • Manage external benchmarking programs (e.g., Vizient, CMS, NDNQI, NHSN, US News & World Report, Leapfrog) and maintain clinical registries, ensuring accurate data submission and optimized reporting platforms. • Collaborate with IT and Informatics to design information systems that support quality initiatives and automate data collection processes. • Work closely with the CQO Office, Nursing, and Service Lines to provide oversight, identify gaps, and address strategic improvement objectives.