ASSOCIATE CHIEF MEDICAL OFFICER OF QUALITY, SAFETY, AND CLINICAL EXCELLENCE

Job description

Job Description - ASSOCIATE CHIEF MEDICAL OFFICER OF QUALITY, SAFETY, AND CLINICAL EXCELLENCE )

Job Description

ASSOCIATE CHIEF MEDICAL OFFICER OF QUALITY, SAFETY, AND CLINICAL EXCELLENCE

Job Number:

Job Posting

Sep 9, 2026, 12:06:52 AM

Closing Date

Oct 9, 2026, 4:59:00 AM Full-time A.M. P.M.

This position is exempt from Career Service under the CCH Personnel Rules.

Job Summary

The Associate Chief Medical Officer of Quality, Safety, and Clinical Excellence (ACMO) partners with the Chief Medical Officer (CMO) and Executive Leadership to advance organizational goals for quality, patient safety, and clinical excellence. The ACMO will drive strategic initiatives, ensure compliance with regulatory standards, and foster a culture of continuous improvement and high reliability across all care settings at Cook County Health (CCH).

General Administrative Responsibilities

Collective Bargaining Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals

Participate in collective bargaining negotiations, caucus discussions and working meetings

Document, recommend and effectuate discipline at all levels

Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements

Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision Direct and effectuate CCH management policies and practices

Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management Contribute to the management of CCH staff and CCH systemic development and success

Discuss and develop CCH system policies and procedures

Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary: hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements

Work with Labor Relations to discern past practice when necessary

Serves as a liaison to medical departments and supports their quality initiatives.

Attends and participates in the CCH Policy Committee.

Provides support and collaboration with Stroger Executive Medical Staff (EMS) and Provident MEC Peer Review and Credentialing Committees on behalf of the CMO.

Promptly responds to patient complaints/issues with respect to clinicians.

Attends weekly Quality and Safety meetings, i.e., Council meetings.

Serves as the lead liaison for medical staff contact for Quality.

Directs Quality Assurance/Quality Improvement (QA/QI) efforts and providers oversight of departmental quality leads.

Attends and participates in Environment of Care (EOC) rounds and in Root Cause Analysis (RCA).

In the absence of the CMO, serves as the medical liaison between the hospital, clinic and accrediting/regulatory bodies.

Responsible for regulatory, i.e., Joint Commission, etc., compliance monitoring, auditing, and improvement related to the medical staff functions.

Assists the CMO with preparation of regular performance and/or status reports as required to the CCH Board, Medical Staff Committee(s) and CCH leadership.

Collaborates with administrative, nursing and allied health staff.

Participates in pertinent committees including those directly interfacing with patient experience and advisory groups.

Serves as liaison with medical departments and supports their quality initiatives.

Maintains an active clinical load of a minimum of 40% at the discretion of the Chief Medical Officer.

Performs other related duties as assigned.

Reporting Relationship

Reports to the Chief Medical Officer

Minimum Qualifications

Doctor of Medicine (M.D.) or Doctor of Osteopathy Medicine (D.O.) degree or foreign equivalent

Licensed as a physician in the State ofIllinoispriorto starting employment

Must be clearedforprivileges by Medical Staff Services by start of employment

Board eligibility or certification in his/her respective medical specialty

Three (3) years of clinical leadership experience in leadership with demonstrated success in quality improvement and patient safety

Experience in regulatory compliance, performance improvement methodologies, i.e., Lean, Six Sigma, and data driven decision Active Basic Life Support (BLS) certification

Based on specialty: Active Advanced Cardiovascular Life Support (ACLS) and/or Pediatrics Advanced Life Support (PALS)

Preferred Qualifications

Master’s degree in Public Health or Master’s degree in Business Administration

One (1) or more years of experience providing medical care to underserved populations

One (1) or more years of experience with electronic medical record documentation

One (1) or more years of professional experience in an academic health care environment

One (1) or more years of experience working in a public health system

Credentials in quality and safety, i.e., CPHQ

Knowledge, Skills, Abilities and Other Characteristics

Thorough knowledge of management principles andpractices

Strong knowledge of quality assurance principles andguidelines

Thorough knowledge and understanding of the Health Insurance Portability andAccountability Act (HIPAA) to ensure the protection of the confidentiality and security of healthcare information for allpatients

Demonstrated attitudes, knowledge, and skills necessary to work respectfully andeffectively with patients and staff in a culturally diverse workenvironment

Working knowledge of Microsoft Office Suite including Word andExcel

Excellent verbal and written communicationskills

Demonstrated clinical skills and facility with interpreting and analyzinginformation

Demonstrate analytical and organizational, problem-solving, critical thinking, and conflict management/resolutionskills

Demonstrate attention to detail, consistency and patient-centeredness in decisionmaking

Demonstrate the ability to teach esp. multidisciplinary teams

Demonstrate the ability to prepare annual reports, conduct budgetary planningand management ofpersonnel

Must demonstrate a strong commitment to innovation in the field and possess the leadership skills necessary to support faculty development and advance clinical and teaching missions.

Ability to assign, prioritize, review and evaluate the work of a variety of staff, vendors, and consultants

Ability to multi-task and meet deadlines in a fast paced and stressfulenvironment

Ability to adhere to department policies and standards utilizing bestpractices

Ability to maintain a professional demeanor and composure whenchallenged

Ability to train by presenting concepts and demonstratingtasks

Ability to perform accurate and reliable mathematical and budgetestimates

Demonstrate and value all patient safetypractices

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.

BENEFITS PACKAGE

Medical, Dental, and Vision Coverage

Basic Term Life Insurance

Pension Plan and Deferred Compensation Program

Employee Assistance Program

Paid Holidays, Vacation, and Sick Time

You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

VETERAN PREFERENCE

When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.

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Worksite address

chicago, IL, 60290, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.