Pathology and Lab Quality & Accreditation Director - System-Wide Leadership Role (Orlando Health Corporate)

Position Summary: The Director of Pathology & Laboratory Quality and Accreditation serves as Orlando Health's system-wide leader for laboratory quality, regulatory compliance, accreditation readiness, patient safety, and process improvement. This role partners closely with laboratory and executive leadership to standardize practices, drive continuous improvement, ensure regulatory readiness, and promote quality excellence across all Orlando Health laboratories.  

Schedule: Monday-Friday - Business Hours  - Exempt Position + Leadership Bonus Incentive

This is mostly a remote position with the ability to travel to various Orlando Health sites system wide on a quartly basis.

Why Orlando Health Is Your Best Place to Work

At Orlando Health, we care about you as much as you care about your patients. As a team member, you’ll enjoy comprehensive benefits from day one:

Health & Wellness

• Multiple medical, prescription, dental, and vision plans
• Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs)
• On-site pharmacy and discounted health services
• Wellness incentives—earn up to $500/year

Financial Security

• Competitive 401(k) plan with up to 5% employer match
• Group life, short‑term, and long‑term disability insurance at no cost

Time Away & Family Support

• Nearly five weeks of PTO—including vacation, holidays, and sick leave
• Four-week paid parental leave for eligible team members
• Family care support including fertility benefits (up to $25K), adoption assistance (up to $15K), backup child/elder/pet care, and virtual tutoring

Learning & Career Growth

• “Preferred Education Program”: earn degrees or technical certificates with zero out‑of‑pocket costs
• Tuition reimbursement (up to $5,000/year) and student loan repayment ($1,200/year)
• Full career development resources: coaching, workshops, events, and leadership training

Extra Perks

• Employee Assistance Program (EAP) offering confidential counseling services
• Access to discounts on attractions, travel, cell phones, insurance, and more

Responsibilities:

Essential Functions

• Leadership & Strategy
• Develop and implement strategic goals for laboratory quality across the enterprise to align with organizational objectives.
• Serve as a subject matter expert for best practices and benchmarking, fostering innovation, efficiency, and quality.
• Gives laboratory input into financial planning and management, including capital project review.
• Supports business unit initiatives ensuring quality objectives are met.
• Partners with leaders to create robust competency and training tools to meet testing and team member needs.
• Operational Management
• Oversee day-to-day laboratory quality and accreditation across multiple facilities, ensuring that services are reliable, efficient, and compliant.
• Partners with laboratory leaders to ensure quality and accreditation practices support patients, laboratory team members, and the enterprise.
• Recommends allocation of resources with input from business unit leadership to ensure the accomplishment of strategic, quality, and accreditation goals. Works with the sites to optimize the utilization of resources regarding special projects.
• Establish and enforce protocols, quality control standards, and laboratory procedures to ensure accurate and timely results.
• Drive quality and accreditation improvements through performance metrics (including turnaround times and productivity), process enhancement, and effective utilization of technology.
• Develop a consistent framework for evaluating and implementing new practices.
• Financial Oversight & Budgeting
• Develop and manage quality practices to support laboratory operations, including forecasting, cost control, and resource allocation.
• Analyze metrics and performance, identify areas for improvement, and implement strategies to drive quality improvements.
• Collaboration & Communication
• Foster productive working relationships with hospital leadership, medical group representatives, and cross-functional teams to promote integrated care and streamlined services.
• Partner with clinical staff to ensure that laboratory services support and enhance patient care.
• Communicate effectively with stakeholders, providing regular updates on quality operations, accreditation, metrics, and key initiatives.
• Regulatory Compliance & Quality Assurance
• Ensure compliance with all applicable federal, state, and local regulations, as well as industry standards.
• Initiates actions and provides leadership for performance improvement initiatives (quality, cost, and service improvement) within the laboratories.
• Oversee laboratory accreditation processes and implement any necessary corrective actions to address deficiencies.
• Initiates, develops, and implements educational programs to improve the technical and service performance of all laboratory staff in conjunction with business unit leadership.
• Promote a culture of quality and safety within the laboratory environment, continually assessing and enhancing quality management programs.

Other Related Functions

• Strong leadership and interpersonal skills with the ability to build collaborative relationships across departments.
• Expertise in laboratory compliance, regulatory requirements, quality standards, and laboratory billing.
• Excellent communication, problem-solving, and project management skills.

Qualifications:

Education/Training

• Master’s degree in Laboratory Science, Healthcare Administration, Business Administration, or relevant field preferred.

Licensure/Certification

• Certification by the American Society for Clinical Pathology (ASCP) or equivalent required.
• Lean Six Sigma, Green, or Black Belt preferred.
• Certified Professional in Health Quality (CPHQ) preferred.

Experience

• Eight years of relevant laboratory experience required, with a minimum of three years quality/accreditation related experience.
• 1-3 years of leadership expeirenced preferred.