Hi, I’m
Victor R. Rosa
Clinical Quality Director
Coconut Creek,FL
Try again. Fail again. Fail better.
Samuel Beckett
Summary
Healthcare quality leader with 16+ years of experience leading performance improvement, regulatory compliance, and data strategy initiatives across Radiology and Emergency Medicine. Proven success managing MIPS programs, QCDR submissions, peer learning, and vendor accountability at the national level. Skilled at turning healthcare data into actionable insights and aligning quality efforts with clinical operations. Bilingual in English and Spanish.
Overview
16
years of professional experience
9
Years in leadership roles (Manager and Director)
3
Service Lines Supported (Radiology, Emergency, and Trauma)
2
Nationally recognized certifications (CPHQ, SSGB)
Work History
Envision Physicians ServicesFort Lauderdale, United States
Director of Clinical Quality Management
11.2017 - Current
Job overview
- Lead clinical quality and regulatory strategy across Envision’s Radiology, Truama, and Emergency Medicine service lines, supporting over 500 radiologists and thousands of emergency clinicians nationwide.
- Assisted with a cost-benefit analysis to transition from ACR to the internal PQR QCDR, reducing per-physician reporting costs by over $1,500 annually. This strategic move directly impacted the budget, preserving approximately $3.2M in operational costs over three years while maintaining full CMS compliance.
- Manage CMS MIPS reporting and QCDR strategy, ensuring 100% on-time submissions and achieving national measure adoption; efforts preserved $2.5M+ in reporting incentives.
- Track national regulatory policy (e.g., PAMA-AUC) to mitigate compliance risk and safeguard $51M+ in annual revenue.
Oversaw randomized quality review processes covering 850,000+ cases across 800+ radiologists in 2021, improving feedback loops and standardizing peer review. - Lead SME collaboration with IT and project managers to improve internal/external quality data platforms.
- Chair internal Quality Committees for Radiology and Emergency Medicine and represent the organization on national-level trauma, ED, and imaging quality task forces.
- Established cross-functional peer learning, documentation review, and issue resolution frameworks adopted cross-praactice.
- Spearheaded lean process redesign for a key client system, aiding in retention of 50% of Florida book of business.
- Drove national operational improvements using Power Metrics, consistently outperforming the industry 30-minute turnaround time benchmark.
Envision Physicians ServicesPlantation, FL
Manager of Clinical Quality Management
05.2016 - 11.2017
Job overview
- Supervised and encouraged ten employee team to strive for excellence in driving 40+ annual KPIs while fostering professional growth
- Worked with vendors to make purchases and reconcile invoices increasing customer retention by 40%
- Established quality control standards, methods, and techniques to meet organization, regulatory, and accreditation requirements
- Oversaw quality assurance program to mitigate concerns and respond with root cause analysis within 24-48 hour turnaround
- Provided education and quarterly updates to c-suite, clinicians, and department clients pertaining on quality management program outcomes
Sheridan HealthcorpSunrise, FL
Clinical Quality Management Coordinator
05.2014 - 05.2016
Job overview
- Managed radiology accreditation program driving adherence to accreditation requirements and ensuring clinical proficiency
- Increased customer satisfaction by 80% by resolving issues within 10-20 hour response time
- Presented A3 annual initiatives to senior leadership and internal stakeholders
Sheridan HealthcorpSunrise, FL
Operations Coordinator
07.2013 - 05.2014
Job overview
- Identified and resolved unauthorized, unsafe, or ineffective practices
- Introduced new methods, procedures, and technology to reduce overall turnaround time of dictations by 85%
- Manage quality assurance and adherence to ensure client satisfaction and retention
Sheridan HealthcorpSunrise, FL
Operations Liaison, Radiology Services
08.2012 - 07.2013
Job overview
- Managed call center providing excellent customer service
- Facilitating medical professionals to relay critical findings outcomes and ensure fasted quality of care and handoff
- Evaluated systems according to predetermined checklist and noted issues
- Run 50% audits to ensure timely communication of critical results finding
Sheridan HealthcorpLauderdale Lakes, FL
Facility Liaison, Radiology Services
04.2009 - 08.2012
Job overview
- Managed reading room and outpatient procedure workflow and scheduling
- Lead first lean process improvement (Kaizen) to drive turn-around time and throughput of stroke patients from Emergency and Radiology departments
- Learned new skills and applied them to daily tasks to improve efficiency and productivity
- Managed radiology calls and mitigated 100% of clinicians' and patients' inquiries and concerns
North Broward Medical Center – (Internship) Deerfield Beach, FL
Quality, Safety & Emergency Preparedness
08.2011 - 12.2011
Job overview
- Facilitated mock tracers throughout 40% of hospital units for TJC accreditation preparedness reporting Director and VP of Emergency Preparedness & Quality
- Assisted with quantitative analysis of needle sticks for trending and quality improvement policy changes
- Shadowed C-Suit "go/no-go" discussion encompassing Pyxis technology justification on nursing station efficiency and patient outcome
- Finalized protectorship leading to successful completion of health administration undergraduate program
Education
Florida Atlantic UniversityBoca Raton, FL
Master of Science from Health Administration-Management
05.2016
Florida Atlantic UniversityBoca Raton, FL
Bachelor of Science from Healthcare And Business Administration
12.2011
Broward CollegeFort Lauderdale, FL
Associate of Arts from Health Administration
05.2009
Sheridan Technical CollegeHollywood, FL
Associate of Science from Automotive Technology
08.2006
Skills
- Policy reinforcement
- Knowledge of quality systems
- Training and development
- Bilingual (English/Spanish)
- Quality improvement
- Quality regulatory adherence
- Quality Management System Compliance
- Clinical Quality Improvement
Certification
Certified Professional in Healthcare Quality - CPHQ
Six Sigma Green Belt Certification - SSGBC
Affiliations
- Member of National Association for Healthcare Quality (NAHQ)
- Member of Institute for Healthcare Improvement (IHI)
- Member of American College of Healthcare Executives (ACHE)
- Envision Healthcare Champion JDRF fundraising efforts form 2003-2007
- Envision Healthcare Champion in Diversity, Equity and Inclusion
- Envision Healthcare Advocate Mental Health awareness
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Director of Clinical Quality Management
Envision Physicians Services
11.2017 - Current
Manager of Clinical Quality Management
Envision Physicians Services
05.2016 - 11.2017
Clinical Quality Management Coordinator
Sheridan Healthcorp
05.2014 - 05.2016
Operations Coordinator
Sheridan Healthcorp
07.2013 - 05.2014
Operations Liaison, Radiology Services
Sheridan Healthcorp
08.2012 - 07.2013
Quality, Safety & Emergency Preparedness
North Broward Medical Center – (Internship)
08.2011 - 12.2011
Facility Liaison, Radiology Services
Sheridan Healthcorp
04.2009 - 08.2012
Florida Atlantic University
Master of Science from Health Administration-Management
Florida Atlantic University
Bachelor of Science from Healthcare And Business Administration
Broward College
Associate of Arts from Health Administration
Sheridan Technical College
Associate of Science from Automotive Technology
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