Senior Manager, Quality and Safety — Cardiac PET/CT

THE COMPANY
At Cardiovascular Associates of America (CVAUSA), we believe that the total cost of cardiovascular care is too high and the optimal way to identify and remove the avoidable costs in cardiovascular care delivery is by equipping and empowering cardiovascular physicians with new care models and new financial incentives via risk-based contracts.

Position Summary
CVAUSA is seeking a Senior Manager of Quality and Safety for Cardiac PET to lead the standardization and continuous improvement of cardiac PET/CT imaging across our network of community cardiology practices. This person will own the quality framework for one of the fastest-growing and most technically demanding imaging modalities in cardiovascular care — setting the standards, building the improvement programs, and working directly with practices to raise the floor and the ceiling on imaging quality, patient safety, and diagnostic accuracy. This is a hands-on role for someone who has spent years inside real-world cardiac PET programs, knows exactly where quality tends to break down in community practice, and is energized by the work of closing those gaps at scale.

Key Responsibilities
Quality Program Development & Management
- Refine, implement, and iteratively improve upon CVAUSA’s initial quality and safety program for cardiac PET/CT across CVAUSA’s practice network.

- Establish and maintain quality metrics, protocols, and standard operating procedures spanning acquisition, stress protocols, tracer handling, quantification (myocardial blood flow / flow reserve), and interpretation.

- Build dashboards and reporting that make imaging quality and outcomes visible and actionable at both the network and individual-site level.

Accreditation
- Serve as the network's subject-matter expert on PET/CT accreditation requirements (e.g., IAC, ACR) and ensure practices meet or exceed accreditation quality criteria.

- Support practices as needed through initial accreditation and re-accreditation as needed, including documentation, QC records, and required competencies.

- Partner with the Medical Director and Radiation Safety Officer, who retain final sign-off on all clinical protocol specifics (dosing, contraindications, supervision levels) driven through this role.

Peer Review & Clinical Validation
- Establish and run routine peer review / over-read programs for interpreting physicians, with structured feedback and improvement pathways.

- Design and operationalize systematic comparisons of PET/CT findings against invasive coronary angiography, using discordance analysis to identify interpretation, protocol, and quantification issues and drive corrective action.

- Design analyses that leverage billing and electronic health record data to understand patterns of care quality and identify variations in utilization and clinical outcomes across practices and patient populations.

Training & Competency
- Implement, refine, and iteratively improve upon existing quality-focused training and competency requirements for interpreting clinicians.

- Develop training content to help standardize clinician continuing education for PET/CT.

Site Assessment & Standardization
- Travel to affiliated practices to assess PET/CT programs end to end — equipment and QC, protocols, staff competency, workflow, and image quality.

- Identify site-specific and network-wide sources of variation and poor-quality imaging (e.g., PET/CT misregistration and attenuation-correction artifacts, patient motion, stress protocol inconsistency, generator/tracer handling, calibration and QC gaps, reader variability) and lead remediation.

Performance Monitoring & Continuous Improvement
- Apply core quality-improvement methodology (e.g., PDSA cycles, root-cause analysis, statistical process control) to reduce variation and improve diagnostic accuracy and safety.

- Set benchmarks, track performance over time, and partner with practice leadership to sustain gains.

Required Qualifications