• This person will report to the Vice President of Medical Affairs, and be accountable for the continuing development and effectiveness of key functional areas such as process reliability, improvement teams, regulatory performance improvement, quality metrics and analytics, patient safety and clinical transformation. The candidate will provide education and consultation on system-based process redesign and measurement for medical staff, management, co-workers, senior leadership, and board of trustees as part of the quality improvement process. The position interfaces with all hospital departments, medical staff and community to assure services are provided in compliance with hospital standards, policies, and procedures as well as regulatory requirements. This includes providing a planned, systematic, organization-wide approach to identifying, designing, measuring, prioritizing and monitoring all quality management activities including new processes and services.

• Master’s Degree in Health Related Field – Preferred
• Clinical Education in Health Related Field with Bachelor’s or Associate Degree - Required

• 3-5 Years Hospital/Clinic - Required
• In addition, 3 years’ progressive experience in departmental leadership to a manager level or higher and demonstrated knowledge in the principles of quality management, performance improvement methodologies, and program evaluation.
• Working knowledge and/or experience in Medical Staff Quality Including Peer Review, Ongoing Professional Practice Evaluation, and Focused Professional Practice Evaluation.
• Working knowledge of Lean / Six Sigma.
• Experience in developing, implementing, and managing systems that support large-scale improvement programs, and leading clinical improvement activities in a highly integrated health delivery system.

• Professional License with State of Practice - Required

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