Director Quality & Performance Improvement

City of Hope

$136K — $228K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field with RN required
  • 5+ years of leadership experience in hospital quality, performance improvement, or clinical operations
  • Expertise in peer review, OPPE/FPPE, and regulatory compliance
  • Strong knowledge of quality metrics, data analytics, and improvement methodologies
  • Advanced analytical, communication, and leadership skills
  • Proven ability to influence physicians and senior stakeholders
  • Master's degree or relevant certifications (CPHQ or Six Sigma) preferred

Responsibilities

  • Lead hospital's clinical quality program to align with organizational goals
  • Monitor and improve hospital quality indicators such as mortality and readmissions
  • Partner with clinical leadership to implement evidence-based care practices
  • Oversee quality data collection and reporting to regulatory agencies
  • Direct peer review processes for medical staff
  • Lead performance improvement initiatives using methodologies like PDSA and Lean
  • Develop and present quality dashboards and insights to executive leadership

Benefits

  • Comprehensive benefits package
  • Opportunities for professional development
  • Supportive work culture emphasizing safety and accountability
Full Job Description
Under the strategic leadership of the Vice President of Quality and Patient Safety, the Director of Quality and Performance Improvement leads hospital-wide initiatives that ensure high-quality, safe, and effective patient care. This leader drives clinical quality, peer review, and performance improvement programs while partnering with physicians, nursing, and administrative teams to foster a culture of safety, accountability, and continuous improvement across the organization. [

As a successful candidate, you will:

  • Lead the hospital's clinical quality program, ensuring alignment with organizational goals.
  • Monitor and improve key hospital quality indicators such as mortality, readmissions, and patient safety outcomes
  • Partner with physician and nursing leadership to implement evidence-based care practices
  • Oversee quality data collection, validation, and reporting to regulatory agencies
  • Direct medical staff peer review processes
  • Lead performance improvement initiatives using methodologies such as PDSA, Lean, Six Sigma
  • Develop and present quality dashboards, scorecards, and insights to executive leadership
  • Collaborate with risk and patient safety teams to support a culture of transparency and safety
  • Serve as a strategic advisor to senior leadership and drive organization-wide quality initiatives


Your qualifications should include:

  • Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field (RN required)
  • 5+ years of progressive leadership experience in hospital quality, performance improvement, or clinical operations
  • Expertise in peer review, OPPE/FPPE, and hospital regulatory compliance
  • Strong knowledge of quality metrics, data analytics, and performance improvement methodologies
  • Advanced analytical, communication, and leadership skills
  • Proven ability to influence physicians and senior stakeholders
  • Master's degree (MHA, MPH, MSN, MBA, or related) preferred
  • Certification CPHQ or Six Sigma preferred


Additional Information:

Job Status: Full time, exempt

Salary range $136,715- $228,314

City of Hope employees' pay is based on the following criteria: work experience, qualifications, and work location.

To learn more about our Comprehensive Benefits, please CLICK HERE

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