Senior Director, High Reliability

Community Health Systems

• $150K — $180K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in Nursing (MSN), Healthcare Administration (MHA), Business Administration (MBA), or related field required.
  • 5-7 years of leadership experience in patient safety or operational reliability.
  • Demonstrated ability to lead both direct teams and multidisciplinary projects.
  • In-depth understanding of high-reliability principles and human factors engineering.
  • Preferred certifications include CPPS, CRE, CPHQ, or Lean Six Sigma Green/Black Belt.

Responsibilities

  • Lead the design and implementation of a high-reliability and safety strategy organization-wide.
  • Embed high-reliability principles into daily operations and leadership practices.
  • Ensure alignment of HRO strategies with clinical operations and regulatory standards.
  • Champion a transparent, non-punitive safety culture and encourage reporting of incidents.
  • Create simulation training programs and coach leadership in safety behaviors and error prevention.
  • Engage management in structured safety behaviors and practices.
  • Supervise and mentor a team of safety specialists and analysts, establishing performance metrics.

Benefits

  • Opportunities for professional development and continuous learning.
  • Supportive work environment fostering psychological safety and open communication.
  • Engagement with senior executives and board members in governance and leadership.
  • Access to simulation-based training resources for skill enhancement.
  • Culture focused on prevention of harm and safety excellence.
Full Job Description
Job Description

Job Summary

The Sr Director of High Reliability leads organization-wide strategies to eliminate preventable errors, foster a robust safety culture, and embed high-reliability organization (HRO) principles across complex operational and clinical settings. This role directs the design, execution, and continuous improvement of the organization's high-reliability framework. Collaborating closely with executive, clinical, and operational leaders, the Director deploys safety behaviors, analyzes operational risk, and drives a transparent culture of continuous learning toward a target of zero preventable harm.

Key Responsibilities & Duties

Strategy & Framework Deployment
  • Lead the development, execution, and continuous alignment of a system-wide high-reliability and safety strategy.
  • Embed core high-reliability principles (preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, and deference to expertise) into daily operational routines, huddles, and leadership rounding.
  • Ensure alignment between HRO strategies, clinical operations, and regulatory oversight (e.g., Joint Commission standards).

Culture of Safety & Leadership Coaching
  • Champion a transparent, non-punitive culture of safety and Just Culture that encourages open incident reporting and psychological safety.
  • Design simulation-based training programs and coach frontline managers, physician leaders, and executive leadership on human factors science, high-reliability behaviors, and reliable error-prevention tools.
  • Drive executive and management engagement in structured safety behaviors (e.g., tiered huddles, visual management boards, "Stop the Line" protocols).
  • Develop all educational material related to HRO principals and operationalizing HRO across the enterprise.

Team Leadership & Governance
  • Directly supervise, mentor, and build high-performing teams of safety specialists, HRO practice coaches, and clinical/operational data analysts.
  • Establish key performance indicators (KPIs) and report reliable progress metrics to executive leadership, clinical councils, and the Board of Directors.


Position Requirements & Qualifications
  • Master's degree in Nursing (MSN), Healthcare Administration (MHA), Business Administration (MBA), or a related technical/engineering field required.
  • 5 to 7 years of progressive leadership experience in patient safety, quality improvement, or operational reliability. Demonstrated experience leading direct teams as well as matrixed multidisciplinary projects.
  • Deep knowledge of high-reliability principles, human factors engineering, statistical process control, and regulatory compliance (e.g., Joint Commission standards).
  • Certified Professional in Patient Safety (CPPS), Certified Reliability Engineer (CRE), Certified Professional in Healthcare Quality (CPHQ), or Lean Six Sigma Green/Black Belt preferred


Core Competencies
  • High-Reliability Science: Advanced knowledge of human factors engineering, error proofing, and error-prevention techniques.
  • Influential Leadership: Ability to inspire culture change and build consensus across multidisciplinary executive and clinical teams.
  • Data Analysis & Synthesis: Proficiency in translating complex safety data into actionable improvement plans and executive dashboard reporting.

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