Hours of Work :

Days Of Week :
M-F
Work Shift :

Job Description :

o Category A: Support Services
o Job Purpose: Collaborate with the Director of Organizational Readiness and the AVP of Patient Safety & Organizational Readiness (PSOR) to align and coordinate Methodist Health System's (MHS) policy and guidelines governance and management. This role supports compliance with patient safety and High Reliability practices and principles, advancing the organization's strategic goal of becoming a shining example of a High Reliability Organization (HRO).
o FLSA: Exempt
o Supports the mission, vision, values and strategic goals of Methodist Health System.
Education, Master's degree in healthcare related field required.
Licenses and/or Certification
o Current certification in performance improvement preferred; Certification as LSSBB, PMP, MHS Silver Fellow, CPHQ, CPPS, or equivalent.
o MHS Silver Fellowship must be completed within 24 months of hire
Work Experience
o Minimum of five years' relevant work experience: patient safety, accreditation, compliance, quality, leadership.
o Related Work Experience and Other Skills
o Coaching/mentoring skills
o Consistently follows the Standards of Behavior set by Methodist Health System
o Excellent written and verbal communication skills
o Ability to influence others and work collaboratively
o Excellent problem solving and critical thinking
o Handles confidential material and information appropriately
o Knowledgeable of hospital policies, procedures, care standards, patient safety, and high reliability methods.
o Passion for quality, safety, and service
o Positive attitude and approach
o Self-directed, motivated with strong organizational skills

Job Roles
o Serve as a liaison, subject matter expert, and system resource for policy governance, development, communication, education, adherence, and continuous improvement.
o Support the advancement of effective policies through established governance processes.
o Drive organizational change through influence rather than authority, leveraging proven frameworks to guide and accelerate data-driven transformation.
o Provide support to workgroups, committees, and task forces by applying process improvement methodologies that align with Quality, Safety, Accreditation initiatives, and key strategic priorities.
o Demonstrate advanced expertise in project management, process improvement, and performance improvement methodologies, including LEAN, DMAIC, PDSA, brainstorming, and related approaches.
o Apply robust process improvement tools and methodologies to design, implement, and sustain both small- and large-scale improvement initiatives aligned with system strategic priorities.
o Support administration of the system's electronic policy management platform in collaboration with the Policies and Guidelines (P&G) Senior Project Leader, as needed.
o Assist the Policies and Guidelines (P&G) Senior Project Leader with committee preparation and governance processes, serving as a lead and/or backup as required.
o Other duties as assigned.