Chief Medical Officer, Vice President - Quality Management

UHS•King of Prussia, PA

About The Position

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. The Chief Medical Officer – Vice President, Quality Management provides leadership and expertise for clinical integration and alignment, hospital and clinical effectiveness, quality management, medical staff operations, physician leadership development and physician hospital relations. Evaluates and optimizes the care management approach, the process of disease management, patient satisfaction and patient safety. Develops processes to assure appropriateness of care including length of stay and ancillary resource utilization. Assures effective and efficient delivery of quality medical care consistent with the mission and vision of organization. Responsible for the oversight of UHS hospitals regional outcomes management and survey preparedness to ensure compliance with all federal and state regulations. Develops programs and processes to support positive outcomes for compliance with areas such as core measures, NPSG’s and HCAHPS. Serves as the primary liaison between medical staff and administration and provides planning, direction, leadership and integration for Medical Staff functions/activities in order to foster communication, transparency, teamwork and strategic implementation. Provides an environment of quality and cost improvement that is data driven. Develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient and outpatient settings. Provides leadership in the areas of strategic planning, strategy execution and implementation of care management programs. Works closely with the regional/group VP and their CEOs to advise, organize and educate their physicians on clinical integration. Guides the development and implementation of policies, procedures and bylaws including credentialing and privileging of medical staff members to ensure clinical excellence among members of the Medical Staff. Participates in all clinical integration committees and sub-committees. Creates an environment that fosters physician alignment with the hospital and system. Leads and supports all aspects of clinical integration. Oversees design of systems, participates in planning, supports open enrollment process, go-live and post-live IT installation activities. Oversees and supports clinical care data collection, root cause analysis, quality improvement teams, safety culture teams, case management, infection control, compliance and reporting performed by the quality department. Assures that quality management programs are carried out in all clinical areas through the development and implementation of effective disease management programs, clinical protocols and guidelines, other decision tools and review of the outcomes. Develops a performance database incorporating quality indicators to provide leadership with the necessary information to meet regulatory requirements and guidelines. Participates in local and system-wide initiatives critical to providing excellence in patient care and ensuring compliance with all state, federal, and healthcare regulatory bodies including The Joint Commission. Provides oversight, mentoring and coaching for physicians in medical staff leadership positions with particular emphasis on state and CMS conditions of participation, The Joint Commission accreditation standards, applicable department accreditation standards (e.g. laboratory), credentialing, privileging, peer review, OPPE, FPPE, physician disciplinary issues, and medical staff department functions. Leads the development of a physician culture and practice environment that fosters high quality patient care and exceptional patient experiences. Leads initiatives to implement evidence based medicine, standardized clinical guidelines and protocols and physician order sets. Routinely achieves clinical performance at national best practice levels. Oversees, directs and supports the rendering of medical management decisions that maximize benefits for customers while pursuing and supporting corporate objectives. Integrates evidenced-based medical practices wherever possible building into new and existing patient care delivery systems. Provides oversight and leadership for all medical education programs. Develops reviews and participates in patient safety training, including the needs and methods to report medical /health care errors for staff. Presents in-services as required. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Ensures medical staff development plans and programs are implemented and maintained as required. Develops and manages the budget of medical affairs. Integrates medical staff and clinical issues into the strategic planning process. Coordinates medical quality and patient management with other hospital medical officers. Acts as a quality resource to the hospitals and Corporate office. Oversees all on-site inspections. Assists inspectors and surveyors in the performance of their duties. Provides reports as required to follow-up. Ensures appointment of medical staff and allied health privileges are compliant with sound credentialing practices. Assists the executive team with Physician alignment to individual facilities and UHS goals. Works with the Case management department to ensure optimal utilization of resources in the care of patients. Collaborates on business development activities to successfully grow business on both an inpatient and outpatient basis. Performs other duties as required.

Requirements

MD with unrestricted medical license required
Minimum of ten or more years of clinical practice, participation in a leadership role in medical staff organization activities, and previous management experience within a health care delivery system.
Must be effective consensus builder and leader in addition to system thinker with ability to educate and mentor.
Highly developed organizational, interpersonal and management skills.
Strong knowledge of health industry direction and clinical technology vendors; and an understanding of data acquisition (storage and retrieval), medical records coding, hospital billing, and clinical knowledge.

Nice To Haves

Board certification in medical management preferred
Advanced degree preferred (MBA, MPH)

Responsibilities

Provides leadership and expertise for clinical integration and alignment, hospital and clinical effectiveness, quality management, medical staff operations, physician leadership development and physician hospital relations.
Evaluates and optimizes the care management approach, the process of disease management, patient satisfaction and patient safety.
Develops processes to assure appropriateness of care including length of stay and ancillary resource utilization.
Assures effective and efficient delivery of quality medical care consistent with the mission and vision of organization.
Responsible for the oversight of UHS hospitals regional outcomes management and survey preparedness to ensure compliance with all federal and state regulations.
Develops programs and processes to support positive outcomes for compliance with areas such as core measures, NPSG’s and HCAHPS.
Serves as the primary liaison between medical staff and administration and provides planning, direction, leadership and integration for Medical Staff functions/activities in order to foster communication, transparency, teamwork and strategic implementation.
Provides an environment of quality and cost improvement that is data driven.
Develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient and outpatient settings.
Provides leadership in the areas of strategic planning, strategy execution and implementation of care management programs.
Works closely with the regional/group VP and their CEOs to advise, organize and educate their physicians on clinical integration.
Guides the development and implementation of policies, procedures and bylaws including credentialing and privileging of medical staff members to ensure clinical excellence among members of the Medical Staff.
Participates in all clinical integration committees and sub-committees.
Creates an environment that fosters physician alignment with the hospital and system.
Leads and supports all aspects of clinical integration.
Oversees design of systems, participates in planning, supports open enrollment process, go-live and post-live IT installation activities.
Oversees and supports clinical care data collection, root cause analysis, quality improvement teams, safety culture teams, case management, infection control, compliance and reporting performed by the quality department.
Assures that quality management programs are carried out in all clinical areas through the development and implementation of effective disease management programs, clinical protocols and guidelines, other decision tools and review of the outcomes.
Develops a performance database incorporating quality indicators to provide leadership with the necessary information to meet regulatory requirements and guidelines.
Participates in local and system-wide initiatives critical to providing excellence in patient care and ensuring compliance with all state, federal, and healthcare regulatory bodies including The Joint Commission.
Provides oversight, mentoring and coaching for physicians in medical staff leadership positions with particular emphasis on state and CMS conditions of participation, The Joint Commission accreditation standards, applicable department accreditation standards (e.g. laboratory), credentialing, privileging, peer review, OPPE, FPPE, physician disciplinary issues, and medical staff department functions.
Leads the development of a physician culture and practice environment that fosters high quality patient care and exceptional patient experiences.
Leads initiatives to implement evidence based medicine, standardized clinical guidelines and protocols and physician order sets.
Routinely achieves clinical performance at national best practice levels.
Oversees, directs and supports the rendering of medical management decisions that maximize benefits for customers while pursuing and supporting corporate objectives.
Integrates evidenced-based medical practices wherever possible building into new and existing patient care delivery systems.
Provides oversight and leadership for all medical education programs.
Develops reviews and participates in patient safety training, including the needs and methods to report medical /health care errors for staff.
Presents in-services as required.
Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services.
Ensures medical staff development plans and programs are implemented and maintained as required.
Develops and manages the budget of medical affairs.
Integrates medical staff and clinical issues into the strategic planning process.
Coordinates medical quality and patient management with other hospital medical officers.
Acts as a quality resource to the hospitals and Corporate office.
Oversees all on-site inspections.
Assists inspectors and surveyors in the performance of their duties.
Provides reports as required to follow-up.
Ensures appointment of medical staff and allied health privileges are compliant with sound credentialing practices.
Assists the executive team with Physician alignment to individual facilities and UHS goals.
Works with the Case management department to ensure optimal utilization of resources in the care of patients.
Collaborates on business development activities to successfully grow business on both an inpatient and outpatient basis.
Performs other duties as required.