Director of Quality & Performance Improvement

City of Hope • Duarte, CA

3d • $136,715 - $228,314

About The Position

Under the strategic leadership of the Vice President of Quality and Patient Safety, the Director of Quality and Performance Improvement leads hospital-wide initiatives to ensure high-quality, safe, and effective patient care. The role drives clinical quality, medical staff peer review, and performance improvement programs, partnering with physicians, nursing, and administrative teams to foster safety, accountability, and continuous improvement throughout the organization.

Requirements

• Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or a related field.
• At least 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.

Nice To Haves

• Master’s degree (MHA, MPH, MSN, MBA, or related).
• CPHQ or Six Sigma certification.
• Clinical licensure, such as RN or another license.

Responsibilities

• Lead the hospital’s clinical quality program, ensuring alignment with organizational goals.
• Monitor and improve hospital quality indicators, including 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, and 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director