Executive Medical Director Surgical Quality

Endeavor Health•Evanston, IL

63d•$365,400 - $455,200•Hybrid

About The Position

The Executive Medical Director, Medical Group Surgical Quality serves as a key member of the Endeavor Health Department of System Surgery leadership team responsible for advancing surgical quality, patient safety, clinical outcomes, and performance improvement across the health system. This role provides strategic and operational leadership for the development, implementation, and oversight of system-wide surgical quality initiatives, ensuring adherence to evidence-based practices, regulatory standards, and organizational goals. The position would have a 0.6 FTE administrative time expectation.

Requirements

MD or DO degree from an accredited institution.
Doctorate Medicine Required
Board certification in a surgical specialty within the Department of Surgery (General Surgery, Surgical Oncology, Otolaryngology, Plastics, Ophthalmology, Trauma, Urology, Thoracic, Cardiac, Vascular).
Current medical license (or eligibility) in the state of practice.
5+ Years of experience with Practicing physician in the areas of: EMR optimization, clinical informatics and Total Population Health
Demonstrated leadership experience in quality improvement.
Strong interpersonal, communication, and organizational skills.
Commitment to excellence in patient care, teamwork, and professional development.
Strong leadership characteristics and demonstrates self-confidence and is always able to articulate issues.
Ability to plan, direct and coordinate all activities of assigned initiatives with minimal supervision.
Demonstrated ability in representing the HIT department, its strategies and policies in appropriate administrative and clinical meetings.
Demonstrate a high degree of motivation.
Is committed to excellence, moderated where appropriate with business sense and practicality.
Has a client service mentality and orientation and a bias for action.
Possesses managerial skills that empower and develop others; is sensitive to others and fosters teamwork.
Demonstrates stewardship in the application of ethics and the use of resources. Is sensitive to social and cultural issues.
Project management proficiency
Ability to work and communicate effectively with all levels of management throughout the organization(s) being supported.
Ability to interface, creating a positive working relationship, with HIT related organizational divisions external to NorthShore.
Demonstrated excellent written and verbal communication skills and the expertise to translate clinical and technical terminology into terms understandable by management, department heads and performance level personnel.
An understanding of the healthcare applications suite and their place in the acute care, physician, ambulatory and ancillary settings.
Ability to solve highly complex organizational, operational and people problems.
Excellent troubleshooting, debugging and problem-solving skills

Responsibilities

Drives standardization of care, reduces clinical variation, monitors quality and safety metrics, and fosters a culture of continuous improvement.
Serves as a key advisor to executive leadership on surgical quality strategy, performance, accreditation readiness, and opportunities to enhance patient outcomes, experience, and value across all surgical service lines.
Collaborates with Value-based Care programs and EHPP to align incentives and outcomes.
Leads efforts to standardize patient access, scheduling, and throughput.
Develops and tracks ambulatory service metrics / KPI (wait times, call center responsiveness, digital access).
Fosters a culture of patient-centered care, equity, and continuous improvement.
Assures that clinical care and documentation meets regulatory requirements in collaboration with other Departments/Centers and Hospitals.
Develops systemwide specialty-specific operational playbooks (clinical pathways, system service/clinical program rationalization).
Promotes cross-specialty benchmarking to identify high-performing teams and spread best-practices.
Implements lean and continuous improvement methods in ambulatory workflows.
Oversees integration of digital front-door tools (online scheduling, ambulatory navigation).
Aligns specialty dashboards and analytics (access, quality, utilization, financials).
Partners with IT and analytics teams to optimize Epic data and population health reporting.
Oversees specialty-related ambulatory safety initiatives (new procedures/instruments safe intro, test results).
Aligns quality metrics with payer and system goals.
Partners with system risk management on incident review and prevention strategies.
Oversees Morbidity and Mortality Conferences throughout the system.