Professional Practice Evaluation Coordinator - Clinical Quality Analytics - Baptist Jacksonville

Baptist Health System, Inc. • Jacksonville, FL

3d • Onsite

About The Position

Baptist Health is seeking a Professional Practice Evaluation Coordinator to support provider quality, regulatory compliance, and credentialing initiatives across the health system. This role is responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes, ensuring practitioner performance is monitored, documented, and reported in accordance with accreditation and regulatory standards.

Requirements

• Bachelor of Science in Nursing (BSN) required.
• Active Registered Nurse (RN) license required.
• Clinical nursing experience required.
• Strong analytical, organizational, and problem-solving skills.
• Advanced proficiency with Microsoft Excel and healthcare data management.

Nice To Haves

• Healthcare quality experience preferred.
• Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Responsibilities

• Coordinate OPPE and FPPE activities for medical staff and providers.
• Collect, analyze, and validate practitioner performance data from multiple sources.
• Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees.
• Maintain accurate and confidential records related to professional practice evaluations, peer review activities, and provider performance.
• Collaborate with medical staff leadership, quality teams, department leaders, and hospital administration to support quality and regulatory initiatives.
• Monitor compliance with Joint Commission, CMS, and organizational requirements.
• Conduct audits and assist with survey readiness activities.
• Identify opportunities for process improvement and support implementation of best practices.
• Educate stakeholders on professional practice evaluation processes and requirements.

Benefits

• This role offers an opportunity to partner with physicians, medical staff leaders, and quality teams to enhance provider performance, support accreditation readiness, and promote high-quality patient care throughout the organization.

What This Job Offers

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