VP - Quality & Performance Improvement

Job Summary

The VP of Quality & Performance Improvement is responsible for leading system-wide quality, patient experience, and performance improvement functions to drive measurable improvements in clinical outcomes, patient experience, and operational efficiency across Methodist Le Bonheur Healthcare.

Key Responsibilities

• Develop and implement a system-wide quality and performance improvement strategy aligned with organizational priorities.
• Establish and deploy a standardized performance improvement methodology across all care settings (acute, ambulatory, post-acute).
• Identify and prioritize system quality improvement initiatives based on data, risk, and outcomes impact.
• Lead system-wide patient experience strategy, including improvement in HCAHPS and other experience metrics.
• Oversee clinical quality and process improvement initiatives, including reduction in harm, variation, and inefficiencies.
• Maintain accountability for CMS programs and value-based care performance, including Star Ratings and other regulatory metrics.
• Partner with operational, nursing, and physician leaders to align and execute quality improvement initiatives.
• Provide leadership and direction to Quality & Performance Improvement Directors across care sites.
• Drive a culture of high reliability, safety, and continuous improvement across the organization.
• Support integration of quality priorities into system governance, QAPI, and leadership structures.
• Facilitate the use of quality improvement methodologies and tools to support sustainable outcomes improvement.

Qualifications

• Master's Degree in Nursing, Public Health, Business Administration, Healthcare Administration, or related field.
• Minimum of ten (10) years of progressive leadership experience in healthcare quality, patient safety, regulatory, or operational improvement.
• Demonstrated success leading multi-hospital quality programs, CMS regulatory reporting, HEDIS performance improvement, enterprise performance improvement initiatives.
• Experience working with physicians and executive leadership in matrixed healthcare organizations.
• Strong understanding of value-based care, population health, healthcare analytics, quality benchmarking, high reliability organizations, and regulatory compliance.
• Advanced knowledge of CMS quality programs and healthcare regulatory requirements.
• Expertise in quality improvement methodologies and change management.
• Strategic planning and execution capabilities.
• Financial and operational acumen.
• Excellent communication, presentation, and relationship-building skills.
• Influence executive leaders, physicians, and interdisciplinary teams.
• Strong analytical and data interpretation skills.
• Leadership in transformational change across complex organizations.
• Excellent project management skills; coaching and mentoring skills.
• Certified Professional in Healthcare Quality (CPHQ) from the National Association for Healthcare Quality.
• Six Sigma certifications (Yellow, Black, Green, Master Black Belt, White Belt).