Status: Full Time
Shift: Monday - Friday, 8am-4:30pm
Exempt: Yes
Summary:
The Performance Improvement Manager is responsible for leading and overseeing performance improvement (PI) initiatives across the hospital system. This role drives continuous quality improvement using data-driven methodologies, ensures alignment with strategic priorities, and supports operational leaders in achieving measurable improvements in patient outcomes, safety, experience, and efficiency. The Manager fosters a culture of continuous improvement and coordinates system-wide efforts utilizing Lean, Six Sigma, and other performance improvement frameworks.
Other information:
Education, Licensure and/or Work Experience Requirements:
- Experience Required: Minimum 3-5 years of experience in healthcare performance improvement, quality, operations, or performance improvement related field
- Leadership Experience: Demonstrated experience leading cross-functional teams and managing improvement initiatives
- Education Required: Bachelor's degree in healthcare administration, nursing, public health, business, performance improvement or related field
- Education Preferred: Master's degree (MHA, MPH, MBA, or related field)
- Licensure/Certifications Preferred: Lean Six Sigma Green Belt or Black Belt (or equivalent certification), Project Management Certification
- Skills Required: Strong analytical, problem-solving, and project management skills; proficiency in data analysis and Microsoft Office tools
- Preferred Experience: Experience with hospital operations, quality metrics (HCAHPS, CMS measures), and performance dashboards
Physical Requirements and Work Environment:
- Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
- Physical Demands: (occasionally, frequently, constantly or SLMHV)
o Strength: occasionally
o Push: occasionally
o Pull: occasionally
o Carry: occasionally
o Lift: occasionally
o Sit: occasionally
o Stand: occasionally
o Walk: occasionally
Responsibilities:
Performance Improvement Leadership
- Lead and coordinate hospital-wide performance improvement initiatives aligned with organizational goals.
- Develop and implement a structured performance improvement framework across all service lines.
- Establish priorities, timelines, and accountability measures for PI initiatives.
- Serve as a subject matter expert in Lean, Six Sigma, PDSA, and other improvement methodologies.
Project Oversight & Execution
- Oversee a portfolio of performance improvement projects across clinical and operational areas.
- Partner with department leaders to identify improvement opportunities and define project scope.
- Ensure consistent use of standard PI tools, methodologies, and documentation.
- Monitor project progress and remove barriers to successful implementation.
Data Analysis & Performance Monitoring
- Analyze performance data, dashboards, and key performance indicators (KPIs) to identify trends and opportunities.
- Develop and maintain system-level reporting for performance improvement efforts.
- Ensure data integrity and effective use of data to drive decision-making.
- Report progress, outcomes, and risks to senior leadership.
Education & Capacity Building
- Develop and deliver training programs on performance improvement methodologies.
- Coach leaders, managers, and frontline staff in PI tools and techniques.
- Build internal capacity for continuous improvement across the organization.
Strategic Alignment & Integration
- Align performance improvement efforts with organizational strategic goals and regulatory requirements.
- Collaborate with Quality, Patient Safety, Infection Prevention, Experience, Population Health, and Regulatory teams to ensure integrated improvement efforts.
- Support initiatives related to patient experience, clinical quality, health equity, and operational efficiency.
Culture of Continuous Improvement
- Promote a culture of accountability, innovation, and continuous improvement.
- Recognize and spread best practices across departments.
- Facilitate multidisciplinary teams to sustain improvements and standardize processes.
Non-Essential Duties and Responsibilities:
Assist with special projects related to quality, safety, and organizational strategy.
Support preparation of presentations, reports, and executive summaries for leadership.
- Participate in committees and workgroups as a performance improvement resource.
Assist with accreditation or regulatory-related improvement activities when needed.
Contribute to internal communications promoting performance improvement successes.
Provide backup support for Quality Department initiatives during peak periods.
Other duties as assigned