Executive Director Quality - SJO

Description

Calling all Esteemed Leaders!

Are you a transformational clinical quality leader who thrives in complex systems, inspires multidisciplinary teams, and drives excellence in patient safety, outcomes, and experience? Do you excel at building strong clinical-operational partnerships and translating strategy into meaningful, measurable improvement? If so, this Executive Director, Quality opportunity invites you to elevate the future of care for St. Joseph Health, Orange.

The Role:

The Executive Director, Quality serves as a key ministry and regional executive responsible for leading, coordinating, and advancing systemwide efforts to deliver costeffective, efficient, highquality, and safe care across the Southern California service area. Reporting to the Regional Chief Quality Officer (CQO) - with a dotted line to the ministry Chief Medical Officer (CMO) - this role bridges strategy, clinical operations, regulatory compliance, and performance improvement.

The Executive Director provides strategic clinical leadership and direct oversight of quality, performance improvement, analytics, clinical risk, patient safety, regulatory compliance, peer review, infection prevention, care experience, and grievance/complaint management. In partnership with the CQO and regional Infection Prevention leadership, this role shapes and monitors the Providence St. Joseph Health Quality Strategic Plan (QSP) across ministry and servicearea operations.

As a handson expert, the Executive Director guides improvement sustainability, brings forward best practices, leverages data for decisionmaking, leads patient safety/HRO structures, supports RCA and FMEA processes, and contributes to regional and national quality initiatives. This role ensures ministries remain compliant, resilient, patientcentered, and strategically aligned.

What You'll Do:

• Champion and model Providence's Mission, Vision, and Core Values; inspire physicians, caregivers, and leaders to do the same.
• Lead quality, safety, infection prevention, care experience, clinical risk, grievances, and performance improvement across the service area.
• Serve as clinical dyad partner for the service area, strengthening the clinicaloperational connection.
• Develop and implement strategies that ensure highquality, costeffective, efficient care delivery and optimal patient experience.
• Partner with ministry leaders to design structures, governance, and services that advance clinical outcomes and care redesign.
• Create a compelling strategic vision for clinical excellence and value for PSJH in the region.
• Assess current quality and safety performance, benchmarking practices and outcomes against system and industry expectations.
• Ensure operational and clinical systems support regional quality and patient safety goals; deploy improvement initiatives across ministries.
• Identify, integrate, and spread best practices to strengthen physician engagement and accelerate valuebased care.
• Coordinate and align regional and local quality/safety initiatives; improve communication, transparency, and consistency across ministries.
• Ensure robust scorecards, dashboards, and analytic systems to track and communicate care delivery, safety, and clinical performance trends.
• Monitor patient safety and care experience trends; recommend changes, collaborate closely with risk leadership, and support clinical loss prevention.
• Colead Clinical Effectiveness initiatives with the Regional CQO to decrease cost per case and improve efficiency.
• Participate in ongoing development of information systems for measuring quality and safety outcomes.
• Represent the service area in PSJH Clinical Council meetings; contribute to regional strategy alongside the CQO.
• Provide leadership for acute care ministry quality and safety teams; participate in MOR meetings and relevant governance committees.
• Support regionwide development of patient safety, quality improvement, and reporting systems; ensure accurate internal/external reporting of quality measures.

What You'll Bring:

• Education
• Master's Degree in Nursing, Public Health, Business Administration, Medical Management, or related field or
• M.D. or D.O., or equivalent education/experience
• Certifications & Licensure
• California RN License (preferred)
• Experience
• 7 years of clinical leadership experience
• 5 years of senior management experience leading clinical quality improvement in a large healthcare organization
• Experience in a complex, multisite health system
• Experience with The Joint Commission (TJC) and DNV accreditation processes and standards
• Skills & Competencies
• Demonstrated ability to build and lead quality programs in hospital settings
• Expertise in clinical program development, evidencebased practice, and process improvement
• Experience with clinical risk mitigation, patient safety programs, and infection prevention
• Strong ability to build trusting relationships with physicians and ministry leaders
• Ability to use data and reporting to drive urgency, accountability, and improvement
• Deep understanding of culture of safety principles and tools
• Strong influencing skills within a highly matrixed organization
• Demonstrated success executing strategic objectives across multiple ministries
• Strategic systems thinker with ability to analyze complex data and envision future delivery models
• Strong commitment to Catholic healthcare and Providence Mission

Why Join Us?

• Lead systemwide clinical excellence: Drive quality, safety, and performance improvement across Southern California ministries.
• Shape strategic direction: Influence regional priorities, clinical excellence initiatives, and longterm quality strategy.
• Collaborate with top clinical leaders: Partner with CMOs, CQO, infection prevention, risk, and ministry executives.
• Elevate patient experience & safety: Lead initiatives that improve outcomes, reduce harm, and strengthen culture of safety.
• Drive meaningful transformation: Advance evidencebased practice, standardization, and clinical effectiveness across the care continuum.

Ready to Shape the Future of Healthcare?

If you are a strategic, collaborative, and missiondriven quality leader ready to elevate patient safety and clinical performance across an entire region, we encourage you to apply.

At Providence we believe in the importance of human connection and the impact of in-person collaboration towards team cohesion and caregiver engagement. Further, we want our leaders to live in or near the communities we serve.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requsition ID: 413676

Company: Providence Jobs

Job Category: Clinical Quality

Job Function: Quality/Process Improvements

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 7540 SJO QUALITY ASSURE

Address: CA Orange 1100 W Stewart Dr

Work Location: St Joseph Hospital-Orange

Workplace Type: On-site

Pay Range: $71.71 - $125.41

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.