Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.

Manages the Performance Improvement (PI) activities of the hospital to include the Quality Assessment and Performance Improvement (QAPI) Program, Peer Review, regulatory compliance and comparative database support. Oversees and coordinates the Performance Improvement committee, PI teams and projects, regulatory compliance, and completion of the Intracycle Monitoring and Focused Standards Assessment. Performs annual integrated review and evaluation of all departmental activities and provides a report for executive and medical leadership, based on entity requirements.

Estimated salary range for this position is $105647.55 - $140511.24 / year depending on experience.

• Bachelors.

• NAHQ Certified Professional in Healthcare Quality.
• Registered Nurse.

• Bachelor degree in Nursing -BSN.
• Master Degree preferred in Business, or related field.
• At least 5 years experience in a hospital or healthcare setting with 2 years minimum in quality management/PI area of practice.
• 2 years leadership experience required.
• Experienced in leading a TJC and accreditation survey process, highly desired.
• Certified Professional in Healthcare Quality (CPHQ) required.

EOE, including disability/vets