Corporate Project Manager, Quality and Professional Governance

Jobgether; Oregon; Hybrid; USD 120,000 - 160,000; Full time

Benefits offered by this job

Comprehensive healthcare coverage

Retirement planning

Education and professional development

Remote flexibility

Job summary

Partner Company seeks a Corporate Project Manager, Quality and Professional Governance to support systemwide regulatory compliance, medical staff oversight, and professional practice evaluation. You will oversee credentialing databases, ensure data integrity, and drive reporting across facilities in the United States.

You will collaborate with senior clinical leaders and cross-functional teams to standardize quality indicators, improve processes, and align with accreditation standards, while

Qualifications

• At least 5 years of experience in a healthcare environment.
• Strong working knowledge of CMS Conditions of Participation, JC and NCQA.
• Experience with medical staff credentialing, privileging, and governance.
• Database administration and reporting experience with data integrity.
• NAMSS CPMSM certification preferred.

Responsibilities

• Coordinate regulatory standards and process improvements across licenses and accreditation.
• Oversee Medical Staff governance, bylaws, privileges, and regulatory compliance.
• Develop and maintain systemwide policies and hospital regulations.
• Standardize OPPE/FPPE processes and monitor performance indicators.
• Serve as system administrator for MD-Stat and related applications.
• Conduct audits, identify gaps, and drive corrective actions with teams.
• Create training materials and guidance on governance and credentialing.
• Lead crossfunctional projects with CMO, CQO, and legal/compliance teams.
• Provide guidance to international medical staff coordination in Canada and Mexico.
• Collaborate on governance initiatives and steer committees to improve metrics.

Skills

Healthcare quality

Regulatory knowledge

Project management

Data governance

Stakeholder collaboration

Education

Healthcare degree (BS/BA)

High school diploma or GED

Tools

MD-Stat

Virtual Committee

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Corporate Project Manager, Quality and Professional Governance based in the United States.

We are seeking an experienced healthcare quality and governance professional to support systemwide regulatory compliance, medical staff oversight, and professional practice evaluation initiatives. In this role, you will work closely with senior clinical leaders and cross-functional teams to strengthen quality standards and ensure alignment with national accreditation requirements. You will oversee critical credentialing and professional practice databases, ensuring data integrity, security, and effective reporting across multiple healthcare facilities. The position combines project management, regulatory expertise, database administration, and organizational policy development. You will also contribute to standardizing quality indicators, improving operational processes, and supporting continuous improvement initiatives. This is an opportunity to make a meaningful impact on healthcare governance and the quality and safety of specialized pediatric care within a collaborative, mission-driven environment.

Accountabilities

Regulatory compliance and accreditation

Coordinate the planning, development, and implementation of regulatory standards and process improvements related to licensed independent practitioners, ensuring alignment with Joint Commission (JC), Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), and applicable state and federal requirements.

Medical staff governance

Provide guidance and oversight to Medical Staff Offices to ensure that Medical Staff Bylaws, standard privileges, hospital regulations, procedural rules, and supporting documentation remain accurate and compliant with organizational policies and accreditation standards.

Policy development and maintenance

Develop, review, and recommend updates to systemwide policies, procedures, Medical Staff Bylaws, and Hospital Regulations and Procedural Rules to support consistent organizational practices and ongoing regulatory compliance.

Professional practice evaluation

Collaborate with healthcare quality leaders and medical group stakeholders to standardize quality indicators across specialties and oversee the implementation and monitoring of Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) requirements.

Database administration and optimization

Serve as the system administrator and subject matter expert for MD-Stat and related statistical applications, ensuring database integrity, security, functionality, accurate data collection, and effective reporting.

Auditing and performance monitoring

Conduct regular database audits, monitor completion of quality metrics, identify compliance gaps, and coordinate corrective actions with Medical Staff Coordinators and Performance Improvement Directors.

Training and stakeholder support

Develop educational materials and deliver guidance on database applications, professional practice evaluation processes, credentialing requirements, and governance procedures to relevant teams.

Cross-functional project management

Lead and support special projects in collaboration with the Chief Medical Officer, Chief Quality Officer, Healthcare Quality and Safety leadership, Legal, Compliance, and Medical Group stakeholders.

International medical staff oversight

Provide guidance to medical staff coordination teams in Canada and Mexico on credentialing, privileging, regulatory compliance, and data integrity.

Governance and committee coordination

Lead collaborative initiatives and support steering committees focused on improving OPPE/FPPE processes, standardizing specialty-specific metrics, and evaluating performance thresholds.

Operational improvement

Research complex issues, analyze performance data, identify improvement opportunities, and implement solutions that strengthen governance, efficiency, and quality outcomes.

Enterprise collaboration

Maintain relevant professional services collaboration platforms and documentation repositories, ensuring effective information sharing and consistent communication across the organization.

Requirements

Professional experience

At least 5 years of experience in a healthcare environment, particularly in medical staff services, healthcare quality, credentialing, or professional governance.

Regulatory expertise

Strong working knowledge of CMS Conditions of Participation, Joint Commission accreditation standards, NCQA requirements, and applicable federal and state regulations governing healthcare credentialing and professional practice.

Medical staff governance

Understanding of medical staff credentialing, privileging, bylaws, hospital regulations, and professional practice evaluation processes.

Database management

Demonstrated experience with database administration, including data querying, reporting, document generation, data integrity monitoring, and database maintenance.

Technical proficiency

Strong Microsoft Office skills, particularly the ability to work with reporting tools, databases, and documentation systems.

Education

High school diploma or GED required.

Preferred education

Associate's or bachelor's degree in a relevant healthcare discipline is preferred.

Specialized software experience

Familiarity with statistical database platforms such as MD-Stat and Virtual Committee is an advantage.

Professional certification

Certification through the National Association of Medical Staff Services (NAMSS), particularly as a Certified Professional in Medical Services Management (CPMSM), is preferred.

Project management skills

Ability to coordinate complex, cross-functional initiatives, manage competing priorities, meet deadlines, and drive projects through implementation.

Analytical capabilities

Strong research, problem-solving, auditing, and data analysis skills, with the ability to identify compliance risks and recommend effective solutions.

Communication and collaboration

Excellent written and verbal communication skills, with the ability to build productive relationships with clinical leaders, administrative teams, and external stakeholders.

Leadership and adaptability

Ability to influence without direct authority, facilitate teamwork, provide guidance to diverse stakeholders, and operate effectively in a complex, multi-site healthcare environment.

Attention to detail

Strong organizational skills and commitment to accuracy, confidentiality, regulatory compliance, and continuous improvement.

Benefits

Comprehensive healthcare coverage

Medical, dental, and vision insurance options.

Retirement planning

Retirement savings program with employer matching contributions.

Education and professional development

Tuition assistance to support continued learning and career advancement.

Meaningful work

Opportunity to contribute to healthcare quality, patient safety, and improved outcomes for children and their families.

Collaborative environment

Work alongside multidisciplinary healthcare professionals and experienced organizational leaders.

Remote flexibility

Remote position based in the United States.

Compensation

Salary determined according to relevant professional experience and internal departmental equity.

Career development

Opportunities to participate in systemwide projects, quality initiatives, and professional governance programs.