Director of Quality & Performance Improvement

City of Hope; Duarte (CA); On-site; USD 137,000 - 228,000; Full time

Job summary

City of Hope in Duarte, CA seeks a Director of Quality and Performance Improvement to lead hospital-wide quality initiatives and performance-improvement programs. You will partner with physicians, nursing, and admin teams to foster a culture of safety and continuous improvement.

The role drives peer review processes, data validation, and reporting to regulators, using Lean/Six Sigma methodologies and developing executive dashboards for insight-driven decisions.

Qualifications

• Bachelor’s degree required in nursing or related field.
• 5+ years in hospital quality or performance improvement.
• Expertise in peer review and regulatory compliance.
• Strong data analytics and performance-improvement knowledge.
• Master’s degree preferred; CPHQ or Six Sigma preferred.
• RN licensure preferred.

Responsibilities

• Lead the hospital’s clinical quality program, ensuring alignment with organizational goals.
• Monitor and improve key hospital quality indicators such as mortality, readmissions, and patient safety outcomes.
• Partner with physician and nursing leadership to implement evidence-based care practices.
• Oversee quality data collection, validation, and reporting to regulatory agencies.
• Direct medical staff peer review processes.
• Lead performance improvement initiatives using methodologies such as PDSA, Lean, Six Sigma.
• Develop and present quality dashboards, scorecards, and insights to executive leadership.
• Collaborate with risk and patient safety teams to support a culture of transparency and safety.
• Serve as a strategic advisor to senior leadership and drive organization-wide quality initiatives.

Skills

Leadership

Quality improvement

Data analytics

Regulatory knowledge

Peer review experience

Stakeholder influence

Education

Bachelor’s degree in Nursing/Healthcare Admin

Master’s degree preferred

CPHQ or Six Sigma

RN licensure preferred

Job description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Under the strategic leadership of the Vice President of Quality and Patient Safety, the Director of Quality and Performance Improvement leads hospital-wide initiatives that ensure high-quality, safe, and effective patient care. This leader drives clinical quality, peer review, and performance improvement programs while partnering with physicians, nursing, and administrative teams to foster a culture of safety, accountability, and continuous improvement across the organization.

As a successful candidate, you will:

• Lead the hospital’s clinical quality program, ensuring alignment with organizational goals
• Monitor and improve key hospital quality indicators such as mortality, readmissions, and patient safety outcomes
• Partner with physician and nursing leadership to implement evidence-based care practices
• Oversee quality data collection, validation, and reporting to regulatory agencies
• Direct medical staff peer review processes
• Lead performance improvement initiatives using methodologies such as PDSA, Lean, Six Sigma
• Develop and present quality dashboards, scorecards, and insights to executive leadership
• Collaborate with risk and patient safety teams to support a culture of transparency and safety
• Serve as a strategic advisor to senior leadership and drive organization-wide quality initiatives

Your qualifications should include:

• Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or related field
• 5+ years of progressive leadership experience in hospital quality, performance improvement, or clinical operations
• Expertise in peer review, OPPE/FPPE, and hospital regulatory compliance
• Strong knowledge of quality metrics, data analytics, and performance improvement methodologiesAdvanced analytical, communication, and leadership skills
• Proven ability to influence physicians and senior stakeholders
• Master’s degree (MHA, MPH, MSN, MBA, or related) preferred
• Certification CPHQ or Six Sigma preferred
• Clinical licensure (RN or other) preferred

Additional Information:

Job Status: Full time, exempt

Salary range $136,715 - $228,314

City of Hope employees’ pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.