Director, Patient Safety & Quality Improvement

UMC Health System; Lubbock (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

UMC Health System is seeking an experienced executive to lead performance improvement, accreditation, and patient safety programs. You will oversee regulatory compliance for Hospital Quality Reporting, CMS submissions, and safety initiatives across the organization.

Responsibilities include data-driven oversight, development of quality dashboards, and collaboration with senior leaders to enhance patient outcomes and reliability.

Qualifications

• Master’s degree required; RN licensure in Texas preferred.
• Minimum five years of healthcare experience in patient safety, risk, or quality in acute care.

Responsibilities

• Lead accreditation readiness and compliance activities; oversee surveys and continuous survey preparedness across departments.
• Provide leadership and coordination of external benchmarking, clinical databases, and registry activities related to outcomes data.
• Oversee hospital quality measures, regulatory submissions to CMS, HVBP, HRRP, HACRP, and related programs.
• Identify quality improvement opportunities through data analysis and external benchmarking; develop dashboards and performance metrics.
• Collaborate with leaders and medical staff to address factors contributing to adverse patient outcomes and safety.

Skills

Leadership

Data analysis

Regulatory knowledge

Project management

Education

Master’s degree in Business Administration, Healthcare Administration, Nursing (RN in TX)

Tools

MS Office

Excel

Job description

UMC Health System is seeking an experienced executive to lead performance improvement, accreditation, and patient safety programs. You will oversee regulatory compliance for Hospital Quality Reporting, CMS submissions, and safety initiatives across the organization.

Responsibilities include data-driven oversight, development of quality dashboards, and collaboration with senior leaders to enhance patient outcomes and reliability.