Director - Performance Improvement Office

Billings Clinic; Billings (MT); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

Retirement plan

Paid time off

Wellness program

Job summary

Billings Clinic is seeking a Director for the Performance Improvement Office to lead strategic initiatives, aligning organizational priorities with measurable outcomes across departments. This role drives continuous improvement, governs the improvement portfolio, and supports leaders in achieving performance goals.

The position requires strong leadership, change management expertise, and a track record of delivering enhanced patient outcomes within a large health system.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field.
• 5-6 years in healthcare leadership roles.
• Strong analytical and communication skills.

Responsibilities

• Leads the development, execution, and oversight of strategic improvement initiatives.
• Partners with leaders to align priorities and allocate resources.
• Directs governance and management of the improvement portfolio.
• Oversees performance management systems and reporting processes.
• Facilitates cross-functional initiatives to improve quality, safety, and patient outcomes.
• Coaches leaders in project management and change management.

Skills

Leadership

Performance improvement

Project management

Change management

Team development

Education

Bachelor's degree in Business/Healthcare Administration

Job description

Director - Performance Improvement Office

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Director - Performance Improvement Office

PERFORMANCE IMPROVEMENT OFFICE (Billings Clinic Main Campus)

req13142

Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
Starting Wage DOE

Leads the development, execution, and oversight of strategic improvement initiatives that advance organizational performance, operational excellence, quality, and patient outcomes. Partners with leaders across the organization to align priorities, drive measurable results, build improvement capability, and ensure effective deployment of goals and resources. Fosters a culture of continuous improvement by providing leadership in performance management, change management, process improvement, and team development.

Essential Job Functions

• Partners with senior and operational leaders to align performance improvement priorities with organizational goals, translating strategic objectives into actionable initiatives with clear outcomes, measures, and accountability.
• Directs the governance and management of the improvement portfolio, including project intake, prioritization, resource allocation, progress monitoring, risk mitigation, and performance reporting.
• Leads planning and goal deployment processes, ensuring organizational priorities are effectively communicated, implemented, and tracked through structured review and accountability systems.
• Oversees the development and maintenance of performance management systems, including scorecards, operational metrics, project measures, and reporting processes that support informed decision-making and continuous improvement.
• Facilitates and supports complex cross-functional initiatives that improve operational effectiveness, patient experience, quality, safety, access, productivity, and organizational performance.
• Provides expertise in project management, process improvement, change management, and organizational effectiveness, coaching leaders and teams to achieve sustainable results and foster a culture of continuous improvement.
• Manages departmental operations, budgets, staffing, and resources, ensuring effective stewardship of fiscal, human, and physical assets while meeting organizational objectives.
• Builds and leads a high-performing team through effective recruitment, development, performance management, communication, and employee engagement practices that support organizational values and strategic goals.
• Talent Management: Recruits, develops, and retains high-performing teams. Fosters employee engagement and professional growth. Conducts performance evaluations and provide coaching Promotes diversity, equity, inclusion, and belonging. Models role with professionalism and integrity. Inspires trust and credibility among staff and leadership.
• Leadership Builds collaborative relationships across departments. Models ethical behaviors, professionalism and integrity. Monitors key performance indicators (KPIs), productivity, and resource utilization. Manages budgets responsibly. Leads organizational change effectively. Demonstrates resilience, adaptability, and emotional intelligence.
• Decision-Making and Accountability: Makes timely, data-driven decisions. Balances clinical, operational, financial, and employee considerations. Accepts accountability for results. Demonstrates sound judgment during routine and crisis situations.
• Compliance Management: Ensures compliance with regulatory, accreditation, and legal requirements. Maintains readiness for surveys and audits. Supports patient safety initiatives and risk mitigation practices. Upholds ethical standards and organizational policies.
• Business Acumen: Demonstrates and further develops competencies in the areas of leadership, fiscal management, employee engagement, human resources knowledge, organizational dynamics and governance, organizational communication, strategic planning, change management, risk management, compliance, patient safety and quality improvement.
• Standard Expectations: Takes responsibility for professional growth and development needs; meets all educational requirements. •Practices and implements process improvement principles and oversees assessment and in areas of responsibility.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.

Minimum Qualifications

Education

• Minimum 4 Year / Bachelors Degree in Business, Healthcare Administration, or related field.
• Preferred other In related field.

Experience

• 5-6 years successful experience working in leadership role.
• 5-6 years experience working in healthcare, preferred.
• Ability to demonstrate elevated levels of integrity, good judgment, assertiveness and adherence to industry best practice standards.

Certifications and Licenses

• Valid Driver License At hire Ability to be insured to operate organization vehicles.

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.