Manager of Quality and Performance Improvement, Quality Indicators, FT, 8A-4:30P

Baptist Health Boca Raton Regional Hospital; Boca Raton (FL); On-site; USD 108,000 - 143,000; Full time

Benefits offered by this job

Career growth opportunities

Health and wellness resources

Tuition reimbursement

Job summary

Baptist Health is seeking an experienced Performance Improvement Manager to oversee the hospital's PI activities, including the QAPI program and regulatory compliance. This role leads PI teams, coordinates projects, and reports to executive leadership based on entity requirements.

Ideal candidate has 5+ years in hospital quality management, RN licensure with CNHQ CPQ? The position offers competitive salary and benefits, including tuition reimbursement and professional development opportunities.

Qualifications

• Bachelor degree required (BSN or equivalent) with nursing licensure.
• Experience leading PI/QAPI initiatives in a hospital setting.
• Knowledge of regulatory standards and accreditation processes.

Responsibilities

• Manage the hospital's Performance Improvement activities and PI committee coordination.
• Lead QAPI program oversight, regulatory compliance, and data analysis.
• Coordinate PI projects, track outcomes, and report to executives.
• Collaborate with clinical leadership to drive quality improvements.

Skills

PI leadership

QAPI

Regulatory compliance

Performance Improvement

Team leadership

Education

BSN

MS in Healthcare

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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.

Benefits

At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Description

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 $107760.50 - $143321.47 / year depending on experience.

Qualifications

• Bachelors.

Licenses & Certifications

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

Additional Qualifications

• 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.
• Minimum Required Experience: 5 Years

EOE, including disability/vets