Manager, Quality Improvement Patient Experience

Baylor Scott & White Health; Frisco (TX); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Tuition Reimbursement

PTO accrual Day 1

Job summary

Baylor Scott & White The Heart Hospital – Frisco is building a premier cardiovascular care team. The Manager Quality Improvement will oversee patient experience initiatives, guest services, and volunteers, driving initiatives that enhance patient and family experiences through data-driven quality programs.

This role leads BSWH’s quality priorities, collaborates with facility leadership, and ensures compliance with regulatory standards, patient safety goals, and continuous improvement across the

Qualifications

• Masters or Bachelor’s degree required.
• 5 years of healthcare quality improvement experience.
• CPHQ or CPXP certification preferred.
• Experience in patient safety and regulatory compliance.

Responsibilities

• Plan, direct, and monitor continuous quality improvement across facilities.
• Provide training and materials to leadership and staff on quality priorities.
• Develop and enforce policies, processes, and procedures.
• Monitor performance gaps and drive data‑driven improvements.
• Prepare timely reports on progress and lessons learned.

Skills

Quality measurement

Data analysis

Project management

Regulatory standards

Leadership

Communication

Education

Masters or Bachelor’s degree

Job description

Baylor Scott & White The Heart Hospital – Frisco, Texas

Be Part Of What’s Next In Cardiovascular Care

An extraordinary opportunity is taking shape in Frisco, Texas—and we invite you to help build it.
Baylor Scott & White The Heart Hospital - Frisco is preparing to open its doors in Spring 2027, and we are assembling an elite team of cardiovascular professionals who want more than a job—they want to help define the future of heart care in one of the nation’s fastest‑growing regions.
As a new team member, you’ll play a pivotal role in shaping a new, state‑of‑the‑art heart hospital designed with one purpose in mind: delivering world‑class, patient‑centered cardiovascular care.
In anticipation of our opening, select roles will begin as early as Summer 2026, allowing you to complete comprehensive orientation and training at our nationally recognized Baylor Scott & White Heart Hospitals. This immersive experience ensures you are fully prepared, aligned with our culture, and equipped with the highest standards of clinical excellence well before the Frisco campus opens.

About Us

Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well.

Our Core Values Are

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

This position will be responsible for all patient experience initiatives for The Heart Hospital Frisco. This position will also have oversight of Guest Services as well as volunteers. This role will be responsible for effectively utilizing patient experience data to drive initiatives that enhance the patient and family experience.
The Manager Quality Improvement manages people and develops programs and projects. These efforts aim to achieve transformation and sustainable change. This helps the BSWH strategy deliver high-quality, safe care and achieve excellence for patients and members by regulatory statutes, policies, and procedures.

Essential Functions Of The Role

• Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.
• Ensures progress toward the BSWH goal of high reliability. Provides facilitation, mentorship, training, and materials to train and educate leadership, facility staff, and departmental staff. Helps in patient safety, quality care, and regulatory compliance.
• Develops, interprets, and reviews changes. Helps implement policies, processes, and procedures. Supports BSWH patient safety, quality priorities, and compliance with regulations.
• Ensures improvement initiatives link to the organization's strategic and tactical priorities. Emphasizes process efficiency and effectiveness. Enables breakthrough process changes and improvements.
• Monitors key processes and outcomes. Identifies performance gaps and recommends strategies for improvement. Applies data techniques and quality improvement tools to drive improvements. Tracks and examines project performance against plans to ensure return on investment.
• Serves as change agent for various stakeholders charged with clinical operations at BSWH entities.
• Works closely with facility leadership and teams. Uses audit strategies, data extraction, observation, surveys, and focus groups to improve care and service quality.
• Prepares and submits timely reports on work team progress to stakeholders. These reports include progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.
• Participates in or manages BSWH quality improvement efforts like unit huddles and ZERO Harm Rounds.
• Ensures successful departmental leadership by providing staffing resources and budget compliance. It also includes effective communication and team development with performance evaluation.

Key Success Factors

• Professional knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives
• Professional knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care
• Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills
• Excellent verbal, social, and written communication, and exceptional computer/technology skills
• Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues
• Able to work well with key stakeholders and teams. Identify challenges and recommend corrective actions. Prioritize tasks to achieve BSWH safety and quality goals.
• Able to manage, monitor, help, and develop direct and indirect reports to ensure personal and departmental success
• Hold or be willing to achieve CPHQ, CPPS, or a manager-approved certification within the first two years of hire.
• Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.
• Certification - Certified Patient Experience Professional (CPXP)

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

Qualifications

• EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification
• EXPERIENCE - 5 Years of Experience