Professional Practice Evaluation Coordinator - Clinical Quality Analytics -Baptist Jacksonville

Baptist Health System, Inc.; Oregon; Hybrid; USD 70,000 - 110,000; Full time

Job summary

Baptist Health System, Inc. in Jacksonville, FL, seeks a Professional Practice Evaluation Coordinator to support provider quality, regulatory compliance, and credentialing across the health system.

This role coordinates the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) to ensure practitioner performance is monitored, documented, and reported in line with accreditation standards.

Qualifications

• BSN required and RN license active.
• Clinical nursing experience required; healthcare quality experience preferred.
• Strong analytical, organizational, and problem-solving skills.
• Advanced proficiency with Microsoft Excel and healthcare data management.
• Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation preferred.
• CPHQ preferred.

Responsibilities

• Coordinate OPPE and FPPE activities for medical staff and providers.
• Collect, analyze, and validate practitioner performance data from multiple sources.
• Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees.
• Maintain accurate and confidential records related to professional practice evaluations, peer review activities, and provider performance.
• Collaborate with medical staff leadership, quality teams, department leaders, and hospital administration to support quality and regulatory initiatives.
• Monitor compliance with Joint Commission, CMS, and organizational requirements.
• Conduct audits and assist with survey readiness activities.
• Identify opportunities for process improvement and support implementation of best practices.
• Educate stakeholders on professional practice evaluation processes and requirements.

Skills

Analytical thinking

Organizational skills

Problem solving

Healthcare data management

Education

Bachelor of Science in Nursing (BSN)

Tools

Microsoft Excel

Job description

About Baptist HealthRecognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as "most preferred" for more than 30 years. We're Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.Baptist Health is seeking a Professional Practice Evaluation Coordinator to support provider quality, regulatory compliance, and credentialing initiatives across the health system. This role is responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes, ensuring practitioner performance is monitored, documented, and reported in accordance with accreditation and regulatory standards.

Key Responsibilities

• Coordinate OPPE and FPPE activities for medical staff and providers.
• Collect, analyze, and validate practitioner performance data from multiple sources.
• Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees.
• Maintain accurate and confidential records related to professional practice evaluations, peer review activities, and provider performance.
• Collaborate with medical staff leadership, quality teams, department leaders, and hospital administration to support quality and regulatory initiatives.
• Monitor compliance with Joint Commission, CMS, and organizational requirements.
• Conduct audits and assist with survey readiness activities.
• Identify opportunities for process improvement and support implementation of best practices.
• Educate stakeholders on professional practice evaluation processes and requirements.

Qualifications

• Bachelor of Science in Nursing (BSN) required.
• Active Registered Nurse (RN) license required.
• Clinical nursing experience required; healthcare quality experience preferred.
• Strong analytical, organizational, and problem-solving skills.
• Advanced proficiency with Microsoft Excel and healthcare data management.
• Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Why Join Baptist Health?

This role offers an opportunity to partner with physicians, medical staff leaders, and quality teams to enhance provider performance, support accreditation readiness, and promote high-quality patient care throughout the organization.

Primary Location: Downtown - Pavilion 836 Prudential Dr Jacksonville, FL 32207 United States of America