Professional Practice Evaluation Coordinator - Clinical Quality Analytics - Baptist Jacksonville

BHS; United States; Remote; USD 85,000 - 115,000; Full time

Job summary

Baptist Health in Downtown Jacksonville, FL, is seeking a Professional Practice Evaluation Coordinator to oversee OPPE/FPPE processes and support provider quality, regulatory compliance, and credentialing across the health system.

The role requires a BSN and an active RN license, with clinical nursing and healthcare quality experience preferred. Proficiency in Excel and data management is essential for auditing, reporting, and improvement efforts across 200+ locations.

Qualifications

• BSN required.
• Active 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.

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 skills

Organizational skills

Problem-solving

Healthcare data management

Communication

Excel proficiency

Education

BSN

Tools

Microsoft Excel

Job description

About Baptist Health
Recognized 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 - Pavilion836 Prudential DrJacksonville, FL 32207United States of America