Quality Evaluation Manager

Mass General Brigham; Boston (MA); On-site; USD 80,000 - 116,000; Full time

Benefits offered by this job

Medical

Dental

Vision

403(b) retirement plan

Tuition reimbursement

MBTA pass discount

Job summary

Mass General Brigham is seeking a Quality Evaluation Manager to oversee the assessment and improvement of healthcare quality standards and outcomes. You will manage quality evaluation programs, analyze performance data, and implement strategies to enhance patient care, safety, and operational efficiency while ensuring compliance with regulatory and accreditation requirements.

This hands-on role requires analyzing complex data in Excel (macros, pivots, formulas) and communicating findings to

Qualifications

• Experience in quality improvement, evaluation, or a related role, preferably within a healthcare setting (5-7 years)
• Leadership or supervisory experience (3-5 years)
• In-depth knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies
• Proficient analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to collaborate effectively with multidisciplinary teams
• Detail-oriented with a focus on accuracy in data analysis and reporting

Responsibilities

• Leads the development, implementation, and management of quality evaluation programs to assess the performance of clinical and operational processes.
• Analyzes healthcare data, including patient outcomes, safety incidents, and compliance with quality standards, to identify trends and areas for improvement.
• Monitors key performance indicators and benchmarks to evaluate the effectiveness of quality improvement initiatives and identify opportunities for enhancement.
• Develops and implements quality improvement initiatives aimed at enhancing patient care, safety, and overall facility performance.
• Collaborates with clinical and administrative leaders to integrate leading practices into daily operations and ensure adherence to quality standards.
• Ensures that the facility meets all regulatory requirements, accreditation standards, and industry guidelines related to healthcare quality and safety.
• Oversees the collection, analysis, and reporting of quality data to internal and external stakeholders, including leadership, regulatory agencies, and accreditation bodies.
• Prepares comprehensive reports for hospital leadership, regulatory agencies, and quality improvement committees.
• Works closely with patient safety and risk management teams to identify and mitigate risks related to patient care and facility operations.
• Leads root cause analysis and failure mode and effects analysis to address quality and safety issues and prevent recurrence.
• Identifies and prioritizes quality initiatives that align with the organization’s goals and drive measurable improvements in care delivery.

Skills

Data analysis

Excel

Communication skills

Leadership

Collaboration

Attention to detail

Education

Bachelor’s Degree Related Field of Study

Master’s Degree Related Field of Study preferred

Job description

Site: The General Hospital Corporation

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Responsible for overseeing the assessment and improvement of healthcare quality standards and outcomes. This position involves managing quality evaluation processes, analyzing performance data, and implementing strategies to enhance patient care, safety, and operational efficiency, ensuring that the facility adheres to regulatory requirements, accreditation standards, and leading practices while fostering a culture of continuous improvement.

This role requires hands-on analysis of quality and performance data. Successful candidates will be expected to personally perform complex data analysis and reporting, rather than solely overseeing analytical functions or interpreting reports prepared by others.

Essential Functions

• Leads the development, implementation, and management of quality evaluation programs to assess the performance of clinical and operational processes.
• Analyzes healthcare data, including patient outcomes, safety incidents, and compliance with quality standards, to identify trends and areas for improvement.
• Monitors key performance indicators and benchmarks to evaluate the effectiveness of quality improvement initiatives and identify opportunities for enhancement.
• Develops and implements quality improvement initiatives aimed at enhancing patient care, safety, and overall facility performance.
• Collaborates with clinical and administrative leaders to integrate leading practices into daily operations and ensure adherence to quality standards.
• Ensures that the facility meets all regulatory requirements, accreditation standards, and industry guidelines related to healthcare quality and safety.
• Prepares for and leads quality evaluations, audits, and accreditation surveys, ensuring all documentation and processes are in compliance.
• Oversees the collection, analysis, and reporting of quality data to internal and external stakeholders, including leadership, regulatory agencies, and accreditation bodies.
• Prepares comprehensive reports for hospital leadership, regulatory agencies, and quality improvement committees.
• Works closely with the patient safety and risk management teams to identify and mitigate risks related to patient care and facility operations.
• Leads root cause analysis and failure mode and effects analysis to address quality and safety issues and prevent recurrence.
• Identifies and prioritize quality initiatives that align with the organization’s goals and drive measurable improvements in care delivery.
  -Strong data analysis experience, particularly in Excel (e.g., building macros, pivot tables, formulas, automated templates, etc.) is required
  -Familiarity with quality and safety metrics is strongly preferred
  -Ability to work independently with minimal supervision and take initiative to ask questions, validate data, proactively identify and address issues, and work in a highly matrixed environment with disparate data sources and evolving data needs
  -Ability to manage confidential and highly sensitive information
  -Growth mindset: willingness to receive feedback, learn and adapt performance accordingly
  -Strong written and oral communication skills and presentation skills; able distill data into key conclusions, and professionally and sensitively communicate these, adapting communications for various audiences as appropriate

Qualifications

Education

Bachelor’s Degree Related Field of Study required or Master’s Degree Related Field of Study preferred

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

Experience

Experience in quality improvement, evaluation, or a related role, preferably within a healthcare setting 5-7 years required and Leadership or supervisory experience 3-5 years required

Knowledge, Skills and Abilities

• In-depth Knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies.
• Proficient analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to collaborate effectively with multidisciplinary teams.
• Detail-oriented with a focus on accuracy in data analysis and reporting.
• Proficient leadership, interpersonal, and communication skills.

Additional Job Details (if applicable)

Department: MGH Orthopedics

Schedule: Monday - Friday | Flexible Hours | Hybrid

Benefits: Medical, Dental, Vision, 403b retirement plan, tuition reimbursement, discounted MBTA pass & more!

Step into a role where you can drive meaningful impact on the care of patients who require orthopedic surgery. We are seeking a Quality Evaluation Manager who can leverage various sources of data to inform decision-making about key initiatives focused on quality and safety initiatives. This individual will bring a strong foundation in quality improvement, patient safety, and data analysis to help identify trends, evaluate performance, and support continuous improvement efforts across the MGB system.

Remote Type

Hybrid

Work Location

32 Fruit Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$79,560.00 - $115,720.80/Annual

Grade

7

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.