Quality Improvement Consultant II - Physician Peer Review

Baylor Scott & White Health; Grapevine (TX); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Tuition reimbursement

PTO Day 1

Job summary

Baylor Scott & White Health in Texas seeks a senior internal consultant to lead quality and patient safety initiatives across medium to large projects. You will drive improvements, mentor teams, and ensure compliance with regulatory standards while aligning with BSWH strategy.

Responsibilities include coordinating cross‑functional projects, developing indicators, and delivering timely reports to stakeholders, with a focus on high‑quality, safe care and measurable outcomes.

Qualifications

• EDUCATION - Bachelor's
• EXPERIENCE - 5 Years of Experience

Responsibilities

• Serves as a senior internal consultant for quality and patient safety initiatives and medium to large scale projects through BSWH.
• Facilitates, coordinates, and manages projects for quality improvement teams and strategic planning sessions.
• Provides leadership, coaching, and mentoring to team members and managers in quality care and regulatory issues.
• Develops indicators with teams and monitors care quality based on evidence, regulations, and data testing.
• Prepares and submits timely reports on work team progress to stakeholders; includes barriers, lessons learned, and related topics for strategic improvement priorities.
• Uses audit strategies, data extraction, observation, surveys, focus groups, or other tools to improve care and service quality.

Skills

Strong communication

Leadership

Quality improvement

Data testing

Facilitation

Project management

Regulatory knowledge

Mentoring

Interpersonal skills

Education

Bachelor's degree

Tools

MS Excel

Quality data systems

Job description

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

Provides senior consultant expertise and leadership to teams. Achieves improved outcomes and sustainable change. Helps BSWH strategy deliver high‑quality, safe care. Achieves excellence by regulatory statutes, policies, and procedures.

Essential Functions Of The Role

• Serves as a senior internal consultant for quality and patient safety initiatives and medium to large scale projects through BSWH.
• Facilitates, coordinates, and manages projects for quality improvement teams and strategic planning sessions. Provides support for other meetings and committees as needed.
• Provides leadership, coaching, and mentoring to team members and managers in quality care and regulatory issues.
• In partnership with teams and managers, develops indicators and finds improvement opportunities. Monitors and evaluates care quality based on evidence, regulations, and data testing.
• Prepares and submits timely reports on work team progress to stakeholders. These reports include progress, barriers, lessons learned, and related topics for strategic improvement priorities.
• Works with staff to use audit strategies, data extraction, observation, surveys, focus groups, or other tools to improve care and service quality.
• Partners develop, interpret, and administer policies, procedures, and practices. They aim to provide high‑quality, safe care and meet federal and state requirements.
• Applies a wide range of data techniques, and process or quality improvement tools to drive improvements.
• Represents BSWH at local, regional, state, or national health care partners.
• Participates and/or manages unit and/or facility huddles.
• Helps the ZERO Harm rounding process as directed by leadership.

Key Success Factors

• Strong communication and interpersonal skills
• Registered Nurse preferred
• High level of confidentiality
• Strong clinical background
• Experienced knowledge of tools and techniques of quality performance measurement and data testing.
• Experienced knowledge of Texas, Joint Commission and CMS standards.
• Experienced knowledge of trends, developments, and research in providing high‑quality safe care.
• Skilled facilitator, coach, consultant, influencer.
• Management and strategic thinking skills
• Investigative and problem‑solving skills
• Skilled in the use of computers, and related software applications.
• Excellent verbal, social and written communication skills
• Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues.
• Able to work collaboratively and effectively with a wide range of stakeholders and across organizational lines and teams.
• Able to identify and deploy required project management processes, tools, and templates needed to successfully drive initiatives.
• Able to partner with key stakeholders to identify impediments to success and recommend and implement corrective action and/or mitigation.
• Able to work alone or with varying levels of direction or indirect supervision and guidance.
• Able to appropriately prioritize tasks to meet desired deadlines.
• Must achieve CPHQ, CPPS, or role‑appropriate certification within two years.
• Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.

Belonging Statement

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

Qualifications

• EDUCATION - Bachelor's
• EXPERIENCE - 5 Years of Experience