Sr Manager of Quality Performance Improvement

Trinity Health; United States; On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life Insurance

403(b) with match

PTO and Holidays

Job summary

Pittsburgh Mercy seeks a Senior Manager of Quality Performance Improvement to lead enterprise-wide quality initiatives, performance measurement, and organizational learning. You will partner with clinical, operational, and executive leaders to translate data into actionable improvements that advance safety, access, and outcomes.

This role drives governance, benchmarking, and continuous improvement, using Lean and PDSA approaches to deliver measurable results and sustainment across diverse

Qualifications

• Bachelor's degree in public health, healthcare administration, nursing, social or behavioral science, data analytics, quality improvement, health informatics, or a related field required; master's degree strongly desired.

Responsibilities

• Lead Pittsburgh Mercy's Quality Improvement Program and Annual Quality Plan, ensuring alignment with organizational priorities and continuous improvement objectives.
• Align quality priorities with organizational strategy, accreditation standards, regulatory requirements, payer expectations, and performance goals.
• Facilitate quality governance activities and provide strategic recommendations to executive leadership to drive organizational performance and accountability.
• Develop, implement, and maintain enterprise-wide performance measurement systems, dashboards, scorecards, and reporting structures.
• Establish and oversee standardized metrics, data definitions, and governance practices to ensure data accuracy, consistency, transparency, and informed decision-making.
• Analyze clinical, operational, financial, quality, workforce, safety, and patient experience data to identify trends, performance gaps, risks, and opportunities for improvement.
• Utilize internal and external benchmarks, industry standards, and best practices to evaluate organizational performance, identify improvement opportunities, and inform strategic decision-making.
• Establish proactive monitoring systems to identify emerging operational, quality, safety, workforce, access, and patient experience concerns before they are reflected in formal performance reports.
• Monitor incidents, grievances, adverse events, complaints, and other performance indicators to identify patterns, risks, and opportunities for intervention.
• Communicate findings, insights, and actionable recommendations to organizational leaders and support the development and implementation of effective response strategies and improvement initiatives.
• Improvement and Change Leadership Lead and facilitate enterprise-wide and cross-functional performance improvement initiatives that address strategic priorities, operational challenges, and organizational performance gaps.
• Apply proven quality improvement methodologies, including Lean, Plan-Do-Study-Act (PDSA), process mapping, root cause analysis, and other evidence-based approaches to drive measurable outcomes.
• Partner with leaders to develop and implement action plans, monitor progress, address barriers to execution, and sustain long-term improvements.
• Collaborate with clinical and operational leaders to advance patient and client safety, experience, access, outcomes, and health equity across the organization.
• Engage patients, clients, families, and staff in performance improvement efforts to ensure diverse perspectives are incorporated into the design, implementation, and evaluation of improvement strategies.

Skills

Quality Improvement Leadership

Data Analysis

Leadership

Communication

Problem Solving

Project Management

Cross-functional Collaboration

Virtual Collaboration

Education

Bachelor's Degree

Master's Degree

Job description

Employment Type: Full time Shift: Description: The Senior Manager, Quality Performance Improvement leads Pittsburgh Mercy's enterprise-wide approach to quality, performance improvement, and organizational learning. This role is responsible for helping the organization assess performance, identify emerging risks and opportunities, and ensure that improvement initiatives result in measurable, sustainable outcomes. Working in close partnership with clinical, operational, and executive leaders, the Senior Manager integrates data analytics, frontline insights, patient and client feedback, regulatory requirements, and strategic priorities to inform decision-making and drive organizational excellence across Pittsburgh Mercy's diverse service lines. Serving as both a strategic advisor and a leader of improvement initiatives, this position guides programs from problem identification through solution implementation and sustainment. The role is focused on advancing care quality, patient and client safety, access, operational efficiency, regulatory compliance, and overall outcomes while fostering a culture of continuous improvement and learning throughout the organization.

WHAT YOU WILL DO

• Quality and Performance Management Lead Pittsburgh Mercy's Quality Improvement Program and Annual Quality Plan, ensuring alignment with organizational priorities and continuous improvement objectives.
• Align quality priorities with organizational strategy, accreditation standards, regulatory requirements, payer expectations, and performance goals.
• Facilitate quality governance activities and provide strategic recommendations to executive leadership to drive organizational performance and accountability.
• Develop, implement, and maintain enterprise-wide performance measurement systems, dashboards, scorecards, and reporting structures.
• Establish and oversee standardized metrics, data definitions, and governance practices to ensure data accuracy, consistency, transparency, and informed decision-making.
• Analyze clinical, operational, financial, quality, workforce, safety, and patient experience data to identify trends, performance gaps, risks, and opportunities for improvement.
• Utilize internal and external benchmarks, industry standards, and best practices to evaluate organizational performance, identify improvement opportunities, and inform strategic decision-making.
• Establish proactive monitoring systems to identify emerging operational, quality, safety, workforce, access, and patient experience concerns before they are reflected in formal performance reports.
• Monitor incidents, grievances, adverse events, complaints, and other performance indicators to identify patterns, risks, and opportunities for intervention.
• Communicate findings, insights, and actionable recommendations to organizational leaders and support the development and implementation of effective response strategies and improvement initiatives.
• Improvement and Change Leadership Lead and facilitate enterprise-wide and cross-functional performance improvement initiatives that address strategic priorities, operational challenges, and organizational performance gaps.
• Apply proven quality improvement methodologies, including Lean, Plan-Do-Study-Act (PDSA), process mapping, root cause analysis, and other evidence-based approaches to drive measurable outcomes.
• Partner with leaders to develop and implement action plans, monitor progress, address barriers to execution, and sustain long-term improvements.
• Collaborate with clinical and operational leaders to advance patient and client safety, experience, access, outcomes, and health equity across the organization.
• Engage patients, clients, families, and staff in performance improvement efforts to ensure diverse perspectives are incorporated into the design, implementation, and evaluation of improvement strategies.

MINIMUM QUALILFICATIONS

• Bachelor's degree in public health, healthcare administration, nursing, social or behavioral science, data analytics, quality improvement, health informatics, or a related fieldrequired; master's degree strongly desired.
• At least 7+ years of progressively responsible experience in healthcare performance improvement, quality improvement, analytics, clinical operations, or a closely related field, including at least 2 years leading complex cross-functional initiatives, portfolios, teams, or enterprise governance work.
• Must be action-oriented, have business acumen, manage conflict well, be customer focused, have high decision quality, flexibility to adapt to ongoing change and have organizational agility.
• Ability to work with minimal supervision and exercise independent judgment.
• Possess interpersonal skills to drive collaboration, commitment and productivity when working with cross-functional teams, customers and end users.
• Must be comfortable functioning in a virtual, collaborative shared leadership environment.
• Demonstrates superior written and verbal communication and presentation skills appropriate for audience comprehension.
• Well-developed communication skills, both written and oral, that may be used either in an on-site or virtual environment are required.
• Able to communicate effectively with individuals and groups representing diverse perspectives.
• Possesses a high degree of personal accountability, responsibility and independent decision-making abilities with the skills to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures of the organization in line with mission, vision, and philosophy of Pittsburgh Mercy.
• Excellent organizational skills.
• Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills.
• Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions.
• Ability to change and be flexible with work priorities.
• Strong problem-solving skills.
• Act 33/34 and FBI clearances Pre-Employment Drug Screen Valid driver’s license

SCHEDULE

• SCHEDULE: (exempt) - Monday through Friday, along with some non-traditional business hours as needed.
• Comprehensive Benefit Package starts Day 1 of employment: Medical, Dental, Vision; Life Insurance, 403B with employer match; Paid Time Off (PTO); Paid Holiday Days; Plus more....

ABOUT PITTSBURGH MERCY

We are a community-based health and human services organization using person-centered care to treat our area’s most vulnerable populations. We work with families in settings that are safe and familiar to them, and view them as equal partners when planning, developing, and monitoring care. Our mission is to be a compassionate, transforming presence within our communities. We reach out to offer help - and hope - to people who are experiencing: Mental illness and substance use; Physical health needs; Intellectual disabilities; Traumatic events or circumstances, including homelessness + abuse.

OUR COMMITMENT

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well‑being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.