Executive Medical Director Surgical Quality

Position Highlights:

• Sign on bonus: (if applicable)

• Position:
  Executive Medical Director, Medical Group Surgical Quality

• Location:
  Evanston, IL and system-wide

• Full Time

• Hours:
  Monday-Friday, [hours and flexible work schedules]

• Required Travel: yes system wide

The purpose of the Executive Medical Director, Medical Group Surgical Quality serves as a key member of the Endeavor Health Department of System Surgery leadership team responsible for advancing surgical quality, patient safety, clinical outcomes, and performance improvement across the health system. This role provides strategic and operational leadership for the development, implementation, and oversight of system-wide surgical quality initiatives, ensuring adherence to evidence-based practices, regulatory standards, and organizational goals.

The position would have a 0.6 FTE administrative time expectation.

• Working collaboratively with surgeons, hospital leadership, nursing, quality, and operational teams, the physician executive drives standardization of care, reduces clinical variation, monitors quality and safety metrics, and fosters a culture of continuous improvement. The role serves as a key advisor to executive leadership on surgical quality strategy, performance, accreditation readiness, and opportunities to enhance patient outcomes, experience, and value across all surgical service lines.

• Value based care

• Collaborate with Value-based Care programs and EHPP to align incentives and outcomes

• Patient experience

• Lead efforts to standardize patient access, scheduling, throughput

• Develop and track ambulatory service metrics / KPI (wait times, call center responsiveness, digital access)

• "One Endeavor" culture in patient satisfaction and net promoter score

• Fosters a culture of patient-centered care, equity, and continuous improvement

• Clinical outcomes advancement

• Collaboration with other Departments/Centers and Hospitals to assure that clinical care and documentation meets regulatory requirements.

• Standardize clinical care

  • Develop systemwide specialty-specific operational playbook (clinical pathways, system service/clinical program rationalization)

  • Promote cross-specialty benchmarking to identify high-performing teams and spread best-practices

  • Implement lean and continuous improvement methods in ambulatory workflows

• Digital health/Data Integration

• Oversee integration of digital front-door tools (online scheduling, ambulatory navigation)

• Align specialty dashboards and analytics (access, quality, utilization, financials)

• Partner with IT and analytics teams to optimize Epic data and population health reporting

• Quality, Safety, and Risk Management

• Oversee specialty-related ambulatory safety initiatives (new procedures/instruments safe intro, test results)

• Align quality metrics with payer and system goals

• Partner with system risk management on incident review and prevention strategies

• Oversees Morbidity and Mortality Conferences throughout the system

• MD or DO degree from an accredited institution.

• Doctorate Medicine Required

• Board certification in a surgical specialty within the Department of Surgery (General Surgery, Surgical Oncology, Otolaryngology, Plastics, Ophthalmology, Trauma, Urology, Thoracic, Cardiac, Vascular).

• Current medical license (or eligibility) in the state of practice.

• 5+ Years of experience with Practicing physician in the areas of: EMR optimization, clinical informatics and Total Population Health

• Demonstrated leadership experience in quality improvement.

• Strong interpersonal, communication, and organizational skills.

• Commitment to excellence in patient care, teamwork, and professional development.

• Strong leadership characteristics and demonstrates self-confidence and is always able to articulate issues.

• Ability to plan, direct and coordinate all activities of assigned initiatives with minimal supervision.

• Demonstrated ability in representing the HIT department, its strategies and policies in appropriate administrative and clinical meetings.

• Demonstrate a high degree of motivation.

• Is committed to excellence, moderated where appropriate with business sense and practicality.

• Has a client service mentality and orientation and a bias for action.

• Possesses managerial skills that empower and develop others; is sensitive to others and fosters teamwork.

• Demonstrates stewardship in the application of ethics and the use of resources. Is sensitive to social and cultural issues.

• Project management proficiency

• Ability to work and communicate…