Executive Director Quality - SJO

Overview

Description

Calling all Esteemed Leaders! Are you a transformational clinical quality leader who thrives in complex systems, inspires multidisciplinary teams, and drives excellence in patient safety, outcomes, and experience? If so, this Executive Director, Quality opportunity invites you to elevate the future of care for St. Joseph Health, Orange.

The Role:

The Executive Director, Quality serves as a key ministry and regional executive responsible for leading, coordinating, and advancing systemwide efforts to deliver cost effective, efficient, high quality, and safe care across the Southern California service area. Reporting to the Regional Chief Quality Officer (CQO) - with a dotted line to the ministry Chief Medical Officer (CMO) - this role bridges strategy, clinical operations, regulatory compliance, and performance improvement.

The Executive Director provides strategic clinical leadership and direct oversight of quality, performance improvement, analytics, clinical risk, patient safety, regulatory compliance, peer review, infection prevention, care experience, and grievance/complaint management. In partnership with the CQO and regional Infection Prevention leadership, this role shapes and monitors the Providence St. Joseph Health Quality Strategic Plan (QSP) across ministry and service area operations.

As a handson expert, the Executive Director guides improvement sustainability, brings forward best practices, leverages data for decision making, leads patient safety/HRO structures, supports RCA and FMEA processes, and contributes to regional and national quality initiatives. This role ensures ministries remain compliant, resilient, patient centered, and strategically aligned.

• Champion and model Providence's Mission, Vision, and Core Values; inspire physicians, caregivers, and leaders to do the same.
• Lead quality, safety, infection prevention, care experience, clinical risk, grievances, and performance improvement across the service area.
• Serve as clinical dyad partner for the service area, strengthening the clinicaloperational connection.
• Develop and implement strategies that ensure high quality, cost effective, efficient care delivery and optimal patient experience.
• Partner with ministry leaders to design structures, governance, and services that advance clinical outcomes and care redesign.
• Create a compelling strategic vision for clinical excellence and value for PSJH in the region.
• Assess current quality and safety performance, benchmarking practices and outcomes against system and industry expectations.
• Ensure operational and clinical systems support regional quality and patient safety goals; deploy improvement initiatives across ministries.
• Identify, integrate, and spread best practices to strengthen physician engagement and accelerate value based care.
• Coordinate and align regional and local quality/safety initiatives; improve communication, transparency, and consistency across ministries.
• Ensure robust scorecards, dashboards, and analytic systems to track and communicate care delivery, safety, and clinical performance trends.
• Monitor patient safety and care experience trends; recommend changes, collaborate closely with risk leadership, and support clinical loss prevention.
• Colead Clinical Effectiveness initiatives with the Regional CQO to decrease cost per case and improve efficiency.
• Participate in ongoing development of information systems for measuring quality and safety outcomes.
• Represent the service area in PSJH Clinical Council meetings; contribute to regional strategy alongside the CQO.
• Provide leadership for acute care ministry quality and safety teams; participate in MOR meetings and relevant governance committees.
• Support region wide development of patient safety, quality improvement, and reporting systems; ensure accurate internal/external reporting of quality measures.

• Education
• Master's Degree in Nursing, Public Health, Business Administration, Medical Management, or related field or
• M.D. or D.O., or equivalent education/experience
• Certifications & Licensure
• California RN License (preferred)
• Experience
• 7 years of clinical leadership experience
• 5 years of senior management experience leading clinical quality improvement in a large healthcare organization
• Experience in a complex, multisite health system
• Experience with The Joint Commission (TJC) and DNV accreditation processes and standards
• Skills & Competencies
• Demonstrated ability to build and lead quality programs in hospital settings
• Expertise in clinical program development, evidence based practice, and process improvement
• Experience with clinical risk mitigation, patient safety programs, and infection prevention
• Strong ability to build trusting relationships with physicians and ministry leaders
• Ability to use data and reporting to drive urgency, accountability, and improvement
• Deep understanding of culture of safety principles and tools
• Strong influencing skills within a highly matrixed organization
• Demonstrated success executing…