Associate Principal, Clinical Operating System; cOS

The Role

The Associate Principal will lead delivery of cOS engagements with health system clients, turning the operating model from concept into daily practice. This is field-based transformation work: standing with leaders and frontline teams in the work, helping them redesign how care is managed, escalated, coached, measured, and improved every day.

This is hands‑on transformation work—helping organizations redesign how care is delivered day‑to‑day.

You will assess, implement, and sustain cOS across clinical environments by coaching leaders and frontline teams in daily management routines, standard work, and adoption of a supporting technology platform.

Additionally, this role will be integral to the formation and buildout of this strategic service line within Press Ganey.

This is a role at the intersection of clinical operations, change management, and technology-enabled transformation
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• Remote (U.S.)
• ~80%, typically aligned to a primary client in the U.S. (Monday-Thursday onsite)

• Lead and support delivery of cOS engagements across the full lifecycle: assessment, implementation, go‑live, sustainment, and evolution
• Coach leaders at all levels—unit, department, hospital, and system—on adopting cOS standard work and daily management routines
• Translate cOS methodology into practical, observable behaviors that improve reliability, accountability, and frontline engagement
• Serve as a trusted, credible on‑site partner to clinical, operational, quality, safety, patient experience, and executive leaders
• Ensure implementations are both operationally sound and technology‑enabled, with software embedded into workflows—not operating alongside them
• Partner closely with product, engineering, and analytics teams to surface workflow insights, adoption barriers, and enhancement opportunities
• Support adoption of cOS tools (dashboards, rounding tools, escalation workflows, event reporting, reliability metrics)
• Identify opportunities to reduce manual work through improved workflow design, automation, integration, or configuration
• Contribute to building and scaling a new cOS service line, including playbooks, tools, and repeatable delivery models

• 15+ years of experience in healthcare to include operations, clinical transformation, performance improvement, or high‑reliability environments
• Deep experience across patient experience, employee experience, safety, and/or quality solutions
• Seeking a tech‑forward healthcare operator or implementation leader
• Have led real operational change in clinical settings
• Understand how product, data, dashboards, workflow tools, and integrations influence adoption
• Translate those insights into actionable improvements for both operations and technology teams
• Understands how technology shapes how work gets done
• Proven success implementing operational change—not just advising
• Deep experience with daily management systems (e.g., tiered huddles, leader rounding, visual management, escalation pathways, standard work)
• Ability to coach leaders in real time, from frontline managers to senior executives
• Strong systems thinking—able to distinguish local issues from broader operating model challenges
• Comfort working in active clinical environments (hospital units, shift changes, frontline workflows)
• Strong communication, facilitation, and relationship‑building skills
• High level of ownership, adaptability, and credibility with clients
• Bachelor’s degree required

The expected base salary for this position ranges from $145,000 - $230,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus or commission tied to achieved results.

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