Quality Safety Regulatory Project Manager

• Lead and manage UMass Memorial Medical Center-wide quality, performance improvement, patient safety, regulatory compliance and sustainability efforts using a data-driven approach
• Lead performance improvement activities in selected departments and divisions
• Conduct quality and patient safety assessments, analyses, facilitation, information-system solution identification, communication and best-practice implementation
• Lead change management and facilitate sustainable performance and process improvement strategies
• Build business cases for Quality and Safety, considering ROI, regulatory or contractual requirements and strategic advantages
• Ensure compliance and readiness for regulatory, licensing and oversight reviews, inspections, reporting and applications
• Establish priorities using performance data, risk, volume, problem-prone processes, external drivers and performance-improvement tools
• Foster creativity, learning systems and evidence-based, patient-centric innovations
• Coach and mentor individuals and teams in performance improvement strategies
• Identify organizational risks and collaborate with Risk Management to improve process and operational effectiveness
• Assess, design and evaluate Patient Safety and Regulatory processes
• Develop and implement risk-reduction strategies and action plans
• Apply FMEA, RCA, checklists and project plans to improve safe healthcare delivery
• Analyze project measures and evaluate process-improvement efforts
• Collaborate with Quality Analytics and Applied Informatics
• Perform qualitative and quantitative data analysis and prepare data for committee and project meetings
• Support intake and basic data analysis for quality and safety projects
• Facilitate analysis and interpretation of organizational outcomes data
• Design and maintain quality-reporting, project and dashboard reports and troubleshoot related issues
• Participate in regulatory surveys and collaborate with regulatory agencies and the community
• Educate management on regulatory and accreditation requirements
• Participate in annual patient quality and safety self-assessment through the Intracycle Monitoring Process
• Conduct tracer activities with senior leaders to support regulatory readiness
• Support Medical Center committees and lead meetings involving physicians, nurses and caregivers

• Master’s degree in public health, health care administration, business administration or related area required, or Bachelor’s degree with current enrollment in a qualified master’s-level degree program
• Five years of related experience
• Strong knowledge of clinical processes and operations in a health care system
• Demonstrated leadership and project management skills
• Proficiency in statistical quality control techniques, operations analysis and quality management training
• Excellent verbal and written communication skills
• Strong analytical skills for qualitative and quantitative data analysis, statistical report review and identification of data needs
• Proficiency with word processing, spreadsheets, relational databases and graphic tools
• Equivalent combination of education and experience may be substituted where applicable
• Clinical degree preferred
• Certification in Healthcare and/or Quality preferred

Demonstrates expertise in leading quality and performance improvement initiatives within healthcare settings, utilizing data-driven methodologies and regulatory compliance strategies. Proficient in risk management, patient safety assessments, and fostering a culture of continuous improvement and innovation.

• Master’s Degree in Public Health or Healthcare Administration
• Five Years of Related Experience
• Statistical Quality Control Techniques
• Leadership and Project Management Skills
• Qualitative and Quantitative Data Analysis

• Quality Management Training
• Operations Analysis
• Data Analysis
• Risk-Reduction Strategies
• FMEA
• RCA
• Quality Reporting
• Process Improvement
• Performance Improvement Tools
• Patient Safety Assessments

• Excellent Verbal Communication
• Excellent Written Communication
• Coaching and Mentoring
• Facilitation Skills
• Creativity

• Certification in Healthcare
• Certification in Quality

• Regulatory Compliance
• Patient Safety
• Performance Improvement
• Healthcare System Operations
• Quality Assurance

• Word Processing Software
• Spreadsheets
• Relational Databases
• Graphic Tools
• Quality Analytics