About this role
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.
At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:
- Career growth and development opportunities, with clear pathways and ongoing support
- Comprehensive health and wellness resources that go beyond traditional benefits
- A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
- Tuition reimbursement to support continued learning and advancement
- And so much more
Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.
Description
Manages the Performance Improvement (PI) activities of the hospital to include the Quality Assessment and Performance Improvement (QAPI) Program, Peer Review, regulatory compliance and comparative database support. Oversees and coordinates the Performance Improvement committee, PI teams and projects, regulatory compliance, and completion of the Intracycle Monitoring and Focused Standards Assessment. Performs annual integrated review and evaluation of all departmental activities and provides a report for executive and medical leadership, based on entity requirements.
Estimated salary range for this position is $107760.50 - $143321.47 / year depending on experience. Qualifications:
Degrees
- Bachelors.
Licenses & Certifications
- NAHQ Certified Professional in Healthcare Quality.
- Registered Nurse.
Additional Qualifications
- Bachelor degree in Nursing -BSN.
- Master Degree preferred in Business, or related field.
- At least 5 years experience in a hospital or healthcare setting with 2 years minimum in quality management/PI area of practice.
- 2 years leadership experience required.
- Experienced in leading a TJC and accreditation survey process, highly desired.
- Certified Professional in Healthcare Quality (CPHQ) required.
Minimum Required Experience
5 Years
EOE, including disability/vets