Project Manager

$127,500.00 - $165,700.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Manager, Performance Improvement and Outcomes The Manager, Performance Improvement and Outcomes leads hospital-wide initiatives that advance clinical outcomes, patient safety, regulatory readiness, and organizational performance.

Reporting to the Assistant Vice President of Quality and Patient Safety, this role integrates data analytics, structured improvement methodologies, project management, and cross-functional leadership to identify performance gaps, implement evidence-based interventions, and achieve measurable, sustainable results. The Manager supports strategic quality and benchmarking initiatives, including CMS Star Ratings, Leapfrog Hospital Safety Grade and Hospital Survey, Vizient, U.

S. News & World Report, and other external quality programs, while promoting accountability, continuous improvement, and alignment with hospital and health system priorities. Key responsibilities may include: Leading multidisciplinary performance improvement initiatives aligned with hospital and health system strategic priorities, clinical outcomes, patient safety, regulatory readiness, and operational effectiveness.

Collaborating with physicians, nursing leaders, clinical and operational stakeholders, and department leaders to identify improvement opportunities, establish measurable performance targets, and implement evidence-based interventions. Applying structured performance improvement methodologies, including Plan-Do-Study-Act (PDSA), Lean, process mapping, root cause analysis, and other quality improvement techniques to address performance gaps and improve outcomes.

Developing and maintaining project charters that define project scope, objectives, milestones, accountable owners, timelines, deliverables, and success measures. Evaluating the effectiveness of improvement interventions by monitoring process performance, clinical outcomes, and operational results, and incorporating successful practices into standard workflows. Establishing monitoring, accountability, and sustainability plans to maintain improvements and prevent regression after project implementation.

Analyzing clinical, quality, patient safety, and operational data to identify performance trends, variation, contributing factors, and opportunities for improvement. Developing and maintaining dashboards, scorecards, tracking tools, and performance reports that communicate baseline performance, targets, trends, milestones, and progress toward established goals. Collaborating with data analysts, clinical informatics, Finance, and department leaders to validate data sources, measure definitions, reporting methodologies, and data accuracy.

Translating complex analytical findings into actionable recommendations, presentations, and performance updates for executive leadership, committees, clinical teams, and other organizational stakeholders. Distinguishing process improvement measures from changes in patient outcomes and monitoring both to evaluate intervention effectiveness and demonstrate meaningful results. Ensuring performance reports, dashboards, and supporting documentation are accurate, timely, and consistent with organizational reporting standards.

Coordinating improvement activities supporting CMS quality programs, Leapfrog Hospital Safety Grade and Hospital Survey, Vizient, U. S. News & World Report, and other external quality and benchmarking initiatives.

Monitoring external quality measure specifications, reporting deadlines, methodology changes, and program requirements in collaboration with designated subject matter experts and data owners. Identifying drivers of performance gaps in external quality measures and coordinating targeted action plans to improve hospital performance and benchmarking results. Supporting accurate and timely external submissions through data validation, documentation review, evidence collection, and coordination with responsible departments and data owners.

Communicating the impact of clinical and operational performance on public reporting, organizational reputation, patient outcomes, quality ratings, and financial performance. Maintaining a consolidated roadmap that connects external quality program priorities with internal hospital performance improvement initiatives, strategic goals, and measurable deliverables. Managing a centralized portfolio of priority improvement projects, including milestones, dependencies, risks, resource requirements, expected outcomes, and overall project status.

Leading project meetings, documenting decisions, tracking action items, monitoring deadlines, and maintaining accountability among project owners and participating departments. Identifying implementation barriers, addressing delays, coordinating solutions, and escalating issues requiring leadership decisions or additional organizational support. Providing concise, timely updates to leadership and stakeholders regarding project progress, risks, resource needs, outstanding decisions, barriers, and achieved results.

Coordinating competing improvement priorities and optimizing staff time, organizational resources, and cross-departmental collaboration to support successful project execution. Developing project handoff, ownership, monitoring, and sustainability plans to ensure completed initiatives remain effective over time. Translating hospital strategy into department-level improvement priorities, measurable deliverables, and coordinated action plans that support organizational quality and performance objectives.

Partnering with Quality, Patient Safety, Risk Management, Infection Prevention, Regulatory, clinical departments, operational departments, and other stakeholders to coordinate improvement efforts and align performance priorities. Supporting the development of business cases for improvement resources, technology, staffing, and other investments needed to achieve targeted outcomes. Providing education, coaching, and guidance to clinical and operational teams on data interpretation, performance improvement methodologies, project management, and implementation practices.

Promoting shared ownership, continuous learning, transparent communication, and accountability for clinical outcomes, patient safety, and organizational performance. Following established organizational policies, procedures, quality standards, regulatory requirements, and data governance practices while maintaining confidentiality and accuracy in performance reporting. Demonstrating strong analytical judgment, project leadership, facilitation, change management, attention to detail, adaptability, and professionalism in a complex healthcare environment.

Participating in continuing education, professional development, and relevant industry training to maintain and expand knowledge of healthcare quality, performance measurement, analytics, regulatory requirements, and improvement methodologies. Successfully completing organizational onboarding, department orientation, required training, and other position-specific competency requirements. Practicing within the responsibilities and expectations of the Manager, Performance Improvement and Outcomes role while maintaining compliance with organizational standards and applicable regulations.

This Role Might Be for You If: You are passionate about improving healthcare quality, patient safety, and clinical outcomes through data-driven decision-making and continuous performance improvement. You enjoy leading multidisciplinary projects and collaborating with physicians, nursing leaders, and clinical and operational teams to achieve measurable organizational goals. You have strong analytical skills and can interpret clinical, quality, safety, and operational data to identify performance gaps, recognize trends, and develop actionable recommendations.

You understand the importance of hospital quality measures, external benchmarking, and performance programs such as CMS Star Ratings, Leapfrog, Vizient, and U. S. News & World Report.

You are skilled at translating complex data into clear dashboards, scorecards, presentations, and reports that help leaders and frontline teams understand performance and prioritize improvement opportunities. You are comfortable managing multiple projects simultaneously, establishing milestones, coordinating resources, tracking deliverables, and maintaining accountability across departments. You can bring structure to complex initiatives by defining project objectives, assigning responsibilities, monitoring progress, and ensuring improvement activities are completed on time.

You are a proactive problem-solver who can identify barriers, address implementation challenges, resolve delays, and escalate issues when leadership support or additional resources are needed. Qualifications Master's degree in Information Systems, Public Health, Health Administration, or a related field required. Required experience in hospital quality, performance improvement, healthcare analytics, outcomes management, project management, or a related healthcare discipline.

Demonstrated success leading multidisciplinary improvement projects from planning and implementation through evaluation and sustainability. Proven ability to use data to identify performance gaps, develop targeted action plans, monitor progress, and measure improvement results. Working knowledge of hospital quality measures, CMS performance programs, Leapfrog Hospital Safety Grade and Hospital Survey, Vizient, U.

S. News & World Report, and other healthcare quality and benchmarking programs. Knowledge of clinical quality improvement principles, patient safety practices, evidence-based interventions, and structured improvement methodologies, including PDSA, Lean, process mapping, and root cause analysis.

Demonstrated ability to develop project charters, establish measurable objectives, manage timelines and dependencies, coordinate resources, and maintain accountability for project deliverables. Proficiency with Microsoft Excel, PowerPoint, and project tracking tools; experience with Power BI, Tableau, or similar data analytics and visualization platforms preferred. Strong analytical and data interpretation skills, including the ability to validate performance measures, identify trends and variation, and translate findings into actionable recommendations.

Ability to develop and maintain dashboards, scorecards, performance reports, and executive presentations that clearly communicate progress, risks, and outcomes. Experience coordinating external quality reporting, benchmarking activities, data validation, documentation, and submission requirements preferred. Knowledge of healthcare regulatory readiness, public reporting, quality measurement specifications, and the relationship between clinical performance, patient outcomes, organizational reputation, and financial performance.

Data management, Project Management Professional (PMP) or equivalent, Lean Six Sigma, or comparable professional certification preferred. Excellent written and verbal communication, executive presentation, facilitation, and stakeholder engagement skills. Demonstrated ability to collaborate effectively with physicians, nursing leaders, clinical informatics, data analysts, Finance, Quality, Patient Safety, Risk Management, Infection Prevention, Regulatory, and operational departments.

Strong project leadership, organizational, problem-solving, change management, and decision-making skills, with the ability to manage multiple priorities in a dynamic healthcare environment. Ability to influence stakeholders across departments, resolve implementation barriers, promote accountability, and drive progress without relying solely on direct authority. Proven work record demonstrating professionalism, reliability, attention to detail, teamwork, sound judgment, and commitment to continuous quality improvement.

Commitment to continuing education, professional development, and the adoption of effective practices in healthcare quality, performance improvement, and outcomes management. Ability to balance strategic priorities, analytical rigor, regulatory requirements, cross-functional collaboration, and sustainable improvement in a hospital environment

Day shift · 37.5