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Program Manager, Quality & Care Transformation-Days-LOH

NorthShore University HealthSystem
paid time off, tuition reimbursement
United States, Illinois, Naperville
May 30, 2025

Hourly Pay Range:

$42.54 - $65.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

  • Position: Program Manager, Quality & Care Management
  • Location: Linden Oaks- Naperville, IL
  • Full Time
  • Hours: 8-4:30
  • Required Travel: no

A Brief Overview:
The Program Manager, Quality & Care Transformation is responsible for leading clinical quality innovation and performance improvement strategy and care transformation initiatives. This role supports the team to develop and implement organization-wide performance improvement, and clinical innovation projects. Collaborates on development of metrics, data, tools and processes to develop, implement actions and monitor performance. Coordinates with clinical areas to assure ongoing accreditation compliance. Develops strong collaborative relationships with operational leaders, physicians across the organization and within the Clinically Integrated Network (CIN). Works closely with physicians, office staff, Clinical Integration Network (CIN) medical leadership, payors and administrative data vendors to assist in facilitating meeting established quality improvement study submissions and targets.

This role requires experience and expertise that aligns with the autonomy and independence necessary for specific work assignments and decision-making, which is crucial for the speed and success of projects and outcomes.

What you will do:

  • Analyzes Data Pertinent to Service Area to Identify Opportunities
    * Analyzes data pertinent to identify opportunities for improvement based on internal goals, external/internal benchmarking, industry standards and payor/external regulatory rating systems.
    * Interprets and reports data from multiple sources for comparison, benchmarking and performance assessment. Independently seeks out appropriate and timely benchmark data.
    * Monitors data for criteria that is selected to evaluate clinical care and patient safety.
    * Able to develop reports from multiple sources to assure data is accurate and actionable for system improvement or reflective of issues being addressed.
    * Serves as liaison between stakeholders (e.g. clinical leaders, physicians, payers and Health Information Technology), to assure accurate data elements for reporting are identified to maximize reporting effectiveness and utilization.
  • Performance and Process Improvement Project Management
    * Manages performance and process improvement projects, including those at the region, system, and corporate levels.
    * Utilizes PI tools proficiently to optimize outcomes to break down complex processes and workflows to understand areas for improvement, to minimize waste, and decrease errors.
    * Identifies, communicates and engages with key stakeholders required to address issues; moves projects forward according to defined goals and timelines. Identified action steps required when goals not achieved.
  • Promotes Culture of Safety and Regulatory Preparedness in Partnership with the Clinical Quality, Safety and Risk Managers
    * Manages, facilitates, and/or assists with activities pertaining to various regulatory and/or accreditation requirements, encompassing tasks such as document provision, participation in discussions, and offering survey chaperone support.
    * Works closely with physicians, office staff, Clinical Integration Network (CIN) medical leadership, payors and administrative data vendors to assist in facilitating meeting established quality improvement study submissions and targets.
  • Quality, Safety and Risk Managers
    * Develops educational materials and provides in-service training to physicians and office staff in the areas of quality improvement. Creates disease management protocols with the CIN team.
    * Serves as a subject matter expert (SME) for clinical quality and aligns communication and work efforts with others for example with Provider Engagement teams and Lumeris Population Health Managers.
    * Generates or reviews and distributes regular clinical integration performance feedback reports. Provides report interpretation and feedback to providers and office staff in meeting targeted quality goals. Serves as an educator, communicator and resource to physicians, providers, and staff to ensure a thorough understanding of care management and QI objectives.
  • Collaborates with Leaders to develop quality and safety goals related to area of service in partnership with the Clinical Quality, Safety and Risk Managers
    * Maintains expert/leader level of competence in current Quality concepts, tools and performance measurements.
    * Serves as mentor/preceptor for new or less experienced staff in order to develop and maintain competence/expertise for other Quality team/organization staff members.
    * Consistently looks for and uses opportunities to network, compare outcomes and communicate both success and opportunities for improvement.
    * Effectively uses a wide variety of settings and formats to share outcomes, ideas and action plans including both formal and informal presentations, written materials, and media/tools (Power Point, bulletin boards, flyers, newsletters) to inform and educate staff, medical staff and community about local Quality achievements, initiatives and priorities.
  • Professional Development


What you will need:

  • Bachelors Degree Health Administration Required Or
  • Bachelors Degree Nursing Required Or
  • Bachelors Degree Occupational Therapy Required Or
  • Bachelors Degree Physical Therapy Required Or
  • Bachelors Degree Pharmacy Required Or
  • Bachelors Degree Health Information Management Required
  • Masters Degree Preferred
  • 3 Years Experience or formal training and/or certification in PI or team facilitation including leading projects or system improvement teams.
  • The successful candidate will possess excellent communication, facilitation, analytical and motivational skills consistent with effective change management and innovation deployment.
  • Must be focused, results driven, and able to collaborate with and lead others.
  • Must be fluent in process improvement methods and tools to evaluate, measure capability, and redesign operational and clinical processes.
  • Candidate must be independent with data analysis, trending and understanding of statistical methods to determine impact of change.
  • Candidate will be able to interpret and display data in manner that identifies areas of opportunity and engages leaders to identify tactics for care improvement.
  • Certified Professional in Patient Safety (CPPS) - Certification Board for Professionals in Patient Safety (CBPPS) Preferred Or
  • Certified Professional in Healthcare Quality (CPHQ) - National Association of Healthcare Quality Healthcare Quality Certification Board (NAHQ) Preferred Or
  • Six Sigma Black Belt (CSSBB) - American Society for Quality (ASQ) Preferred Or
  • Six Sigma Green Belt (CSSGB) - American Society for Quality (ASQ) Preferred

Benefits (For full time or part time positions):

  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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