Patient Safety & Quality Program Manager

The Patient Safety & Quality Program Manager leads the strategic planning, execution, and governance of enterprise-wide patient safety and clinical quality programs. The Patient Safety & Quality Program Manager oversees a portfolio of initiatives designed to improve clinical outcomes, ensure regulatory compliance, and drive a culture of safety and continuous improvement. Partners with executive, clinical, and operational leadership to align quality and patient safety strategies with organizational priorities. Provides program-level oversight across multiple initiatives, ensuring consistency, scalability, and sustainability of performance improvement efforts. Functions as a key leader influencing organizational strategy, policy development, and quality governance structures.

Essential Functions:

• Leads development and execution of enterprise patient safety and quality programs aligned with strategic goals.
• Establishes governance structures, program roadmaps, and performance measures for quality initiatives.
• Coordinates or participates in regulatory compliance with CMS, Joint Commission, and other accreditation requirements.
• Directs large-scale, cross-functional performance improvement initiatives targeting key quality and safety metrics.
• Monitors program performance, identifies risks and gaps, and drives corrective actions and prioritization.
• Provides oversight of data abstraction, validation, reporting, and dashboard development for executive audiences.
• Serves as a key advisor to executive leadership on quality and patient safety outcomes and opportunities.
• Leads organizational readiness for regulatory surveys, audits, and accreditation activities.
• Facilitates enterprise committees, steering groups, and cross-functional collaboratives.
• Provides functional leadership, mentorship, and coordination across specialists, senior specialists, and leads.
• Drives adoption of quality improvement methodologies (Lean, Six Sigma, RCA, PDSA, FMEA).
• Promotes a culture of safety, accountability, and continuous improvement across the organization.

Qualifications:

• Master's Degree in nursing, informatics, analytics, pharmacy, health administration, epidemiology, or a related field.
• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of required education.
• Minimum 5 Years of Experience in quality assurance or a related field.
• Strategic program and portfolio management with ability to oversee multiple complex initiatives.
• Advanced knowledge of regulatory and accreditation requirements (CMS, Joint Commission, etc.).
• Strong leadership and influencing skills across multidisciplinary and executive stakeholders.
• Expertise in quality improvement methodologies (Lean, Six Sigma, RCA, PDSA, FMEA).
• Advanced analytical and critical thinking skills; translates data into actionable strategy.
• Strong executive communication and presentation skills.
• Ability to establish governance frameworks and drive accountability for outcomes.
• High attention to detail with accountability for data integrity and reporting accuracy.
• Change management expertise to lead and sustain organizational improvements.
• Ability to mentor and develop staff and build organizational capability.
• Advanced proficiency in Microsoft Office Suite and data visualization/reporting tools.
• CPPS – Cert Professional in Pat Safety 10000340 Upon Hire or Upon Hire.

Salary Range: Minimum [[CustSalaryMin]]/hour - Maximum [[CustSalaryMax]]/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.