Patient Safety & Quality Specialist Senior

The Patient Safety & Quality Specialist Senior serves as a senior subject matter expert responsible for leading complex clinical quality, patient safety, and performance improvement initiatives aligned with the hospital's strategic goals. The Patient Safety & Quality Specialist Senior oversees advanced analysis, interpretation, and validation of clinical quality data, including core measures, electronic clinical quality measures (eCQMs), and patient safety indicators. Drives organization-wide improvement efforts, ensures regulatory compliance, and partners with senior leadership to implement sustainable, data-driven solutions that improve patient outcomes, operational performance, and accreditation readiness.

Essential Functions:

• Independently supports achievement of departmental and organizational goals aligned with the hospital’s quality and safety priorities. •
• Leads monthly, quarterly, and annual reporting of local, state, and federal metrics in compliance with The Centers for Medicare and Medicaid Services (CMS) Conditions of Participation and The Joint Commission accreditation standards.
• Ensures ongoing compliance with internal and external performance improvement requirements, identifying gaps and recommending corrective actions.
• Partners with clinical and ancillary departments to design, implement, and evaluate clinical processes that improve performance against evidence-based quality indicators.
• Maintains confidentiality and integrity of clinical data while ensuring accuracy and completeness in data abstraction and reporting. •
• Facilitates and leads performance improvement teams, Joint Commission readiness activities, and cross functional organizational initiatives.
• Performs detailed abstraction and validation of data from electronic health records, identifying trends, variation, and opportunities for improvement.
• Develops dashboards, reports, and presentations to communicate quality performance to leadership and frontline staff.
• Participates in regulatory surveys, audits, and organizational readiness efforts.
• Attends and may lead departmental meetings, hospital in-services, and continuing education programs; contributes actively to continuous improvement teams.

Qualifications:

• Bachelor'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 patient safety and quality improvement
• Advanced analytical and problem-solving skills with ability to synthesize complex data into executive-level insights.
• Strong leadership and influence skills, with demonstrated ability to drive change across multidisciplinary teams.
• Deep knowledge of regulatory and accreditation requirements (CMS, Joint Commission, etc.).
• Expertise in quality improvement methodologies (e.g., Lean, Six Sigma, RCA, PDSA, FMEA).
• High level of accountability for data governance, accuracy, and integrity.
• Collaborates effectively across multidisciplinary teams, influencing stakeholders to achieve quality and safety goals.
• Excellent communication and presentation skills, including executive-level storytelling with data.
• Strong strategic thinking and ability to align initiatives with organizational priorities.
• Ability to manage ambiguity and lead initiatives in a dynamic healthcare environment.
• Mentorship and coaching skills to support development of team members.
• Advanced proficiency and experience using Microsoft Office Package (Excel, PowerPoint, Word, Outlook).
• CPPS – Cert Professional in Pat Safety 10000340 Upon Hire or Upon Hire

Salary Range: Minimum 48.21/hour - Maximum 77.14/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 drug-free workplace employers.