Quality Program Manager

Requisition ID
Quality Management
Hours / Pay Period
Standard Hours
Mon - Fri; 8:00am - 4:30pm
Facility / Process Level : Name
CHI Franciscan


In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. 

CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region’s most prestigious experts and innovative treatments and technologies.  

As a part of our organization, we currently offer the following benefits:
  • Competitive starting wages (DOE) and training to grow within the company
  • Paid Time Off (PTO)
  • Health/Dental/Vision Insurance
  • Flexible health spending accounts (FSA)
  • Matching 401(k) and 457(b) Retirement Programs
  • Tuition Assistance for career growth and development
  • Care@Work premium account for additional support with children, pets, dependent adults, and household needs
  • Employee Assistance Program (EAP) for you and your family
  • Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
  • Adoption Assistance
  • Wellness Program


This Quality Program Manager role will focus on St. Anne Hospital based in Burien, Washington. The position is responsible for strategic quality focused initiatives that support and impact the hospital's success on our organizational Quality Board goals. 


Job Summary:

The Quality Program Manager is responsible for planning, implementing and evaluating evidence-based clinical quality management/improvement plans/programs/initiatives for St. Anne Hospital in Burien, Washington. The role is designed to achieve measurable improvements in patient perception/safety, utilization of clinical resources and sustained achievement of desired clinical outcomes. Work focuses on all aspects of quality process improvement and is conducted in accordance with professional standards, organizational objectives and applicable regulatory/accreditation requirements. An incumbent collaborates with physicians, management/staff and clinical service lines in carrying out performance improvement projects/initiatives relating specifically to quality management/reporting, and monitors quality indicators/results to identify/address weaknesses and recurring variances from established standards.

The responsibilities require considerable knowledge of quality objectives/indicators and related quality improvement concepts, methodologies and tools. Considerable understanding of the importance of data to performance improvement processes (e.g. establishing baseline, providing objective measurement, determining the degree of the problem, showing variation/causes of variation, identifying root causes, developing appropriate solutions, etc) is also required. Duties performed involve weighing and evaluating many factors requiring judgment, analytical ability and problem-solving in dealing with complex data and situations.


Essential Job Functions:

  • Manages, implements and evaluates approved quality-related programs/initiatives for an assigned facility or regional quality-related program (e.g. Leapfrog) to ensure that all activities are conducted in a timely and cost-effective manner, and in accordance with organizational values, professional standards, internal policies and procedures and applicable legal/regulatory requirements.
  • Monitors and assesses current standards, procedures and outcomes to identify opportunities and provide recommendations for quality-related performance/process improvement initiatives.
  • Provides professional consultation and/or manages/facilitates site-based performance improvement teams convened to address and develop solutions to clinical or operational quality-related objectives, challenges and new regulatory requirements.
  • Serves as the primary quality contact for the assigned facility or regional quality program for regulatory site-visits (e.g. TJC) or audits (e.g. Leapfrog); supports compliance with applicable legal and regulatory agreements, standards and requirements. 


Education/Work Experience Requirements:

  • Bachelor’s degree in healthcare administration, nursing or other healthcare-related field, and five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge.
  • A minimum of three years in a lead or management role is strongly preferred.
  • Master’s degree in a healthcare discipline is strongly preferred.
  • NOTE: If qualified under licensure other than RN, the education level prescribed by the specific licensure is required.


  • Current licensure as a Registered Nurse by the Washington State Board of Nursing, OR
  • Licensure as a registered pharmacist by the Washington State Board of Pharmacy, OR
  • Current licensure as an Advanced Registered Nurse Practitioner, OR
  • Current license as a Physician Assistant.
  • Certification as a Certified Professional in Healthcare Quality (CPHQ) is strongly preferred.


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