Location Address:

9521 San Mateo NE Albuquerque, NM 87113-2237

Summary:

The Vice President, Quality Institute serves as the executive leader responsible for driving an integrated and strategic approach for quality, patient safety, high reliability, regulatory excellence, accreditation readiness, infection prevention, performance improvement, and outcomes management across Presbyterian Delivery System within Presbyterian Healthcare Services.

As a member of the executive leadership team, this leader establishes the Quality Plan that delineates the vision, strategy, governance framework, and operational systems required to achieve exceptional quality outcomes, eliminate preventable harm, advance health equity, enhance patient and caregiver experience, and strengthen organizational performance within Presbyterian Delivery System. The Vice President partners closely with executive, physician, nursing, operational, and board leadership to develop sustainable systems and processes that improve clinical outcomes, optimize resource utilization, reduce variation, and support organizational growth and attainment of top-decile quality and safety performance.

This role champions a culture of safety, continuous learning, accountability, and innovation through the integration of evidence-based practice, Lean management principles, high reliability methodologies, advanced analytics, and change management strategies. The Vice President provides strategic leadership for the Quality Institute and serves as the organization's senior advisor on matters related to quality, patient safety, regulatory compliance, accreditation, infection prevention, and performance excellence.

Job Description:

Quality Strategy and Governance

• Develop and execute a comprehensive enterprise quality, safety, and performance excellence strategy aligned with the organizational mission, vision, and strategic priorities.
• Establish governance structures that ensure accountability for quality outcomes across all care settings and business entities.
• Lead enterprise quality planning and annual quality improvement priorities.
• Serve as staff support to the Presbyterian Healthcare Services/Presbyterian Health Plan Boards of Directors Quality Committee and provide regular reporting on organizational quality, safety, regulatory, and accreditation performance.
• Shape organizational strategy through quality, safety, and clinical outcomes expertise.

High Reliability and Safety Culture Leadership

• Provide leadership within the High Reliability Organizational strategy.
• Advance a highly reliable organization through implementation of high reliability principles, Just Culture, continuous learning systems, and standardized improvement methodologies.
• Promote a culture where patient safety, workforce safety, transparency, and accountability are foundational expectations.
• Oversee enterprise patient safety programs and event management systems.

Clinical Quality and Outcomes Improvement

• Establish systems and processes that drive excellence and top-decile performance in clinical outcomes, patient experience, patient safety, and value-based performance.
• Partner with physician, nursing, operational, and clinical leaders to reduce unwarranted variation and improve evidence-based care delivery.
• Lead development of care pathways, quality standards, and outcome improvement initiatives.
• Advance health equity and support initiatives addressing community and social drivers of health.

Regulatory, Accreditation, and Risk Readiness

• Provide executive oversight for accreditation, regulatory compliance, environment of care, policy management, and readiness activities.
• Maintain continuous survey readiness across all applicable regulatory and accrediting bodies.
• Build strategic relationships with accrediting organizations, regulatory agencies, and external quality entities.
• Ensure proactive identification and mitigation of regulatory and quality related risks.
• Collaborate with the Chief Compliance & Privacy Officer or designees to align quality and compliance strategies, share risk assessments, and coordinate on regulatory actions and audit responses.

Performance Improvement and Operational Excellence

• Lead performance improvement and process excellence efforts utilizing Lean, Six Sigma, and systems improvement methodologies.
• Oversee implementation and sustainability of the Presbyterian Daily Management System.
• Drive process redesign initiatives that improve quality, safety, patient flow, operational efficiency, and workforce experience.
• Foster innovation and continuous improvement throughout the organization.

Quality Measurement, Analytics, and Transparency

• Provide executive oversight for enterprise quality measurement strategy and performance reporting.
• Ensure development and stewardship of quality metrics, dashboards, scorecards, registries, and benchmarking systems.
• Partner with analytics leaders to leverage data, predictive insights, and performance intelligence to improve decision making.
• Promote transparency and accountability for quality performance across the organization.

Organizational Capability Building

• Develop enterprise capability in quality improvement, patient safety, change leadership, systems thinking, and performance excellence.
• Build a high-performing Quality Institute that serves as an internal consulting and improvement resource.
• Mentor and develop emerging quality leaders and team members.
• Foster interdisciplinary collaboration and leadership development across the organization.

Financial and Strategic Stewardship

• Ensure alignment between quality initiatives, resource utilization, operational performance, and financial outcomes.
• Manage Quality Institute resources and budgets effectively.
• Develop business cases supporting strategic investments in quality, safety, technology, and performance improvement initiatives.
• Advance value-based care objectives through measurable improvements in quality and efficiency.

External Representation and Stakeholder Engagement

• Represent Presbyterian Healthcare Services in professional organizations, industry collaboratives, regulatory forums, and community partnerships.
• Build effective relationships with physicians, executives, board members, regulators, payers, and external stakeholders.
• Serve as a recognized organizational thought leader in quality, patient safety, and healthcare improvement.

Leadership Competencies: Inclusive of PHS leadership competencies and expectations

Strategic Leadership

• Strategic Mindset
• Business Insight
• Driver of Vision and Purpose
• Financial Acumen

Change and Transformation

• Manages Complexity
• Cultivates Innovation
• Fosters Change Leadership
• Uses Systems Thinking

Execution Excellence

• Optimizes Work Processes
• Plans and Aligns
• Ensures Accountability
• Has a Results Orientation

Relationship Leadership

• Balances Stakeholders
• Has Organizational Savvy
• Communicates Effectively
• Influences and Persuades

People Leadership

• Builds Effective Teams
• Develops Talent
• Fosters Collaboration
• Instills Trust

Additional Job Description:

Required:  Master's degree in Nursing, Healthcare Administration, Public Health, Business Administration, Health Sciences, or related field.

Preferred: Doctoral degree (PhD, DNP, DrPH, or equivalent).

Experience

• Minimum 8 years of progressive healthcare leadership experience in quality, patient safety, performance improvement, regulatory affairs, accreditation, or related functions.
• Minimum 8 years of executive or senior leadership experience leading large, complex healthcare organizations or systems.
• Demonstrated success driving enterprise quality, patient safety, and operational transformation initiatives.
• Proven experience working with governing boards, executive teams, physician leadership, and regulatory agencies.

Preferred Certifications

• Lean Six Sigma Black Belt or Master Black Belt
• Certified Professional in Healthcare Quality (CPHQ)
• Certified Professional in Patient Safety (CPPS)
• Relevant accreditation, quality, or healthcare leadership certification

Benefits
Benefits are effective day-one (for .45 FTE and above) and include:

• Competitive salaries
• Full medical, dental and vision insurance
• Flexible spending accounts (FSAs)
• Free wellness programs
• Paid time off (PTO)
• Retirement plans, including matching employer contributions
•  Continuing education and career development opportunities
• Life insurance and short/long term disability programs

About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
 
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
 
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
 
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
 
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
 
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.