Senior Manager, Quality and Safety
Massgeneralbrigham · Massachusetts
📍 Jamaica Plain-MAvia workday
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Site: Brigham and Women's Faulkner Hospital, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Senior Manager, Quality and Safety is responsible for leading the local execution of Mass General Brigham Community Division strategy, infrastructure, processes, and performance improvement efforts across patient safety, risk management, quality, and clinical compliance.
This role oversees and supports the implementation of standardized best practices, safety and quality programs, regulatory readiness activities, and performance improvement initiatives that advance safe, reliable, high-quality care.
The Senior Manager serves as a key local administrative leader and partners closely with system and site leadership, clinical teams, the local ACMO, risk/safety leaders, infection prevention, compliance, legal, data and analytics teams, and other stakeholders to execute both short- and long-term goals for Quality, Patient Safety, Risk Management, and Clinical Compliance programs.
This position is responsible for translating system strategy into local execution while also providing strong bidirectional communication between the site and system teams regarding local risks, emerging trends, operational needs, performance gaps, and improvement opportunities.
Because this is a leadership role in an active change-management environment, the Senior Manager must demonstrate flexibility, sound judgment, collaboration, and openness as the scope and needs of the role continue to evolve over time.
Qualifications
Quality, Safety, and Risk Strategy Execution Execute MGB Community Division strategy for patient safety, risk management, quality, and clinical compliance at the local site, ensuring alignment with standardized system processes, priorities, policies, and performance expectations.
Support the buildout of local safety, quality, risk, and compliance infrastructure, including standardization in training, workflows, governance, reporting structures, and response processes that are in line with MGB.
Collaborate with system and site leadership to execute long- and short-term goals for Quality, Patient Safety, Risk Management, and Clinical Compliance programs.
Provide essential input to MGB leadership regarding strategy, infrastructure, policy development, performance improvement plans, and local operational needs to support high-quality care delivery.
Patient Safety and Risk Management Execute MGB patient safety plans, including safety event reporting, event analysis, mitigation planning, and follow-up on safety-related concerns.
Implement standardized risk management strategies, policies, and procedures, ensuring that risk management activities align with and strengthen the organization’s approach to patient safety.
Implement and support use of the systemwide safety event reporting system.
Support systemwide and local safety events, including recalls, shortages, and other issues that may impact patient safety.
Partner with site Risk/Safety/PFR leaders and clinical teams to develop prospective solutions and performance improvement actions in response to safety events.
Leads the development and delivery of patient safety and risk management training using culture‑of‑safety data, safety event trends, and systemwide priorities to promote continuous improvement, staff engagement, and safe, reliable care practices across all departments.
Completes, within three (3) months of hire, High Reliability Organization (HRO) training, including Level 3, Fact Gatherer, and Process Facilitator, and integrates HRO principles into oversight of safety event analysis, improvement strategy, and organizational learning.
Quality Performance and Improvement Serve as the local administrative leader responsible for executing quality performance and improvement programs at the site.
Ensure adherence to MGB standardized processes for quality measurement, prioritized quality goals, quality strategy, and performance improvement activities.
Provide proactive and reactive quality performance improvement planning in partnership with local clinical teams, department leaders, and floor-based teams.
Lead the planning, implementation, and evaluation of process changes and performance improvement activities.
Effectively communicate goals, strategic priorities, accountability expectations, and improvement plans to clinicians and operational leaders, engaging them as partners in achieving quality and safety outcomes.
Serve as the senior local site manager responsible for Quality Assurance and Performance Improvement (QAPI) planning, documentation, and updates for board quality committee and/or patient care assessment committee needs.
Clinical Compliance and Regulatory Readiness Serve as the senior local administrative manager responsible for clinical compliance activities, including tracer activity, site preparedness, monitoring, and adherence to standardized compliance processes.
Build and support the local implementation of the MGB clinical compliance program, ensuring standardized processes, staff training, procedures, and governance are in place.
Monitor institutional compliance with Joint Commission standards and other applicable regulations, and advise system leadership regarding areas requiring improvement.
Lead or support proactive and reactive clinical compliance activities, including risk assessments, improvement plans, regulatory interpretation, and implementation of needed process changes.
Serve as the senior clinical compliance manager responsible for m
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