Performance Excellence Program Lead

MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's degree in industrial engineering, business, or health-care related field

EXPERIENCE:
1. Three (3) years project management experience
2. Three (3) years experience overseeing regulatory compliance initiatives

PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Master's Degree in industrial engineering, business, or health-care related field
2. Lean Six Sigma Black Belt or other relevant project management certification
3. Clinical experience

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Leads regulatory readiness activities, including survey preparation, internal audits, compliance reviews, corrective action planning, and ongoing monitoring of regulatory standards.
2. Provides day-to-day oversight for the Regulatory Compliance Program Managers and Performance Excellence Project Managers to enhance efficiencies in organizational workflows.
3. Serves as a regulatory subject matter expert (SME) for WVUH, providing guidance to departments regarding state, federal, and accreditation requirements.
4. Facilitates and manages process improvement, workflow optimization, and organizational enhancement projects using performance excellence methodologies.
5. Contributes to monitoring and executing the strategic plan throughout the year, ensuring alignment with hospital and system priorities.
6. Partners with regulatory, quality, and operational teams to drive continuous improvement and sustain performance outcomes.
7. Supports development and implementation of policies, programs, and processes that enhance regulatory compliance and organizational performance.
8. Build and maintain effective relationships with government officials, regulatory agencies, and internal teams.
9. Manage multiple projects throughout their life cycle.
10. Provides technical support to performance improvement teams on the use of lean tools, coaching, and data analysis.
11. Collects, analyzes, and interprets data to develop reports, dashboards, and presentations that inform decision-making and communicate project impact.
12. Maintains documentation, project tracking tools, and performance metrics to ensure transparency and accountability.
13. Provides coaching, training, and support to departments on regulatory readiness and process improvement methodologies.
14. Collaborates with clinical, operational, and administrative leaders to ensure compliance with state, federal, and accreditation requirements and to advance a culture of continuous readiness.
15. Provides coaching, training, and support to Performance Excellence Project Managers on their projects to ensure optimal outcomes.
16. Fosters collaboration internally among teams and externally with stakeholders.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.
may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office setting
2. Hospital setting

SKILLS & ABILILTIES:
1. Assertiveness
2. Community and system resources
3. Flexibility
4. Effective interpersonal communication
5. Diplomacy
6. Written and verbal skills
7. Negotiation
8. Analysis and research methods
9. Ability to use MS word, excel, access and other software to collect, analyze, and present

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.