Serves as a coordinator of Provider Practice and Quality to ensure the delivery of high-quality patient care while supporting the organization's medical staff initiatives. This role assists with the development and implementation of an organization-wide quality management program that is designed to assess and review the quality of patient care provided. This role is also responsible for supporting the organization's provider practice initiatives and ensuring compliance with regulatory requirements. Schedule and organize the Peer Review Process. Coordinates Medical Staff Professional Practice Evaluation (MSPPE), Focused Professional Practice Evaluation (FPPE), and Ongoing Professional Practice Evaluation (OPPE) activities. Analyzes quality data for accuracy and areas of opportunity for improvement in data measurement and clinical processes. Serves as a project coordinator to plan, implement, evaluate and monitor the success of process improvement and clinical data measurement initiatives. Analyzes quality data for accuracy and areas of opportunity for improvement in provider care delivery and clinical processes. Assists with public reporting data validation processes. Assists with quality data reviews to comply with accreditation requirements as needed. Serves as a team leader/facilitator for other Performance Improvement projects. Participates in workflow analysis and process redesign using evidence-based performance improvement methodologies. Provides clinical expertise for data collection/review and reporting for internal use. Analyzes quality data for accuracy and to identify areas for improvement in data throughout the organization including workflow analysis, process redesign, staff education and process documentation and efficient workflow while maintaining quality patient care and safety. Serves as an involved team member for CMS and publicly reported data. Assisting with chart review and data abstraction needs for internal and external data needs. Enters data into web-based tools and internal databases from clinical chart abstraction. Abstracts data for internal process review. Generates graphs and charts. Formats clinical documents in Word and Excel and converts documents utilizing data from quality data support vendors. Serves as a collaborative team member for supporting the Medical Staff Office, including but not limited to supporting the credentialing and privilege process. This role will work directly with the Medical Staff Office to ensure provider files are complete and accurate. Knowledge and experience in conflict resolution and crisis intervention required. Independent and analytical thinker who can function effectively in a fast-paced environment, handle multiple tasks and assignments, work through frequent interruptions and make decisions under pressure. Strong oral, written and organizational skills required. Should possess excellent verbal (speaking and listening) and written communication skills. Ability to multi-task with strong organizational skills. Excellent interpersonal skills. Ability to create enthusiasm and accountability among different types of people at all levels of the organization. Ability to translate data and research into action plans. Must be a team builder and consensus builder. Working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook) and required. Ability to provide strong leadership to motivate provider and staff to achieve departmental/organizational goals. Knowledge of available relevant internal and external resources that will aid in cost reduction and waste management. The ability to teach new concepts, demonstrate strong interpersonal communication and coaching skills with providers and other staff is required. A strong understanding and the ability to use performance improvement tools and methodologies with measurable outcomes is desirable. The ideal candidate will have an excellent understanding of computer systems design and applications, and spreadsheet software (Excel preferred). Experience with project management and change management is preferred. Bachelor's degree in nursing or a healthcare-related field required, inclusive of NC licensure, if applicable; Master's preferred.