Administrator, Quality and Performance Improvement

Job Description & Requirements Administrator, Quality and Performance Improvement StartDate: ASAP Help to elevate healthcare excellence as the new Administrator, Quality and Performance Improvement, at UVA Health System, located in picturesque Charlottesville, Virginia The Position The Administrator of Quality & Performance Improvement will provide strategic and operational leadership for quality, performance improvement, and patient safety initiatives across the organization. This leader will play a critical role in advancing clinical outcomes, strengthening accreditation readiness, and building a culture of continuous improvement within a stable, collaborative healthcare environment. This leader will oversee a team of approximately 23 FTEs, including 5 direct reports, and will focus on developing team capabilities, enhancing benchmarking efforts, and bringing structure to performance improvement initiatives. The Administrator will lead efforts around patient safety, infection prevention, and performance improvement, with a focus on improving key metrics such as readmissions and hospital-acquired infections (including CLABSI, CAUTI, and surgical site infections). They will evaluate current practices, identify gaps, and implement data-driven strategies to enhance outcomes across targeted service lines. A key priority for this role will be accreditation preparedness, including readiness rounding, policy and document management alignment, and ensuring compliance with The Joint Commission standards. The Administrator will strengthen internal processes to support a successful upcoming survey while building sustainable systems for ongoing compliance. The Administrator will introduce and advance Lean-based performance improvement methodologies, helping the organization shift from a traditionally conservative approach toward a more proactive, data-driven, and outcomes-focused culture. They will leverage benchmarking and best practices—ideally with experience tied to specific patient populations or service lines—to drive measurable improvements. This role requires a highly collaborative and relationship-driven leader who can effectively partner with physicians, executives, and clinical teams. Strong communication skills and the ability to influence across all levels of the organization will be essential in driving engagement, accountability, and sustained improvement. The ideal candidate brings experience within an academic medical center or similarly complex environment, along with deep knowledge of accreditation standards, quality metrics, and patient safety initiatives. They will be a visible, hands-on leader who can balance strategic vision with operational execution during a time of organizational transition and opportunity. Requirements Master’s degree in Healthcare Administration, Public Health, Nursing, Business Administration, or related field is required. The Organization The University of Virginia Health System is an academic health care center associated with the University of Virginia in Charlottesville. The health system provides inpatient and outpatient care, patient education and conducts medical research. University of Virginia (UVA) Health System includes a medical center, level I trauma center nationally recognized cancer and heart centers and primary and specialty clinics throughout Central Virginia. UVA aspires to create a culture of trust, respect and engagement through their values: accountability, stewardship, professionalism, integrity, respect and excellence. The Community Located two hours from Washington, D. C. and one hour from Richmond, Virginia, Charlottesville is a historically rich city situated between several expansive national parks. Charlottesville was the home of two former Presidents – Jefferson and Monroe – and houses Monticello, Jefferson’s mountain-top home, attracting half a million tourists annually. Although the city is always changing, a tradition of hospitality continues, the people are as welcoming as they were 50 years ago. A destination full of scenic beauty, top culinary options and unique innovation, Charlottesville has been named everything from “Best Place To Live In America” to “The Best Running Town In The USA.” Please Direct All Inquiries, Applications, And Referrals To Jill Ettori Executive Search Director jill.ettori@amnhealthcare.com 781-591-3720 #BESRecruitment Facility Location Her