Hours of Work :
0800-1700Days Of Week :
M-FWork Shift :
Job Description :
o Category A: Support Services
o Job Purpose: Collaborate with the Director of Organizational Readiness and the AVP of Patient Safety & Organizational Readiness (PSOR) to align and coordinate Methodist Health System’s (MHS) policy and guidelines governance and management. This role supports compliance with patient safety and High Reliability practices and principles, advancing the organization’s strategic goal of becoming a shining example of a High Reliability Organization (HRO).
o FLSA: Exempt
o Supports the mission, vision, values and strategic goals of Methodist Health System.
Education, Master’s degree in healthcare related field required.
Licenses and/or Certification
o Current certification in performance improvement preferred; Certification as LSSBB, PMP, MHS Silver Fellow, CPHQ, CPPS, or equivalent.
o MHS Silver Fellowship must be completed within 24 months of hire
Work Experience
o Minimum of five years’ relevant work experience: patient safety, accreditation, compliance, quality, leadership.
o Related Work Experience and Other Skills
o Coaching/mentoring skills
o Consistently follows the Standards of Behavior set by Methodist Health System
o Excellent written and verbal communication skills
o Ability to influence others and work collaboratively
o Excellent problem solving and critical thinking
o Handles confidential material and information appropriately
o Knowledgeable of hospital policies, procedures, care standards, patient safety, and high reliability methods.
o Passion for quality, safety, and service
o Positive attitude and approach
o Self-directed, motivated with strong organizational skills
Job Roles
o Serve as a liaison, subject matter expert, and system resource for policy governance, development, communication, education, adherence, and continuous improvement.
o Support the advancement of effective policies through established governance processes.
o Drive organizational change through influence rather than authority, leveraging proven frameworks to guide and accelerate data-driven transformation.
o Provide support to workgroups, committees, and task forces by applying process improvement methodologies that align with Quality, Safety, Accreditation initiatives, and key strategic priorities.
o Demonstrate advanced expertise in project management, process improvement, and performance improvement methodologies, including LEAN, DMAIC, PDSA, brainstorming, and related approaches.
o Apply robust process improvement tools and methodologies to design, implement, and sustain both small- and large-scale improvement initiatives aligned with system strategic priorities.
o Support administration of the system’s electronic policy management platform in collaboration with the Policies and Guidelines (P&G) Senior Project Leader, as needed.
o Assist the Policies and Guidelines (P&G) Senior Project Leader with committee preparation and governance processes, serving as a lead and/or backup as required.
o Other duties as assigned.
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:
Great Place to Work Certified 2026-2027
Glassdoor’s Best Places to Work 2025 & 2026
Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026
TIME’s Best Companies for Future Leaders 2025 & 2026
Newsweek’s America’s Most Admired Workplaces 2026
Glassdoor’s Best-Led Companies 2025
Fortune Best Workplaces in Health Care 2025
Military Friendly Gold Employer 2025
Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025
Newsweek’s Americas Greatest Workplaces 2025
Skills Required
- Master's degree in healthcare related field
- Minimum of five years' relevant work experience
- Current certification in performance improvement preferred
- Certification as LSSBB, PMP, MHS Silver Fellow, CPHQ, CPPS, or equivalent
What We Do
Methodist Health System is a Dallas-based, faith-based, non-profit organization dedicated to improving and saving lives through compassionate, quality healthcare across a network of hospitals and clinics.






