Project Manager - QA/QI Coordinator - Eastern Long Island Hospital - Stony Brook University : Job Details

Job Description - Project Manager - QA/QI Coordinator - Eastern Long Island Hospital (2503394)

Project Manager - QA/QI Coordinator - Eastern Long Island Hospital

Position Summary

The Project Manager, Quality Improvement & Data Analytics plays a critical role in supporting hospital wide initiatives focused on improving quality of care, patient safety, and regulatory compliance. This hybrid position combines robust project management capabilities with strong data analytics to drive data-informed decision-making and continuous performance improvement. In collaboration with the VP of Quality and Regulatory Affairs, this role ensures that strategic projects are efficiently executed and that accurate, timely analytics are used to guide hospital operations and clinical practice. The Project Manager also serves as a resource to teams across the hospital and supports education and regulatory readiness.

Job Duties & Essential Functions

Project Management

• Plan, lead, and coordinate cross-departmental projects in quality improvement, regulatory compliance, and safety.
• Define project scope, timelines, milestones, deliverables, and success criteria.
• Coordinate internal and external resources to ensure timely, cost-effective project delivery.
• Monitor progress and provide regular status reports to leadership.
• Identify project risks and develop mitigation plans.
• Maintain thorough project documentation including agendas, minutes, and change logs.
• Ensure adherence to healthcare regulations, standards, and hospital policies.
• Support emergency preparedness activities and manage responses to regulatory survey findings and incidents.
• Reporting and escalating issues to management as needed.
• Develops detailed project plans, timelines and milestones and oversees execution.
• Manage changes to the project scope, project schedule, and project costs using appropriate verification techniques.
• Participates in quality improvement projects assigned, including Leapfrog, Health Equity, Root Cause Analyses and Failure Mode Effects Analyses.
• Performs those processes that are required to track, review and regulate the progress and performance of the project and makes necessary adjustments to meet objectives.
• Coordinates clinical meetings, including agenda setting, minute creation and distribution for various committees assigned.
• Ensures compliance and improvement with the following: HIPAA, Health Equity, Leapfrog Survey, Joint Commission, Federal and New York State Regulation, Risk Management.
• Adheres to hospital and departmental rules and regulations.
• Participate in in-service programs.
• Participate in annual recertification training, compliance training, HIPAA training.
• Perform all other related duties as assigned by management.

Quality Analytics & Reporting

• Collect, validate, and analyze clinical, operational, and administrative data related to quality performance indicators, patient outcomes, and regulatory metrics.
• Design and develop data visualizations, dashboards, and scorecards to communicate key performance trends to stakeholders, leadership, and committees.
• Monitor quality measures and performance benchmarks (e.g., CMS, Joint Commission, Leapfrog, NYS DOH), identifying variances and recommending corrective actions.
• Maintain and update internal quality databases used in reporting cycles.
• Prepare reports and presentations that summarize performance improvement progress, trends, and opportunities for change.
• Support regulatory readiness by tracking required quality metrics and assisting in reporting to external agencies.
• Collaborate with departments to identify improvement opportunities through data analysis and assist in implementing quality initiatives.
• Participate in routine audits of quality data to ensure completeness, accuracy, and compliance with regulatory standards.
• Assist in the development of quality-related goals and KPIs, align reporting tools to measure success.
• Contribute to Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), and similar processes by providing supporting data.
• Serve as a departmental subject matter expert for data interpretation, reporting tools, and metrics alignment.
• Ensure timely delivery of recurring reports for internal committees, operational dashboards, and external quality submissions.
• Work collaboratively with clinical, administrative, and operational teams to support quality improvement.
• Develop and deliver educational materials to support understanding and use of quality data.
• Serve as a departmental resource on project management, analytics tools, and quality methodology.
• Facilitate or assist in the coordination of hospital committee meetings, including agenda creation and minute taking.
• Assist departments in the application of performance improvement models (e.g., Lean, Six Sigma, PDCA, FOCUS).

Required Education & Qualifications

• Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field.
• Minimum of 2 years' experience in healthcare quality, performance improvement, or project management.
• Knowledge of quality improvement methodologies (e.g., Lean, Six Sigma, PDCA, FOCUS).
• Proven experience collecting, analyzing, and reporting data.
• Strong proficiency in Microsoft Office Suite, especially Excel, PowerPoint, and Word.
• Effective verbal and written communication skills.
• Ability to manage multiple projects and deadlines simultaneously.
• Strong interpersonal skills and ability to work as part of an interdisciplinary team.
• Committed to ongoing professional development.
• Strong group leadership and organization skills.
• Innovative thinking, facilitation, and consensus building skills.
• Ability to work well both independently and as a part of a team.

Physical Demands:

• Exemplary verbal and written communication skills.
• Maintain physical and mental capabilities to perform work related duties.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of SBELIH.

Special Notes : Resume/CV should be included with the online application.

• Stony Brook Medicine is a smoke-free environment.Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions may be subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position maybe designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook Eastern Long Island and related facilities.

Anticipated Pay Range:

The starting salary range (or hiring range) for this position has been established based on relevant experience.The above salary range (or hiring range) represents SBEILH's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Your total compensation goes beyond the number in your paycheck!

Prior to start date,the selected candidate must meet the following requirements:

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Eastern Long Island's Employee Health Services *
• Complete electronic reference check with a minimum of three (3) professional references.
• Successfully complete a 4 panel drug screen*
• Meet Regulatory Requirements for pre-employment screenings.
• Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

*The Human Resourcesdepartment will be responsible for any fee incurred for examination.

Company Overview:

As part of Stony Brook Medicine, Stony Brook Eastern Long Island Hospital (SBELIH) combines the best in academic and community medicine, improving access to advanced medical care for residents of the North Fork and Shelter Island. With 70 beds, SBELIH is Suffolk County's first hospital, serving the North Fork since 1905. SBELIH provides care to 25,000 year-round residents and expanding to 60,000 summer residents with comprehensive healthcare solutions, including behavioral health, medical-surgical,orthopedicsand general surgery, wound care, interventional pain management and GI, advanced ambulatory care, diagnostic, and physical therapy services. The hospital is also a clinical campus and training site for Stony Brook Medicine, with its first SBELIH Psychiatry resident having graduated in 2022.

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Eastern Long Island employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.

Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.

Stony Brook Medicine is committed to excellence in diversity and the creation of an inclusive learning, and workingenvironment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

Stony Brook Eastern Long Island Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.