Clinical Quality Improvement Specialist

Summary Description

Develops the Quality Management framework for the fleet Hospitals in collaboration with the Senior Director of Clinical Services (SDSC), International Chief Medical Officer (ICMO), and other stakeholders. Provides managerial oversight and support to the Hospital Quality Assurance departments onboard Mercy Ships vessels. This individual will have a high degree of expertise in quality improvement and will actively work with medical staff and various departments within the organization to measure, analyze and improve clinical and quality management processes with continuous methods.

Essential Duties And Responsibilities (Include But Not Limited To)

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 


  • Advises the Senior Director of Clinical Services in areas of quality improvements in alignment with Hospital and organizational goals; provides oversight and coordination for all clinical Quality Control departments across Mercy Ships vessels.  
  • Advises on and oversees the implementation of new quality management and reporting initiatives for the Hospitals, and takes a supportive, active role in the continued development of the fleet Hospitals' quality management standards.
  • Researches trends and developments in quality management standards and oversees the development of comprehensive safety, quality, and performance improvement goals in relation to the analysis and trending data in their department.
  • Supports the controlled document and policy writing, approval, and publishing processes of fleet-wide Hospital departments.


  • Provides ongoing direction to subordinate managers to ensure resources are well-coordinated and all issues are appropriately communicated.
  • Uses servant leadership and strong interpersonal skills to motivate and develop an effective, creative, and collegial team.
  • Proactively leads and invests in the development of team members, providing training, guidance, and feedback, to support each team member in achieving their goals and a high level of job satisfaction.
  • Manages the recruitment and selection of new staff, completes performance reviews and maintains development plans and succession plans.

Data and Information Management

  • Provides a summary of the performance data, identifies opportunities for improvement and presents these findings to the SDCS and ICMO on a regular basis.
  • Facilitates internal audits; advises on systems for data collection, reporting, and analysis functions in collaboration with the Programs Informatics Manager.
  • Provides cross-functional assistance on an as-needed basis to other programmatic areas within Mercy Ships.

Document Control

  • Responsible for the management of documents pertinent to the fleet clinical quality assurance program, for example, ensuring the appropriate review and update of policies and procedures. Ensures that processes needed for the Quality Management Systems are maintained and further developed as applicable.
  • Responsible for maintaining document control through timely edits and additions to the Hospital Administration Document Management System (HA-DMS).
  • Other duties as assigned.

Qualifications (Knowledge, Skills, Abilities, And Requirements)

The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • Supportive of the Mercy Ships mission and vision, and committed to its core values.
  • Understand and apply servant leadership, work collaboratively with integrity, and demonstrate accountability.
  • Ability to monitor and synthesize data, identify trends & insights and make recommendations.
  • Knowledge of quality management models, processes, and tools in a healthcare setting.
  • Ability to read and interpret general business periodicals, professional journals, technical procedures, or government regulations.
  • Ability to write reports, business correspondence, and procedure manuals.
  • Ability to clearly communicate quality management methods, concepts, and tools to all levels of staff in a cross-cultural environment.
  • Well-organized and disciplined with well-developed project management capabilities; detail & process-oriented; can proactively manage multiple priorities and projects on tight deadlines.
  • Strong leadership skills.
  • Effective application of quality management principles, quality measures, clinical quality guidelines, and process management initiatives.

Education And Experience

The requirements listed below are representative of the education and / or experience required.

  • Bachelor's degree in a clinical healthcare-related field is required.
  • Certified Professional in Healthcare Quality (CPHQ) or other recognized certification in quality and/or patient safety programs.
  • 3+ years experience in performance improvement and/or project management, advanced training, and/or experience in continuous quality improvement.
  • Proven knowledge of processes and databases; adept at Microsoft Excel, Word, Access, and PowerPoint.
  • Training in quantitative methods and statistical analysis.
  • Current or recent senior responsibility with Mercy Ships, strong working knowledge of Mercy Ships organization, values, and culture, and/or previous clinical experience in developing nations preferred.