Harris Health System

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Program Manager Accreditation Maternal Child

at Harris Health System

Posted: 10/16/2019
Job Status: Full Time
Job Reference #: 147407
Keywords: operations

Job Description

About Us

Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.

Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.

Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.

Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.

Job Profile


Responsible for providing effective leadership and program direction to the Accreditation section of Quality Programs & Accreditation Department.   Oversee the development, coordination, operations and integration of the Texas State Maternal Care and Neonatal ICU Care Programs for Harris Health System.  Act as regulatory information resource for committees and departments.    Works with all Medical Staff, Nursing, Allied Health and Support Services to ensure care delivery processes are in compliance with federal and state regulations.  Ensures that the organization is in compliance with the State of Texas Maternal and Neonatal ICU designation requirement at all times. Participates in internal quality audit activities, leads performance improvement projects as results of survey findings.  Possess leadership skills in a diverse work setting and able to perform variety of functions.  Serve as a change agent.


Education/Specialized Training/Licensure:
Bachelor's Degree in Nursing and Allied Health required
Master's Degree in Healthcare Administration or Business Administration preferred

Licenses & Certifications
Certified in Hospital Quality (CPHQ)
Quality Auditor (ASQ CQA)
Six Sigma preferred


5 years of experience in hospital related quality assessment, performance improvement program and development and accreditation and regulatory affairs.


3 years of experience in project management preferably in clinical and hospital settings


Exceptional Verbal (Public Speaking)
Writing/ Correspondence

PROFICIENCIES:  Typing 35-40 wpm, MS Word, MS Excel, MS Outlook

KNOWLEDGE/SKILLS/ABILITIES:  Analytical, Design, Mathematics, Research, Statistical

WORK SCHEDULE:  Flexible, Travel



OTHER SPECIAL REQUIREMENTS:  Working knowledge of externally mandated Quality Programs & Accreditation requirements (state and federal; TJC, DNV GL, ISO 9001:2015 other regulatory and licensing agencies etc).

Equipment Operated:  Personal Computer, Fax Machine, Xerox Machine, Window Based Program (i.e. MS Word, Excel, etc).

Benefits and EEOC

Harris Health System benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health System benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.

It is the policy of Harris Health System to provide equal opportunity for all applicants for employment regardless political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

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Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!