The Joint Commission

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Project Manager - Business Operations

Project Manager - Business Operations

Job ID 
# of Openings 
Job Locations 
US-IL-Oakbrook Terrace

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The position is responsible for the management of multiple complex projects which meet major divisional priorities. Key functions include: serves as the DIVHI lead and liaison between DIVHI, DIVACO, and IT in the development and maintenance of the Consistent Interpretations Technology (CITe) database across all accreditation and certification programs; supports the Director of Operations and the Project Director – Office of Patient Safety in data analysis and reporting, including maintenance of the DIVHI dashboard and reporting on key metrics to Enterprise Officers and the Board of Commissioners; and assists the Director of Operations in divisional productivity management and the planning and monitoring of financial operations.  This position also serves as project manager for other special projects as needed.



  1. Serves as the Enterprise Lead in the ongoing development and maintenance of the CITe database, including: collaboration with the DIVACO CITe lead on opportunities to improve database content and functionality; co-chair of quarterly Operations Team meetings and coordinator of quarterly Quality Council meetings; DIVHI lead in CITe education and communication, database management, document review, and reconciliation of CITe content with updates to the accreditation manuals.
  2. Serves as the DIVHI liaison to IT and DIVACO in the design, testing, and implementation of changes/improvements in the CITe database functionality and content. Responsible for the development and maintenance of Policies and Procedures relative to the use of CITe by Standards Interpretation Group staff.
  3. Utilizing established Robust Process Improvement analytical tools and methods, such as those included in the Minitab statistical software package (e.g., measurement of distribution, variation, process capability, and central tendency; process mapping; cause and effect diagrams; hypothesis testing; and failure mode and effects analysis) assists the Director of Operations in the development and ongoing maintenance of the DIVHI dashboard, including the collection and analysis of data that is relative to key performance and operational metrics. Analyzes reports for trends and outliers, and works with key stakeholders to improve performance within their areas. Recommends modification of the dashboard content and format, as needed.  
  4. Utilizing established analytical tools, such as described in Principle Duty number 3 assists the Project Director – Office of Patient Safety in the aggregation and presentation of Sentinel Event data for external quarterly and internal management reports.
  5. Works directly with the Director of Operations and the DIVHI management team to plan and coordinate the divisional budget development process. Assists in the preparations of annual budgets, phasing, forecasts and projections and variance reporting for all divisional revenue and expenses.
  6. Proactively identifies opportunities for performance improvement and serves as project lead for identified projects. This includes writing project proposals and/or project charters to get required approvals. Creates and maintains project status reports to keep management up-to-date about progress of assigned projects.
  7. Proactively informs the Director of major issues and shares ideas for solutions.
  8. Serves as project manager for other special projects, as needed.



  1. A bachelor’s degree required, masters preferred, 7+ years of experience in the health care industry.
  2. Familiarity with Joint Commission requirements, accreditation decision processes, and CMS’ Conditions of Participation.
  3. Strong analytic abilities. Experience leading the design of data collection and reporting systems and in interpreting and communicating results. Demonstrated ability to problem solve and juggle multiple priorities. Produces monthly and ad hoc reports.

  4. Strong understanding of RPI tools and methods, including the DMAIC approach to problem solving. Practical experience in the use of the Minitab statistical software package. Certified as a yellow-belt, green-belt, black belt, or Change Agent.
  5. Strong computer skills (Microsoft Suite applications: Word, Excel, PowerPoint,) and knowledge of The Joint Commission’s accreditation software applications, including Web-based Survey Technology and Central Office.
  6. Proven experience leading large scale and complex projects from requirements gathering to implementation, including the ability to plan, organize, and synthesize activities that involve a wide range of individuals. Leads internal and external meetings and training sessions.
  7.  Excellent organizational, critical thinking, and interpersonal skills to interact effectively with individuals at senior management and staff levels both inside and outside the organization.

  8.  Exhibits strong problem solving skills and resourcefulness. Uses business knowledge to identify and analyze problems and assess potential risk.
  9.  Superior written and verbal communication skills (oral, written, listening). Ability to negotiate. Capable of preparing and delivering presentations to senior management and Joint Commission customers. 
  10. Ability to handle confidential information. 


This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. The description is not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities, and working conditions associated with this position. All requirements are subject to possible modification and reasonably accommodate individuals with disabilities.

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