The Joint Commission

Project Director, Clinical Quality Informatics (CQI)

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


This is a hybrid position which can be located in either Oakbrook Terrace (Chicago), IL or Washington DC. Positions in this Job Family plan and execute complex projects of significant scope, coordinate the activities of project team members to achieve projects goals and timelines, apply specialized knowledge and skills in a professional or technical discipline mentor other staff to grow enterprise capabilities in the discipline, earn trust and respect from internal and external stakeholders, and manage expectations through ongoing changes.


The Project Director, Clinical Quality Informatics in the Department of Quality Measurement plans and executes specific, designated performance measure research and development projects to enhance the Joint Commission’s and its affiliates’ ability to assess and improve the quality of health care. They also advise on technical and policy issues critical to advancing the data infrastructure for Joint Commission and National Quality Forum (NQF) programs, such as federal policies to advance data standards. As a subject matter expert in digital quality measurement (dQM) and HL7 standards, this role supports the development of the Joint Commission and NQF  dQM strategy and engages in the advancement of HL7 standards. Note: This role has project management responsibility and no direct reports. People and other resources are managed indirectly as part of cross-functional team delegation required to complete the project.


  1. Independently manages project work to ensure that project milestones are met. Ensures the quality and integrity of project deliverables. (65%)
    1. Leads team-based projects addressing the identification, specification, testing and implementation of national standardized electronic performance measures for various care settings and clinical areas.
      1. Defines project goals and activities and develops work plans.
      2. Defines project parameters and specifications and organizes related staff resources.
      3. Develop initial budgets, monitor utilization, and manage risks to deliver high quality work within budget.
      4. Engage and manage project funders (including federal and state entities, private foundations, and for-profit organizations) and other stakeholders/clients as relevant.
      5. Formulates creative and innovative approaches to accomplishing project objectives.
      6. Manages daily operations related to projects which are often very large and complex.
      7. Monitors current projects to ensure that they are conducted in a highly professional manner.
      8. Acts independently and pro-actively to manage and resolve project-related problems as they arise.

     2. Provides professional/technical guidance and consultation in areas of expertise. (25%)

      1. Collaborates with other staff in the development of digital/electronic clinical quality measures (dQM/eCQM) specifications, including modeling of clinical concepts using available electronic information models, definition of value sets in standard vocabularies, and articulation criteria and logical scenarios for inclusion/exclusion in measure populations.
      2. Performs clinical workflow analysis as it relates to data capture within electronic health records to support standardized performance measures.
      3. Serves as a content expert to the Department of Quality Measurement and other departments within the Joint Commission and its affiliates, as well as to external national groups.
      4. Develops and maintains sufficient understanding of electronic health information technology-related standards, information models, and standard terminologies to contribute to the design of electronic specifications.
      5. Follow and guide The Joint Commission’s and its affiliates’ contributions to national policy activities to advance data standards and interoperability, such as HL7 FHIR Accelerator activities, The Office of the National Coordination for Health Information Technology (ONC) standards advancement process and certification regulations and policies, and the Centers for Medicare & Medicaid Services (CMS) strategy for transition to dQMs. 
      6. Contribute to work defining principles for the evaluation and use of artificial intelligence/machine learning/natural language processing in quality measures.

   3. Engages with experts in defined clinically or technically focused topic areas. (5%)

      1. Reviews, analyzes, and synthesizes literature related to issues of quality and safety in the delivery of patient care.
      2. Lead and facilitate project committees/expert panels/advisory groups.Prepares content for internal and external communication vehicles (newsletters, journals, blogs, etc.).

   4. Initiates, coordinates, and participates in the dissemination of project information. (5%)

      1. Prepares and presents project presentations to senior management, advisory bodies, and other constituents.
      2. Serves as faculty for surveyor/reviewer and other education programs. 
      3. Prepares content for internal and external communication vehicles (newsletters, journals, blogs, etc.).



  1. Master’s degree in nursing, informatics, health information management, computer science or related field.
  2. Minimum of seven years of healthcare experience including five or more years of experience with performance measure development and/or implementation, or use of health IT for clinical performance measurement and quality improvement implementation.
  3. Strong knowledge of healthcare performance measurement, policy, or public health.
  4. Minimum of three years of experience managing projects and budgets.
  5. Domain knowledge of healthcare data standards (FHIR, QDM, CQL, QRDA, etc), experience mapping local terms/concepts to standardized code systems; experience with use-cases involving EHR data in downstream/value-add applications; and a good understanding of the challenges and limitations of extracting, validating, exchanging, aggregating, and using real-world clinical data in quality measurement.
  6. An understanding of FHIR API and app design, and a familiarity with eCQM development using CMS tools, including Bonnie and MAT, are preferred.
  7. Experience with EHR clinical documentation, clinical workflow analysis and redesign, or clinical decision support to aide clinical best practices is desirable.
  8. Ability to lead multiple complex projects involving a wide range of individuals, groups, and/or committees.
  9. Ability to manage client relationships.
  10. Strong analytic abilities. Experience leading the design of data collection and reporting systems and in interpreting and communicating results.
  11. Effective interpersonal skills to interact with individuals at various levels both inside and outside of the organization, often in sensitive situations requiring political awareness. Ability to communicate with parties within and outside of own area to ensure that tasks and activities are understood and implemented. Ability to shift mindset and communication style to adapt to the project role (i.e., lead versus team member).
  12. Displays a strong commitment to superior quality. Takes responsibility for written deliverables to ensure high quality final products. Alters writing style to appeal to various audiences as needed. Willingness to seek and respond positively to editorial input and ability to deliver constructive feedback to others.
  13. Ability to provide guidance, coaching, and training to lower-level or new employees. Responsible for managing major/complex projects at this level, involving delegation of work and review of work products.  Expected to consult with managers to identify project resource requirements and identify professional skill sets gaps that should be addressed to meet current and future project needs.





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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