Vice President, Clinical Excellence

At NorthBay Health, the Vice President of Clinical Excellence oversees quality improvement, patient safety, and clinical outcomes strategy across the Ambulatory Division, defining care standards, driving innovation, and fostering a learning culture. Responsible for clinical operations, ensuring regulatory compliance, managing budgets, and leading interdisciplinary teams.

PRIMARY RESPONSIBILITIES

• Patient Safety/Risk Management

  1. Patient Care Event Reviews

  2. Facilitation of RCA for Serious Safety Events

  3. Grievance management

• Quality Monitoring

  1. Quality Data (MIPS, PHP, etc.)

  2. OPPE Program Management

  3. Peer Review Facilitator

• Infection Prevention

  1. Environmental Risk Assessment

  2. Environment of Care Event Review

  3. Emergency Preparedness

• Orientation & Onboarding

  1. New/Department Specific Orientation

  2. Competency Validation

• Practice

  1. Policy and Procedures

  2. New Site Activations

  3. Instrument/Equipment Sterilization and Processing

  4. CLIA/POCT

  5. Equipment Tracking

  6. Billing Optimizations

  7. Scope of Practice 

• Continuous Readiness

  1. Monitor Regulatory Compliance

  2. Quarterly Site Assessments

  3. Medical Waste Management

• Strategic Leadership:

  1.  Develop and implement clinical strategies, evidence-based practices, and patient-centered care models.

• Quality & Safety: 

  1. Monitor clinical performance metrics (KPIs) to identify areas for improvement, and lead patient safety initiatives.

  2. Liaison with Employee Health and ensure system vaccine programs are optimized

• Staff Development: 

  1. Mentor staff, promote professional growth, and ensure clinical education. 

• Other duties as assigned

Education: Master’s degree in Healthcare Administration, Business Administration or Nursing.

Experience: Minimum of ten years of progressive leadership experience in ambulatory operations and quality.  Experience in physician practice management as an executive or in a senior level position.

Leadership Skills and Competencies:

• A highly personable, approachable and collaborative individual, who is able to promote and maintain momentum and enthusiasm to drive quality, performance improvement, patient safety and service excellence.
• An inclusive leader with outstanding interpersonal skills, who empowers, motivates and challenges staff, while also holding them accountable; a team player who has an open and non-competitive leadership style that promotes partnerships and builds trust and strong relationships.
• Excellent written and verbal communication skills, including the ability to listen effectively and be open to the ideas of others; can present data and translate complex issues into comprehensible ideas in a concise and easily understood manner.
• Ability to analyze clinical, financial, and operational data for decision-making.
• An individual with unquestioned integrity, who can build trusting relationships across the organization.
• An inspiring leader who can mentor and help grow aspiring leaders and provide appropriate actionable feedback, when necessary.
• Open and accessible personal style; calm and thoughtful demeanor that encourages input and ideas from others. A consensus builder with superb facilitation skills, a team player who is collaborative and collegial, and a person of the highest level of integrity.
• Passion for efficient, safe, effective, cross-disciplinary clinical care and coordination of services.
• This individual must be a results-oriented, authentic, focused, yet collaborative and transparent leader.
• This individual must remain up to date with industry trends, understand the big picture, demonstrate excellent employee and physician relations, and work effectively with a wide range of organizational stakeholders.

• A system thinker, who is able to “connect the dots” quickly and implement initiatives across multiple service areas. Proven creative problem-solving skills with the willingness to take the initiative in leading and managing

• Strong knowledge of healthcare regulations, reimbursement models and industry trends. 

• Demonstrated success in managing large teams and multiple ambulatory locations

Interpersonal Skills: Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Compensation: $285 to $310k annually based on years of experience doing the duties of the role.  Bonus eligible.

Interpersonal Skills and Values

Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

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