Professional Practice Evaluation Coordinator - Clinical Quality Analytics - Baptist Jacksonville

Baptist Health is seeking a Professional Practice Evaluation Coordinator to support provider quality, regulatory compliance, and credentialing initiatives across the health system. This role is responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes, ensuring practitioner performance is monitored, documented, and reported in accordance with accreditation and regulatory standards.

Responsibilities

Coordinate OPPE and FPPE activities for medical staff and providers; Collect, analyze, and validate practitioner performance data from multiple sources; Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees; Maintain accurate and confidential records related to professional practice evaluations, peer review activities, and provider performance; Collaborate with medical staff leadership, quality teams, department leaders, and hospital administration to support quality and regulatory initiatives; Monitor compliance with Joint Commission, CMS, and organizational requirements; Conduct audits and assist with survey readiness activities; Identify opportunities for process improvement and support implementation of best practices; Educate stakeholders on professional practice evaluation processes and requirements

Requirements

Bachelor of Science in Nursing (BSN) required; Active Registered Nurse (RN) license required; Clinical nursing experience required; Strong analytical, organizational, and problem-solving skills; Advanced proficiency with Microsoft Excel and healthcare data management

Nice to have

Healthcare quality experience; Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation; Certified Professional in Healthcare Quality (CPHQ)