
The High Reliability Manager Operational Excellence partners with the Director in advancing University Health’s culture of fairness, learning, and reliability by coaching and mentoring frontline leaders, facilitating cultural rounding, and promoting consistent adoption of Fair and Just Culture and High Reliability Organization (FJC-HRO) behaviors. The Manager serves as an operational leader responsible for advancing leadership development, Fair and Just Culture, and High Reliability across the organization through coaching, consultation, education, and advancement of department and organizational priorities. The Manager plays a key role in building leadership bench strength by supporting succession planning and development activities across departments. Responsibilities also include facilitating leader education, supporting department-level improvement work, and helping embed Fair and Just Culture and High Reliability principles into everyday leadership behaviors, operational practices, and decision-making.
Bachelor’s degree in healthcare, organizational development, leadership, business, psychology, or a related field is required. Master’s degree preferred. Experience coaching, mentoring, developing, or consulting with leaders in a healthcare or complex organizational environment is preferred. Experience with Fair and Just Culture, High Reliability, leadership development, organizational effectiveness, or patient safety is strongly preferred. Proficiency in Microsoft Office Suite is required.
Lean/Six Sigma certification desired. Certificate in Just Culture Training for Managers and Mentors required within 90 days of hire.

University Health is the only locally owned health system in San Antonio. For more than 100 years, University Health has been here to heal, improve health, train the next generation of medical professionals and ensure the people of San Antonio, Bexar County and South Texas have access to primary and advanced specialty care close to home.
Almost 11,000 employees and more than 1,200 physicians provide specialized services, including the region’s only Level I trauma center for both adults and children, and maternal and neonatal intensive care centers designated at the highest levels by the State of Texas.
As the region’s only academic health system, University Health is a hub of innovation and discovery, committed to delivering patient-centered, culturally competent, high-quality and compassionate care, based on a strong foundation of outcomes‐based research and innovative teaching.
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