RN Quality Measure Specialist Job Chandler area,Arizona USA,Quality Assurance

Primary City/State:
Phoenix, Arizona. Department Name:
Digital Transformation Foundation Clinical Application.

Work Shift:

Remote. Job Category:
Clinical Support.

The MACRA Department is expanding and seeking RN Quality Measure Specialists to support regulatory and quality reporting initiatives. This fully remote role focuses on validation, abstraction, and submission of clinical quality measures, including MIPS (CQMs, Eligible Clinician and Eligible Hospital eCQMs), Core Measures, and The Joint Commission requirements.

Key Responsibilities

Perform clinical validation to ensure measure accuracy and compliance with CMS requirements.
Conduct medical record abstraction for assigned measures.
Identify and resolve data and logic discrepancies in collaboration with internal teams and external vendors (Oracle Health, Central Utah Informatics).
Support timely and accurate regulatory submissions.
Be assigned to one of two primary areas:
Validation or Abstraction. Cross‑training will be provided to support workload balancing and team flexibility.

Ideal Candidate

RN with 5 years acute care experience (ED, ICU, PACU or similar preferred).
Strong critical thinking and clinical judgment.
Ability to work independently in a remote environment while managing priorities and deadlines.
Comfort collaborating across teams when needed.
Detail‑oriented with an interest in quality and regulatory compliance.
Working knowledge of Cerner Millennium EHR (Oracle Health EHR).

Work Hours

8:30AM – 4:30PM AZ Time with potential for flexible scheduling after orientation. Must be available for scheduled meetings (usually between 8:30AM – 4:30PM AZ time).

Position Summary

This position performs clinical data abstraction and/or validation activities in support of regulatory programs and associated clinical quality measures, including IQR, OQR, IPFQR, Core Measures, TJC, and MIPS (CQM & eCQM). This role applies clinical knowledge and established measure specifications to ensure accurate, complete, and compliant data capture. The position is primarily assigned to abstraction or validation functions with cross‑training in both areas.

Works within defined workflows and guidelines, contributing to data integrity, audit readiness, and overall quality performance.

Core Functions

Performs clinical data abstraction and validation in alignment with regulatory measure specifications and clinical documentation.

Applies clinical knowledge and established guidelines to support accurate, complete, and consistent data capture.

Identifies data and logic discrepancies and follows defined processes for escalation and resolution.

Adheres to standardized workflows, tools, and documentation requirements to ensure data integrity, regulatory compliance, and audit readiness.

Applies and expands knowledge of assigned regulatory programs and measure specifications.

Contributes to clinical quality data review and validation activities, including report logic review, to ensure data accuracy and alignment with regulatory intent.

Participates in cross‑training, knowledge sharing, and quality‑related initiatives through data review and collaboration.

Minimum Qualifications

Bachelor’s degree in Healthcare or a related field, or equivalent education and experience.
Current valid Registered Nurse (RN) license.
Strong clinical background and knowledge, typically obtained through a minimum of three to five years of clinical experience in an acute care setting.
Demonstrated ability to apply critical thinking, analytical reasoning, and problem‑solving skills to complex medical cases.
Experience with electronic medical records and clinical documentation.
Strong communication and organizational skills.
Ability to work autonomously within a complex and quickly changing remote environment and navigate multiple computer programs.

Preferred Qualifications

Working knowledge of quality metric specifications and clinical coding conventions.
Experience with clinical quality abstraction and/or validation processes.
Experience in high‑acuity or critical care environments such as ED, ICU, PACU or comparable settings.
Experience supporting regulatory programs.
Exposure to report logic, external vendors, or regulatory audits (including IRR/ARR activities).
Experience with Oracle Health EHR (Cerner Millennium).
Experience contributing to process improvement initiatives.
Proficiency with Microsoft Office (Excel).
Additional related education and/or experience preferred.

Compensation

Estimated Pay Range: $35.43 - $59.05 per hour.

EEO Statement

Banner Health is an Equal Opportunity Employer. We welcome applicants who are persons with disabilities, veterans, and those recognized as belonging to protected categories.

#J-18808-Ljbffr