Quality Intelligence Program Consultant

Department: 13576 Value Enablement Services
- Value Based: CMD Status:
Full time Benefits Eligible:
Yes Hours Per Week: 40 Schedule Details/Additional Information:
Full-time, dayshift Monday
- Friday 9:00am-5:00pm. This role will be remote. Remote work is currently only approved for residents living in the following states: AL, AK, AR, AZ, DE, FL, GA, IA, , IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range: $38.20 - $57.30

Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH. Keeps current on external reporting programs, associated measures, and best practices in order to ensure internal priorities align with external environment and demands. Maintains programming specifications and code lists for all quality measures in value-based agreements and internal reporting and partners with other data professionals to ensure timely communication of critical updates.

Leads the development of enterprise-wide reports, processes, workflows, tools, and initiatives designed to improve health outcomes. Leads the development and adoption of processes and mechanisms for accurate quality data collection, analysis and reporting. Manages the interpretation, analysis, and communication of Quality data by engaging professionals in own department and leaders of other collaborating departments to drive improvements. Participates in the development of reports, files, and databases used for internal and external reporting.

Ensures accuracy and optimization of quality data and is a resource for business intelligence, data analysis, and workflows supporting Quality initiatives and data integrity. Performs data validation to assure data accuracy and integrity (related to data feeds, measure mapping, etc.) and assists in resolving deficiencies. Helps develop readily accessible and intuitive quality intelligence solutions (dashboards, dynamic reports, data visualizations, etc.)

to deliver actionable information to multiple end users (clinicians, leaders, executives etc.). Leads Quality Intelligence meetings with key stakeholders. Tracks and trends value-based payer quality performance data and analyzes improvement opportunities to inform the department strategy. Meets with and serves as the contact for external payer partners and internal partners for assigned area of oversight. Manages and leads system improvement efforts, develops quality strategies related to internal and external quality measures and payer data feeds, and serves as the subject matter expert.

Develops improved Electronic Health Record (EHR) tools to ensure complete data capture and to support the strategic priorities related to value-based agreements in collaboration with key functional departments and leadership.

None Required.

Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field.

Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.

Knowledge of quality improvement methodologies, tools, and measures. Project Management methodology and tools. Statistical techniques to support analysis and interpretation of data. Ability to create reports, graphs, and other visual presentation materials, and effectively maintain statistical data. Excellent analytical and statistical skills with ability to analyze complex data, make inferences, and validate conclusions Team and meeting facilitation techniques and tools.…