Clinical Quality Analyst
About The Position
The Clinical Quality Analyst monitors data integrity and validity and conducts data collection and analysis to identify quality improvement opportunities. The role establishes feedback loops with other departments and monitors improvement. It uses clinical decision support and information systems to assess health services and recommend improvements, and applies Lean management tools and processes to support organizational performance initiatives. The analyst collaborates with internal and external teams, data abstractors, clinicians, physicians, departments, and senior leadership. This includes establishing effectiveness benchmarks; analyzing and interpreting outcome data; training and educating staff on data management and reporting; communicating results to clinical effectiveness teams; and supporting external data submissions. The position develops reports and presentations, communicates analytical insights to management, and advises leadership on using quality improvement data. It requires knowledge of healthcare quality measures and regulations, as well as proficiency with analytical tools and healthcare data systems.
Requirements
- Bachelor’s degree in healthcare administration or equivalent experience in a healthcare setting.
- Proficiency in Microsoft Office, including Excel and Word.
- Experience with EHR/EMR systems and database query tools.
- Strong verbal and written communication skills for interacting with patients, providers, and community partners.
- Ability to manage multiple tasks, prioritize effectively, and coordinate with various departments.
- Knowledge of quality measures such as HEDIS, CMS Star, Value Based Care, and other quality programs and reporting methodologies.
- Knowledge of healthcare regulations and quality improvement frameworks.
- Proficiency with data analytical tools such as SAS, SQL, Python, R, Tableau/Power BI, Microsoft Office suite, or similar applications.
Nice To Haves
- Lean Fundamental or Process Improvement experience.
Responsibilities
- Monitor and maintain data integrity and validity.
- Collect and analyze data to identify quality improvement opportunities, communicate findings with other departments, and monitor improvement.
- Investigate data for patterns and trends and convert it into understandable, usable information.
- Collaborate with internal and external teams to establish effectiveness benchmarks, analyze outcome data, and lead interpretation, review, and communication of results.
- Assess health services using clinical decision support and information systems and recommend improvements.
- Collaborate with data abstractors and provide training and education on data management, outcome reporting, communicating results, and external data submissions.
- Serve as a resource to departments, physicians, clinicians, and senior leadership evaluating systems and processes of care and service using operational, clinical, perceptual, and financial outcome data.
- Use Lean management tools and processes to facilitate performance improvement initiatives supporting organizational goals and strategies.
- Provide guidance and feedback to leadership on applying quality improvement data using analytical principles, concepts, and problem-solving tools and techniques.
- Develop reports and presentations and communicate analytical insights to management.
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What This Job Offers
Job Type
Full-time
