Manager of Provider Quality

Mercyhealth Wisconsin and Illinois•Janesville, WI

14d•$82,331 - $131,729

About The Position

The Manager of Provider Quality leads medical staff peer review and data reporting, supports physician performance improvement, and advances organization-wide quality initiatives. The role works with medical staff members, physician leaders, system leaders, risk management, administrative leaders, and multiple departments to ensure timely and standardized reviews, accurate and reliable data, regulatory compliance, and accreditation readiness. The manager provides direct supervision to Data Specialist staff, including coaching and performance evaluations, and assists with department budgeting and project planning. The position is scheduled Monday through Friday on day shift, 40 hours per week. It requires a bachelor's degree in a healthcare-related field, or a bachelor's degree plus five years of healthcare experience and completion of a medical terminology class. CPHQ certification is required within one year. The role requires advanced Microsoft Excel skills and prior managerial or supervisory experience. The stated pay range is $82,330.93 to $131,729.48.

Requirements

Bachelor's degree in a healthcare-related field, or a bachelor's degree with five years of experience in a healthcare field and completion of a medical terminology class.
Previous managerial or supervisory experience with progressively increasing responsibility.
Advanced Microsoft Excel experience, including creating and maintaining spreadsheets, managing graphical displays of data, and using advanced functions and formulas.
CPHQ certification within one year of hire.
Excellent interpersonal and communication skills.
Ability to define problems, interpret data, establish facts, and draw valid conclusions.
Ability to work with partners to achieve strategic goals.
Ability to exercise a high level of independent judgment and act independently.
Ability to regularly use hands to finger, handle, or feel; talk and hear; and frequently reach with hands and arms.
Ability to occasionally stand, walk, sit, and climb or balance; regularly lift or move up to 10 pounds and occasionally lift or move up to 25 pounds; and perform tasks requiring close and distance vision.

Nice To Haves

Master's degree.
Quality background, including experience with data measurement, report analysis, and data interpretation.
Moderate Microsoft Access experience, including database creation, table maintenance, and related problem-solving.

Responsibilities

Manage medical staff peer review and data reporting, using clinical triggers and occurrence reporting to identify cases.
Educate and coach new physicians and physician leaders about peer review processes and quality measures.
Work with medical staff members and system leaders to ensure reviews are completed on time and provide information as needed.
Attend medical staff department meetings as the Quality and Peer Review representative and provide reports and feedback as requested.
Manage physician reporting activities and coordinate work to standardize reporting across the organization.
Analyze performance, identify trends, and recommend new measures to the Medical Staff.
Educate leaders and medical staff on new measures, requirements, and their organizational impact.
Oversee reports and data used for physician performance improvement, ongoing professional practice evaluation, and focused practice evaluation.
Collaborate with medical staff leadership, risk management, and administrative leaders to recommend further investigation or improvement.
Participate in committees related to medical staff performance initiatives.
Coordinate measures and indicators and standardize processes between facilities.
Collaborate with departments to ensure data validity, reliability, accuracy, and timeliness.
Assist with accreditation preparation and compliance monitoring related to quality, performance improvement, and medical staff standards.
Participate in planning and project management as requested.
Directly supervise Data Specialist staff, including conducting annual evaluations and quarterly coaching meetings.
Assist with preparation of and adherence to the department budget.
Interview, hire, and train employees; plan, assign, and direct work; appraise performance; reward and discipline employees; address complaints and resolve problems; and ensure adherence to annual education and certification requirements.