Manager of Provider Quality

Mercyhealth•Janesville, WI

13d

About The Position

The Manager of Provider Quality leads medical staff peer review and data reporting functions, analyzes clinical performance, and supports physician development and organization-wide quality improvement. The role works with medical staff members, system leaders, risk management, and administrative leaders to ensure timely reviews, consistent reporting, reliable data, and alignment of measures across facilities. The manager also supports accreditation readiness and regulatory compliance related to quality, performance improvement, and medical staff standards. This position provides direct managerial oversight to Data Specialist staff, including hiring, training, work direction, performance appraisal, and coaching. It also assists with department budget preparation and adherence, and participates in planning and project management as requested. The schedule is Monday through Friday on the day shift, 40 hours per week.

Requirements

Bachelor's degree in a healthcare-related field, or a bachelor's degree with five years of healthcare-field experience and completion of a medical terminology class.
Previous managerial or supervisory experience with progressively increasing responsibility.
Quality background.
Advanced Microsoft Excel skills, including creating and maintaining spreadsheets, managing graphical data displays, 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 independent judgment and action.

Nice To Haves

Master's degree.
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 the peer review process and quality measures.
Work with medical staff and system leaders to ensure timely reviews 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 Medical Staff performance initiative committees.
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 interviewing, hiring, training, assigning and directing work, appraising performance, rewarding and disciplining employees, addressing complaints, and resolving problems.
Lead annual evaluations and quarterly coaching meetings.
Assist with department budget preparation and adherence.
Ensure employee adherence to annual education and certification requirements.