Quality Intelligence Program Consultant

Advocate Health•Oak Brook, IL

1d•$38 - $57•Remote

About The Position

The Quality Intelligence Program Consultant contributes to system-wide quality and health outcomes measure development, definitions, goal setting, improvement activities, and work groups. The role monitors external reporting programs, measures, and best practices to align internal priorities with external requirements. It maintains programming specifications and code lists for quality measures used in value-based agreements and internal reporting, coordinating critical updates with data professionals. The consultant leads development of enterprise-wide reports, processes, workflows, tools, and initiatives intended to improve health outcomes and support accurate quality data collection, analysis, and reporting. The role interprets and communicates quality data, supports internal and external reporting, validates data accuracy and integrity, and helps resolve deficiencies. It develops accessible quality intelligence solutions such as dashboards, dynamic reports, and data visualizations for clinicians, leaders, and executives. The consultant leads stakeholder meetings, tracks and analyzes value-based payer quality performance, and identifies improvement opportunities to inform department strategy. The role serves as a contact for assigned external payer and internal partners, leads system improvement efforts, develops quality strategies, and acts as a subject matter expert. In collaboration with functional departments and leadership, it also develops EHR tools to improve data capture and support value-based agreement priorities.

Requirements

Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or a related field.
Typically requires 5 years of experience in Health Care Administration, Project Management, Quality Intelligence, or a related field.
Knowledge of quality improvement methodologies, tools, and measures.
Knowledge of project management methodologies and tools.
Knowledge of statistical techniques for data analysis and interpretation.
Ability to create reports, graphs, and other visual presentation materials and maintain statistical data.
Strong analytical and statistical skills, including the ability to analyze complex data, make inferences, and validate conclusions.
Knowledge of team and meeting facilitation techniques and tools.
Strong written and oral communication skills.
Experience with Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook, and Teams.
Knowledge of value-based agreements, Accountable Care Organizations (ACOs), integrated health care operations, and value-based health care models.
Knowledge of information system tools, report programming, and measure development.
Knowledge of CMS, NCQA HEDIS, MA Stars, and evidence-based guidelines.

Nice To Haves

HEDIS/NCQA payor experience

Responsibilities

Contribute to system-wide quality and health outcomes measure development, definitions, goal setting, improvement activities, and work groups for AAMG and EPH.
Monitor external reporting programs, measures, and best practices to align internal priorities with external requirements.
Maintain programming specifications and code lists for quality measures in value-based agreements and internal reporting, coordinating critical updates with data professionals.
Lead development of enterprise-wide reports, processes, workflows, tools, and initiatives to improve health outcomes.
Develop and support processes for accurate quality data collection, analysis, and reporting.
Interpret, analyze, and communicate quality data by engaging department professionals and leaders in collaborating departments to drive improvements.
Participate in development of reports, files, and databases for internal and external reporting.
Support accuracy and optimization of quality data and provide expertise in business intelligence, data analysis, workflows, and data integrity.
Validate data accuracy and integrity, including data feeds and measure mapping, and assist with resolving deficiencies.
Develop accessible quality intelligence solutions, including dashboards, dynamic reports, and data visualizations, for clinicians, leaders, executives, and other end users.
Lead Quality Intelligence meetings with key stakeholders.
Track and trend value-based payer quality performance data and analyze improvement opportunities to inform department strategy.
Serve as the contact for external payer partners and internal partners for the assigned area of oversight.
Manage and lead system improvement efforts, develop quality strategies related to internal and external quality measures and payer data feeds, and serve as a subject matter expert.
Develop EHR tools to support complete data capture and strategic priorities related to value-based agreements, collaborating with functional departments and leadership.