Quality Intelligence Program Consultant

Advocate Health•Milwaukee, WI

5d•$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 projects, and work groups. The role maintains current knowledge of external reporting programs, measures, and best practices; maintains programming specifications and code lists for quality measures; and partners with data professionals to communicate critical updates. The consultant leads development of enterprise-wide reports, processes, workflows, tools, and initiatives that improve health outcomes. The role supports accurate quality data collection, analysis, and reporting; interprets and communicates quality data to colleagues and leaders; and contributes to reports, files, and databases for internal and external reporting. Responsibilities also include validating data, addressing deficiencies, developing accessible dashboards and visualizations, leading stakeholder meetings, and analyzing value-based payer quality performance to identify improvement opportunities. The position serves as a contact for assigned external payer and internal partners, leads system improvement efforts, develops quality strategies, and serves as a subject matter expert. In collaboration with functional departments and leadership, the consultant develops Electronic Health Record tools that support complete data capture and strategic priorities related to value-based agreements. This is a full-time, remote, dayshift role, scheduled Monday through Friday, 9:00 a.m. to 5:00 p.m. Remote work is approved only for residents of the states listed in the posting. The position requires a bachelor's degree in a related field and typically five years of relevant experience.

Requirements

Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or a related field.
Typically five 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 used to support 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, 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.
Ability to sit for extended periods of time.
Ability to operate all equipment necessary to perform the job duties.

Responsibilities

Contribute to system-wide quality and health outcomes measure development, definitions, goal setting, improvement projects, and work groups.
Stay current on 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 communication of updates with data professionals.
Lead development of enterprise-wide reports, processes, workflows, tools, and initiatives designed to improve health outcomes.
Develop and support processes for accurate quality data collection, analysis, and reporting.
Interpret, analyze, and communicate quality data with departmental professionals and leaders of collaborating departments to drive improvement.
Participate in development of reports, files, and databases for internal and external reporting.
Ensure quality data accuracy and optimization; support business intelligence, data analysis, workflows, and data integrity.
Validate data accuracy and integrity, including data feeds and measure mapping, and help resolve deficiencies.
Develop accessible quality intelligence solutions such as dashboards, dynamic reports, and data visualizations for clinicians, leaders, and executives.
Lead Quality Intelligence meetings with key stakeholders.
Track and trend value-based payer quality performance 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 measures and payer data feeds, and serve as a subject matter expert.
Develop improved Electronic Health Record tools to support complete data capture and strategic priorities related to value-based agreements, in collaboration with functional departments and leadership.

Benefits

Paid Time Off programs.
Medical, dental, vision, life, and short- and long-term disability benefits.
Flexible Spending Accounts for eligible health care and dependent care expenses.
Adoption assistance and paid parental leave.
Defined contribution retirement plans with employer match and other financial wellness programs.
Educational Assistance Program.
Programs supporting career development and well-being.
Premium pay, where applicable, such as shift or on-call pay.
Incentive pay for select positions.
Opportunity for annual increases based on performance.