Quality & Training Analyst

Lehigh Valley Health Network • REMOTE IN PENNSYLVANIA, PA

6d • Remote

About The Position

Monitors the internal and external quality improvement (QI) initiatives to continuously improve the quality and efficiency for members, providers, and populations. Provides data analysis, reporting, and program evaluation support. Identifies opportunities for quality improvement and facilitates quality committee initiatives to support best practices, recommendations, and incorporation into staff training and development.

Requirements

• Bachelor’s Degree in nursing or public health.
• 5 years of experience in healthcare program evaluation and/or quality improvement role.
• 3 years of experience in program evaluation in health insurance, population health, corporate health, and/or community healthcare settings.
• 1 year of quality management, accreditation, and/or regulatory and compliance experience.
• Ability to organize and report data with graphics, charts, and descriptive analysis.
• Ability to work as a change agent to influence member, staff, and provider decisions.
• Ability to prioritize multiple competing projects.
• Critical thinking, problem solving, and decision making skills.
• Computer literacy and advanced proficiency in Microsoft Office Suite, Excel, Word, PowerPoint, and Outlook.
• Database skills (statistical concepts, data management, variance analysis).
• Demonstrated ability to self-evaluate and high level of emotional intelligence.
• Familiarity with Six Sigma and Lean concepts.
• Familiar with data analytics tools and predictive modeling.
• Familiarity with Clinical Care Guidelines (e.g. MCG, InterQual, ChangeHealthcare).
• Skillset to include clinical expertise and business acumen.
• Understanding of basic statistical concepts and application.
• Willing and capable of learning and applying new technology to quality improvement needs.

Nice To Haves

• Certified Professional in Healthcare Quality - National Association for Healthcare Quality within 2 Years
• RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire
• Master’s Degree in nursing or public health or equivalent experience in a quality management/compliance role.
• experience with or interest in writing and reviewing health information in plain language
• experience in policy and procedure development and maintenance
• experience in electronic medical records (EMRs) or other health insurance portals/systems
• project management and performance improvement experience.

Responsibilities

• Develops division quality measures and management metrics with leadership and analytics teams (e.g. scorecards, dashboards).
• Researches and summarizes clinical quality guidelines to inform evidence-based clinical decision-making that could impact workflow changes.
• Supports department in maintaining compliance with accreditation standards, including development, review and revision of existing departmental policies and reports.
• Trains staff on quality standards, procedures, and metrics.
• Leads department Quality Improvement Committee meetings and develops topics and/or presents on quality issues to leadership and management.
• Aggregates data to provide overall program metrics and client reports, collaborating with organization stakeholders to validate data integrity and ensure compliance with accreditation standards.
• Participates in service recovery, problem identification, and root cause analysis; documents issues; identifies potential solutions or countermeasures; and elevates to leadership.
• Leads and participates in performance improvement processes and uses Lean tools to support this work.

Benefits

• In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law.
• All personnel actions and programs will adhere to this policy.
• Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level