Clinical Quality Performance Data Specialist

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 70,000 - 110,000; Full time

Job summary

Cape Cod Healthcare seeks a Clinical Quality Performance Data Specialist to generate and analyze data from multiple sources to measure physician and PHO performance in Hyannis, MA.

You will collaborate with the PHO and quality teams on data validation, define standards, create physician report cards, and support value-driven performance improvement initiatives across cost, quality and care coordination.

Qualifications

• Bachelor’s degree preferred or equivalent experience in healthcare informatics.
• 3–5 years of experience with healthcare informatics and data analysis.
• Strong attention to detail and ability to summarize data for performance improvement.
• Excellent written and verbal communication; ability to present to diverse audiences.
• Proficiency with MS Office, EMRs, SQL and relational databases preferred.

Responsibilities

• Generates and analyzes data from multiple sources to measure PHO performance.
• Validates data with PHO and CCHC analysts and defines reporting standards.
• Develops physician report cards reflecting organizational priorities.
• Supports cost, quality and care coordination reporting and analytics.
• Assists with chart abstraction for payer audits and internal measures.

Skills

Healthcare informatics

SQL

MS Office

Communication skills

Data visualization

Education

Bachelor's degree preferred

Nursing degree a plus

Tools

EMRs

Relational databases

Excel

PowerPoint

Job description

Clinical Quality Performance Data Specialist (261108-50017958)

Purpose of Position : Supports CCHC ACO performance efforts by assisting in generating and analyzing data from various sources to measure and report on the performance of physicians and other providers affiliated with Cape Cod Healthcare’s Physician Hospital Organization (PHO.)

Description

• Generates and analyzes data from various sources, including but not limited to: CCHC ACO quality data warehouse, claims databases, health plan data, physician practice management systems, electronic health record, health information exchange network data as well as data and analytics produced by third-party vendors.
• Works with PHO and CCHC data analysts on data validation and defines clinical and other standards and specifications for measuring and reporting physician-specific and PHO-wide quality, cost, and care coordination-related data and reporting.
• In close coordination with the quality team, reviews reports/data to assess PHO performance against goals and to identify targeted areas of opportunity for priority focus and improvement.
• Works with CCHC ACO leadership and quality team to develop physician report cards reflective of organizational priorities for cost, quality, care coordination and otherwise with respect to PHO’s clinical integration plans.
• Leverages data and reporting to support CCHC ACO in development of value-driven, physician incentives.
• Assists with integration issues and support; looks for opportunities to improve system integration related to all electronic medical records used by CCHC PHO physician practices.
• Provides clarification and support on performance-related reports and accompanying documentation
• Performs and supports quality team with routine chart abstraction activities related to payer audits and internal performance measures
• Maintains collaborative team relationships with physicians, physician practice staff, PO Managers, CCHC ACO staff and health plans to effectively contribute to the achievement of goals.
• Performs other duties as new opportunities arise and are assigned.

Qualifications

• Bachelor’s degree preferred or equivalent combination of experience and education. Nursing Degree a plus.
• 3-5 years of experience in active use of healthcare informatics.
• Accuracy and attention to detail are required. Must be able to collect and interpret clinical information from diverse sources and summarize information and data in a meaningful, actionable manner that supports performance improvement.
• Strong interpersonal skills and ability to interact positively with a wide range of constituents. Proven excellent written and verbal communication skills.
• Ability to present information to small and, at times, large audiences.
• Strong organizational and project management skills including development of project parameters, goals, and time lines and outcome measurement.
• Must be able to maintain confidentiality of information.
  Knowledge and proficiency in use of a variety of analytic and clinical systems including MS Office Suite (Excel, Word, and PowerPoint), EMRs, SQL, and relational databases preferred.
• Ability to function effectively within an ever-changing environment and to meet deadlines and reprioritize as necessary.
• Ability to work both independently and within a team environment and a multi-dimensional environment.
• Creative, flexible, self-motivated, professional must possess sound judgment ability to plan and initiate new activities consistent with achieving service excellence.
• Requisite poise, judgment, and trustworthiness to represent CCHC ACO to internal and external groups.
• Maintains information in a confidential manner according to policy

Primary Location: Massachusetts-Hyannis

Department : HCI-PHO

Hiring Pay Range : $ 0 - $ 0

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare’s benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. Exempt (Salaried) position salary ranges are based on a 40-hour workweek (37.5 hours for VNA) and offers are prorated based on FTE.