Quality Intelligence Lead – Healthcare Analytics (Remote)

Jobgether; Pennsylvania; A distancia; USD 53.000 - 79.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive medical, dental, and vis

Life insurance

Short- and long-term disability

Retirement plans with employer match

Flexible Spending Accounts (FSA)

Educational assistance programs

Financial wellness programs

Possible annual raises

Fully remote in eligible states

Descripción de la vacante

Jobgether is seeking a Quality Intelligence Program Consultant in the United States to advance healthcare quality outcomes through data-driven insights and strategic initiatives.

You will develop quality measurement strategies, optimize reporting processes, and transform complex health data into actionable intelligence while collaborating with clinicians, leaders, and external payer partners in a fully remote setting.

Formación

• Bachelor's degree in Healthcare Administration, Project Management, Quality Management, Engineering, or a related discipline.
• At least 5 years of professional experience in healthcare administration, project management, quality intelligence, quality improvement, or a related field.
• Experience with HEDIS and NCQA payer programs is preferred.
• Strong understanding of healthcare quality improvement methodologies, performance measurement frameworks, and continuous improvement tools.
• Knowledge of project management methodologies and the ability to coordinate complex initiatives, manage timelines, and deliver measurable outcomes.
• Proficiency in statistical techniques and analytical methods used to evaluate healthcare performance, interpret trends, and support data-driven decisions.
• Experience developing reports, graphs, dashboards, and other data visualization materials, as well as maintaining and interpreting statistical information.
• Strong knowledge of healthcare quality measures, reporting requirements, and performance improvement strategies.
• Understanding of value-based agreements, Accountable Care Organizations (ACOs), integrated healthcare operations, and value-based care models.
• Familiarity with CMS quality programs, NCQA HEDIS measures, Medicare Advantage (MA) Star Ratings, and evidence-based clinical guidelines.
• Knowledge of information systems, report programming, quality measure development, and healthcare data management tools.

Responsabilidades

• Contribute to the development and implementation of enterprise-wide quality and health outcomes measures, definitions, performance goals, improvement initiatives, and cross-functional working groups.
• Monitor external quality reporting programs, industry standards, regulatory requirements, and best practices to ensure internal quality priorities remain aligned with evolving healthcare expectations.
• Maintain programming specifications, measure definitions, and code lists for quality measures used in value-based agreements and internal reporting, coordinating updates with relevant data and technology professionals.
• Lead the development and implementation of enterprise-wide reports, workflows, processes, tools, and initiatives designed to improve healthcare quality and patient outcomes.
• Establish and promote effective processes for accurate quality data collection, analysis, interpretation, and reporting across the organization.
• Coordinate the interpretation and communication of quality performance data with internal departments and leadership teams, translating analytical findings into actionable improvement strategies.
• Participate in the development and maintenance of reporting files, databases, and data infrastructure supporting internal and external quality reporting requirements.
• Ensure the accuracy, consistency, and integrity of quality data through validation activities, including data feed reviews, measure mapping, and identification and resolution of reporting deficiencies.
• Develop accessible and user-friendly quality intelligence solutions, including dashboards, dynamic reports, and data visualizations that provide meaningful insights to clinicians, operational leaders, and executives.
• Lead Quality Intelligence meetings with key stakeholders, facilitating discussions, tracking performance trends, and identifying opportunities to improve quality outcomes.
• Monitor and analyze value-based payer quality performance metrics, identifying improvement opportunities and providing insights to support departmental strategy and decision-making.
• Serve as a primary point of contact and subject matter expert for assigned areas of responsibility, collaborating with internal stakeholders and external payer partners.
• Lead system-wide quality improvement initiatives and develop strategies related to internal and external quality measures, payer data feeds, and reporting requirements.
• Partner with relevant departments and leadership to enhance Electronic Health Record (EHR) tools and improve data capture in support of strategic value-based care agreements.

Conocimientos

Healthcare analytics

Data interpretation

Cross-functional collaboration

Project coordination

Statistical techniques

Educación

Bachelor's degree in Healthcare Administration / related

Herramientas

EHR tools

Quality reporting tools

Descripción del empleo

Jobgether is seeking a Quality Intelligence Program Consultant in the United States to advance healthcare quality outcomes through data-driven insights and strategic initiatives.

You will develop quality measurement strategies, optimize reporting processes, and transform complex health data into actionable intelligence while collaborating with clinicians, leaders, and external payer partners in a fully remote setting.