Quality Intelligence Lead – Remote Data & Outcomes

Advocate Health; Lake Michigan Beach (MI); Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Base pay range within market

Bonus pay and annual increases

Health & welfare benefits

Flexible Spending Accounts

Retirement plans with employer match

Career development programs

Job summary

Advocate Health seeks a dedicated professional to advance data-driven quality initiatives across value-based care programs. The role focuses on developing quality measures, validating data, and creating insightful dashboards to support system-wide health outcomes improvements.

The candidate will lead data collection, reporting, and analytics efforts, collaborating with cross-functional teams to drive improvements in payer quality performance and EHR-enabled data capture.

Qualifications

• Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field.
• Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.
• HEDIS/NCQA Payor experience
• Knowledge of quality improvement methodologies, tools, and measures.
• Project Management methodology and tools.
• Statistical techniques to support analysis and interpretation of data.
• Ability to create reports, graphs, and other visual presentation materials, and effectively maintain statistical data.
• Excellent analytical and statistical skills with ability to analyze complex data, make inferences, and validate conclusions
• Experience with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams).
• Demonstrates knowledge of value-based agreements, Accountable Care Organizations (ACOs), integrated health care operations and value based health care models.

Responsibilities

• Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH.
• Maintains programming specifications and code lists for all quality measures in value-based agreements and internal reporting and partners with other data professionals to ensure timely communication of critical updates.
• Leads the development and adoption of processes and mechanisms for accurate quality data collection, analysis and reporting.
• Manages the interpretation, analysis, and communication of Quality data by engaging professionals in own department and leaders of other collaborating departments to drive improvements.
• Participates in the development of reports, files, and databases used for internal and external reporting.
• Ensures accuracy and optimization of quality data and is a resource for business intelligence, data analysis, and workflows supporting Quality initiatives and data integrity.
• Performs data validation to assure data accuracy and integrity (related to data feeds, measure mapping, etc.)
• Helps develop readily accessible and intuitive quality intelligence solutions (dashboards, dynamic reports, data visualizations, etc.)
• Leads Quality Intelligence meetings with key stakeholders.
• Tracks and trends value-based payer quality performance data and analyzes improvement opportunities to inform the department strategy.
• Manages and leads system improvement efforts, develops quality strategies related to internal and external quality measures and payer data feeds, and serves as the subject matter expert.
• Develops improved Electronic Health Record (EHR) tools to ensure complete data capture and to support the strategic priorities related to value-based agreements in collaboration with key functional departments and leadership.

Job description

Advocate Health seeks a dedicated professional to advance data-driven quality initiatives across value-based care programs. The role focuses on developing quality measures, validating data, and creating insightful dashboards to support system-wide health outcomes improvements.

The candidate will lead data collection, reporting, and analytics efforts, collaborating with cross-functional teams to drive improvements in payer quality performance and EHR-enabled data capture.