Quality Intelligence Program Consultant

aah; Milwaukee (WI); Remote; USD 52,000 - 79,000; Full time

Job summary

Advocate Health in Milwaukee, WI seeks a Health Care Administrator with 5+ years in quality, project management, and data analytics. This full-time remote role supports value-based care, quality improvement, and enterprise reporting.

The position involves creating dashboards, coordinating cross‑department initiatives, and ensuring data integrity to drive better health outcomes. A Bachelor's degree is required, with CMS/NCQA knowledge and MS Office proficiency.

Qualifications

• Knowledge of quality improvement methodologies, tools, and measures.
• Project Management methodology and tools.
• Statistical techniques to support data analysis.
• Ability to create reports, graphs, and visuals, maintaining statistical data.
• Excellent analytical and communication skills; ability to drive improvements.
• Experience with MS Office Suite (Word, Excel, PowerPoint, Outlook, Teams).
• Knowledge of value-based agreements, CMS/NCQA HEDIS, MA Stars and guidelines.

Responsibilities

• Contributes to system-wide Quality/Health Outcomes measure development and definitions.
• Leads enterprise-wide reports, processes, and dashboards to improve health outcomes.
• Ensures accuracy of quality data and supports data integrity and reporting.
• Develops quality intelligence solutions (dashboards, visualizations) for end users.
• Meets with external payer partners and internal stakeholders to drive improvements.
• Develops EHR tools to support value-based priorities in collaboration with leadership.

Skills

Quality improvement

Project management

Data analysis

Data visualization

Communication skills

MS Office

Statistical methods

Team facilitation

CMS/NCQA knowledge

Healthcare operations

Education

Bachelor's degree

Tools

Reporting tools

Job description

Department:

13576 Value Enablement Services - Value Based: CMD

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Full-time, dayshift Monday - Friday 9:00am-5:00pm. This role will be remote.

Remote work eligibility:

Remote work is currently only approved for residents living in the following states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.

Pay Range:

$38.20 - $57.30

Major Responsibilities:

• Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH. Keeps current on external reporting programs, associated measures, and best practices in order to ensure internal priorities align with external environment and demands. 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 of enterprise-wide reports, processes, workflows, tools, and initiatives designed to improve health outcomes. 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.) and assists in resolving deficiencies.
• Helps develop readily accessible and intuitive quality intelligence solutions (dashboards, dynamic reports, data visualizations, etc.) to deliver actionable information to multiple end users (clinicians, leaders, executives 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.
• Meets with and serves as the contact for external payer partners and internal partners for assigned area of oversight. 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.

Licensure, Registration and/or Certification Required:

None Required.

Education Required:

Bachelor's degree in Health Care Administration, Project Management, Quality, Engineering, or related field.

Experience Required:

Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.

Knowledge, Skills & Abilities Required:

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

Team and meeting facilitation techniques and tools.

Strong written and oral communication skills.

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. Knowledge of Information system tools, report programming, and measure development. Knowledge of Information system tools, report programming, and measure development. Knowledge of CMS, NCQA HEDIS, MA Stars and evidence-based guidelines.

Physical Requirements and Working Conditions:

Ability to sit for extended periods of time.

Exposed to normal office environment.

Operates all equipment necessary to perform the duties of the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs th