Quality Intelligence Program Consultant

Jobgether; New Mexico; Remote; USD 53,000 - 79,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and视on?

Life insurance

Short-term and long-term disability

Retirement savings with employer match

Flexible Spending Accounts (FSA)

Educational assistance programs

Financial wellness programs

Possible annual raises

Fully remote for eligible states

Job summary

Jobgether is seeking a Quality Intelligence Program Consultant based in the United States to advance healthcare quality outcomes through data-driven insights and cross-functional collaboration. The role focuses on developing quality measurement strategies, optimizing reporting processes, and transforming complex healthcare data into actionable intelligence in a fully remote environment.

You will oversee quality reporting, create dashboards and analytical tools, ensure data integrity, and

Qualifications

• 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.
• Proficiency in statistical techniques and analytical methods used to evaluate healthcare performance.

Responsibilities

• Contribute to development and implementation of enterprise-wide quality measures and improvement initiatives.
• Monitor external reporting programs, standards, and best practices to align internal priorities.
• Maintain specifications and code lists for quality measures used in value-based agreements.
• Lead development of enterprise-wide reports, dashboards, and data tools.
• Ensure accuracy and integrity of quality data through validation activities.
• Develop accessible quality intelligence solutions and data visualizations for clinicians and executives.
• Lead Quality Intelligence meetings with stakeholders to track performance trends.
• Support payer data feeds and reporting requirements across the organization.
• Collaborate with departments to enhance EHR tools and data capture for value-based care.

Skills

Data analysis

Quality measurement

Dashboard development

Statistical techniques

Remote collaboration

Project coordination

Education

Bachelor's degree in Healthcare Administration, Project Management, Quality Management, Engineering, or related discipline

Tools

Word

Excel

PowerPoint

Outlook

Teams

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Quality Intelligence Program Consultant based in the United States. The Quality Intelligence Program Consultant plays a key role in advancing healthcare quality outcomes through data-driven insights, strategic initiatives, and continuous improvement. This position focuses on developing quality measurement strategies, optimizing reporting processes, and transforming complex healthcare data into actionable intelligence. You will collaborate with clinical teams, business leaders, external payer partners, and data professionals to improve performance across value-based care programs. The role involves overseeing quality reporting, developing dashboards and analytical tools, and ensuring data accuracy and integrity. You will also contribute to enterprise-wide initiatives that strengthen healthcare delivery, improve patient outcomes, and support strategic business priorities. This is an opportunity to combine healthcare expertise, analytical capabilities, and project leadership in a collaborative, fully remote environment.

• \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.

• 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 National Committee for Quality Assurance (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.
• Advanced analytical and problem-solving skills, with the ability to interpret complex datasets, identify patterns, draw meaningful conclusions, and validate findings.
• 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.
• Strong project coordination, team facilitation, and meeting management skills, with the ability to engage stakeholders across multiple departments.
• Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, Outlook, and Teams.
• Ability to work independently, manage competing priorities, and collaborate effectively in a remote, cross-functional environment.

Competitive annual compensation ranging from $38.20 to $57.30 per hour , depending on qualifications, skills, relevant experience, and training.

• ~ Comprehensive medical, dental, and vision insurance.
• ~ Life insurance coverage.
• ~ Short-term and long-term disability benefits.
• ~ Retirement savings plans with employer matching contributions.
• ~ Flexible Spending Accounts (FSA) for eligible healthcare and dependent care expenses.
• ~ Educational assistance programs to support continued learning and professional development.
• ~ Financial wellness programs and retirement planning support.
• ~ Potential annual compensation increases based on individual performance.
• ~ Fully remote working arrangement for eligible candidates residing in the following states: Full-time schedule, Monday through Friday, from 9:00 a.m. Opportunities to contribute to meaningful healthcare quality improvement initiatives and advance value-based care strategies.