Quality Intelligence Program Consultant

Advocate Aurora Health; Oak Brook (IL); On-site; USD 90,000 - 130,000; Full time

Job summary

Advocate Health is seeking an experienced Quality Intelligence professional to drive system-wide measures, data collection, and reporting enhancements. You will lead analytics initiatives, build dashboards, and partner with clinicians and executives to translate data into improvements.

The role requires strong knowledge of quality improvement methods, PM processes, and statistics, with collaboration across departments to support value-based care initiatives and payer data feeds.

Qualifications

• Bachelor's degree required in health or quality related field.
• 5+ years in Health Care Administration, Project Management, Quality Intelligence, or related field.

Responsibilities

• Contributes to system-wide Quality/Health Outcomes measure development and definitions.
• Leads enterprise-wide reports, processes, workflows, tools, and initiatives to improve health outcomes.
• Develops reports, files, and databases for internal/external reporting and ensures data accuracy.
• Creates dashboards and visualizations to deliver actionable information to clinicians and leaders.
• Acts as contact for payer partners and internal stakeholders to drive system improvements.
• Develops improved EHR tools to support value-based agreements.

Skills

Quality improvement

Project management

Data analysis

Statistics

Communication skills

Education

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

Tools

Microsoft Office Suite

Job description

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.

Experience Preferred:

• HEDIS/NCQA Payor experience

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.