Quality Intelligence Program Consultant

Carolinas Medical Center; United States; Remote; USD 53,000 - 79,000; Full time

Benefits offered by this job

Remote role

40-hour workweek

Job summary

Carolinas Medical Center seeks a remote Quality Analytics lead to advance system-wide quality measures and health outcomes programs. You will drive definitions, reporting, and data communication across departments to align internal priorities with external requirements.

The role oversees dashboards, data validation, and collaboration with payer partners, leveraging EHR tools and MS Office to support value-based initiatives and improve care quality.

Qualifications

• Bachelor's degree in a related field is required.
• Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.
• Experience with quality measures and payer data is preferred.

Responsibilities

• Contributes to system-wide quality measure development and reporting.
• Leads enterprise reports, processes, and dashboards to improve health outcomes.
• Ensures accuracy and integrity of quality data and supports BI workflows.
• Develops accessible quality intelligence solutions (dashboards, visualizations) to deliver actionable information.
• Meets with external payer partners and internal stakeholders to drive improvements.
• Develops EHR tools to support value-based agreements in collaboration with leadership.

Skills

Quality improvement

Project management

Statistical analysis

Data visualization

Communication

Office software

Quality data interpretation

Education

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

Tools

Microsoft Office

EHR systems

Reporting dashboards

Job description

Department:

13577 Value Enablement Services - Value Based: Quality

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Fulltime, Dayshift from Monday - Friday 9am - 5pm. This role will be fully remote.

Fully Remote Role from these 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

No relocation and no sponsorship or transfer of visa for this position now or in the future.

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.

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.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits an