Quality Review Analyst II

Mclaren-Health-Care; Grand Blanc (MI); On-site; USD 65,000 - 85,000; Full time

Job summary

McLaren Health Care, headquartered in Grand Blanc, Michigan, seeks a quality data analyst to support quality improvement and regulatory reporting. You will abstract and analyze clinical data, coordinate data collection from multiple sources, and prepare CMS/TJC reports.

The role requires an Associate's degree in a health-related field and 3 years of healthcare data quality experience; preferred Bachelor’s and professional certification in quality improvement.

Qualifications

• Requires 3 years of healthcare data quality experience.
• Experience with data abstraction and health data elements from multiple sources.

Responsibilities

• Manages concurrent and/or retrospective review of medical record data according to established criteria.
• Abstracts and analyzes clinical and health data elements from multiple sources.
• Coordinates timely collection of data from multiple internal data sources.
• Participates in data collection and reporting through CMS/TJC and other authorities.
• Collaborates with other departments to improve data accuracy and completeness to meet quality metrics.
• Develops and applies statistical analysis for periodic reports and presentations.
• Updates reports based on changes to quality and regulatory reporting.
• Troubleshoots data issues and implements improvements to data validity.
• Interacts with vendors, maintains databases, and tests software upgrades.

Skills

Healthcare data quality

Education

Associate's degree in health-related field

Bachelor’s degree preferred

Quality Improvement/Patient Safety certification (CPHQ, ASQ, CQIA, Team STEPPS Master Trainer)

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

Supports effective operations of the quality improvement and organizational excellence in areas by assisting with performing quality and compliance related activities, supporting abstraction process based on CMS and The Joint Commission (TJC) standards and other related activities. May coordinate medical staff quality and appropriateness review activity.

Essential Functions and Responsibilities:

• Manages concurrent and/or retrospective review of medical record data according to established criteria.
• Abstracts and analyzes clinical and health data elements from multiple sources.
• Coordinates timely collection of data from multiple internal data sources.
• Participates in data collection and reporting through internal and external authorities (e.g., CMS, TJC).
• Initiates collaboration with personnel in other departments to improve data accuracy, collections, and completeness to achieve quality metrics set by various regulatory groups.
• Develops, coordinates, and applies statistical analysis when producing periodic documents or presentations according to reporting requirements and schedule.
• Updates reports based on changes to quality and regulatory reporting.
• Engages appropriate resources to troubleshoot and resolve data issues. Monitors and implements changes to improve data validity.
• Communicate directly with vendors, develops and maintains database, installs and tests software upgrades.
• Serves as an expert in the implementation of new and existing policies, procedures, parties, and standards.

Qualifications:

Required

• Associate's degree in nursing, healthcare administration, business administration, health information management/technology, or related field from an accredited educational institution.
• Experience related to healthcare data quality for three (3) years.

Preferred:

• Bachelor’s degree in nursing, healthcare administration, business administration, technical/analytical field, or related field from an accredited educational institution.
• Certification in Quality Improvement/ Patient Safety (i.e., CPHQ, ASQ, CQIA, Team STEPPS Master Trainer, Project Management).

Additional Information

• Schedule: Full-time
• Requisition ID: 26004911
• Daily Work Times: 8am - 4:30pm
• On Call: No

Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.