Quality Review Analyst II

McLaren Health Care; Lansing (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

McLaren Health Care in Michigan is seeking a Quality Improvement Analyst to support quality and compliance activities. You will assist with abstraction, data collection, and reporting aligned to CMS and The Joint Commission standards, and may coordinate medical staff quality reviews.

This role emphasizes data accuracy, statistical analysis, and collaboration across departments to improve metrics. Full-time, daytime schedule; occasional vendor communication and software updates are involved to

Qualifications

• Associate's degree in a healthcare-related field from an accredited institution.
• 3 years of healthcare data quality experience.
• Preferred: Bachelor's degree and/or certifications in Quality Improvement or Patient Safety.

Responsibilities

• Manages concurrent and/or retrospective review of medical record data according to established criteria.
• Abstracts and analyzes clinical data elements from multiple sources.
• Coordinates timely collection of data from multiple internal data sources.
• Participates in data collection and reporting to CMS and TJC.
• Collaborates with departments to improve data accuracy and completeness to meet quality metrics.
• Develops and applies statistical analysis for periodic reports.
• Updates reports to reflect changes in quality and regulatory reporting.
• Troubleshoots data issues and improves data validity.
• Communicates with vendors, maintains databases, and tests software upgrades.
• Acts as an expert in implementing policies, procedures, and standards.

Skills

Data quality analysis

Healthcare data management

Statistical analysis

Cross-functional collaboration

Education

Associate's degree in healthcare-related field

Bachelor’s degree in healthcare/related field

Tools

CMS data systems

Database management

Reporting software

Job description

Position Summary

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
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No