Remote Health Quality Intelligence Lead

Advocate Health; Virginia; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Flexible Spending Accounts

Retirement plan

Annual performance-based increases

Job summary

Advocate Health is seeking a Quality Intelligence professional to contribute to system-wide quality measure development, data collection, and reporting for value-based initiatives. The role collaborates with cross-functional teams to drive improvements and ensure data integrity across payer quality performance metrics.

The ideal candidate will have a Bachelor’s degree in a related field, 5+ years of experience in health care quality analytics, and strong skills in data visualization, statistics,

Qualifications

• Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field.
• Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.
• HEDIS/NCQA Payor experience
• 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
• Experience with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams).
• Demonstrates knowledge of value-based agreements, ACOs, integrated health care operations and value based health care models. Knowledge of Information system tools, report programming, and measure development. Knowledge of CMS, NCQA HEDIS, MA Stars and evidence-based guidelines.

Responsibilities

• Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH.
• Maintains programming specifications and code lists for all quality measures in value-based agreements and internal reporting.
• Leads the development and adoption of processes for accurate quality data collection, analysis and reporting.
• Manages interpretation, analysis, and communication of Quality data to drive improvements.
• Participates in development of reports, files, and databases for internal and external reporting.
• Leads Quality Intelligence meetings with key stakeholders.
• Tracks and trends value-based payer quality performance data and analyzes improvement opportunities.
• Develops improved Electronic Health Record (EHR) tools to support value-based agreements.

Skills

Quality data analysis

Statistical analysis

Communication skills

Microsoft Excel

Data visualization

Project management

Education

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

Tools

EHR tools

CMS knowledge

Microsoft Office Suite

Job description

Advocate Health is seeking a Quality Intelligence professional to contribute to system-wide quality measure development, data collection, and reporting for value-based initiatives. The role collaborates with cross-functional teams to drive improvements and ensure data integrity across payer quality performance metrics.

The ideal candidate will have a Bachelor’s degree in a related field, 5+ years of experience in health care quality analytics, and strong skills in data visualization, statistics,