Remote Quality Intelligence Lead for Value-Based Care

Advocate Health; Athens (GA); À distance; USD 90 000 - 130 000; Plein temps

Avantages offerts par ce poste

Base compensation in pay range

Premium pay such as shift/on-call

Annual performance increases

Health and welfare benefits

Flexible Spending Accounts

Defined contribution retirement plans

Résumé du poste

Advocate Health is seeking a remote Quality Intelligence professional to support value-based reporting and data integrity. The role drives data collection, analysis, and reporting across departments, building dashboards and insights for quality improvement.

The candidate will have a bachelor’s degree and 5+ years in health care administration or related fields, with expertise in HEDIS/NCQA payor data and CMS guidelines. Strong analytical skills and MS Office proficiency are essential.

Qualifications

• Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field.
• Knowledge of quality improvement methodologies, tools, and measures.
• Project Management methodology and tools.
• Statistical techniques to support analysis and interpretation of data.
• Excellent analytical and statistical skills with ability to analyze complex data, make inferences, and validate conclusions.

Responsabilités

• 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 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.)
• Helps develop readily accessible and intuitive quality intelligence solutions (dashboards, dynamic reports, data visualizations, 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.
• 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.

Connaissances

Quality data analysis

Data visualization

Stakeholder communication

Project management

Excel

Formation

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

Outils

Microsoft Office

Description du poste

Advocate Health is seeking a remote Quality Intelligence professional to support value-based reporting and data integrity. The role drives data collection, analysis, and reporting across departments, building dashboards and insights for quality improvement.

The candidate will have a bachelor’s degree and 5+ years in health care administration or related fields, with expertise in HEDIS/NCQA payor data and CMS guidelines. Strong analytical skills and MS Office proficiency are essential.