Sr. Performance Measures Consultant

BJC HealthCare; St. Louis (MO); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Performance Measure Consultant to oversee quality metrics for hospitals. This remote role requires strong analytical skills and expertise in healthcare quality measures. The consultant will collaborate with teams to enhance patient care and ensure compliance with regulations. Ideal candidates will have a Bachelor's degree and significant experience in quality performance analysis.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Tuition Assistance

Qualifications

• 5-10 years of relevant experience required.
• Expertise in HEDIS and regulatory quality measures.

Responsibilities

• Analyze provider quality performance data to identify trends.
• Support medical record capture for HEDIS and quality measure reviews.
• Provide guidance and training to team members.

Skills

Communication

Project Management

Collaboration

Education

Bachelor's Degree

Master's Degree

Tools

eCQMs

Epic

Job description

Additional Information About the Role

The Senior Performance Measure Consultant will partner with their Manager in the Center for Clinical Excellence to oversee inpatient and outpatient regulatory quality metrics for East Region hospitals. Responsibilities include electronic clinical quality measure (eCQM) portfolio implementation, performance analysis, workflow optimization, validation, and improvement. Excellent communication skills and the ability to collaborate with multidisciplinary groups both internal and external to the organization are essential. Familiarity with eCQMs, Epic data capture, and clinical informatics is highly preferred. Project management skills will also be utilized. This is a remote position; candidates must be located in MO or IL.

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, serving residents primarily in the greater St. Louis, southern Illinois, and southeast Missouri regions. With net revenues of $6.3 billion and over 30,000 employees, BJC provides services through 14 hospitals and multiple community health locations, including inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, mental health, rehabilitation, long-term care, and hospice.

BJC is the largest provider of charity care, unreimbursed care, and community benefits in Missouri, offering $785.9 million annually in community benefits, including $410.6 million in charity care and financial assistance, ensuring access to medical care regardless of ability to pay. BJC also contributes to research, emergency preparedness, regional health safety net services, health literacy, community outreach, and regional economic development.

Patients benefit from the latest medical advances through a formal affiliation between Barnes-Jewish Hospital, St. Louis Children’s Hospital, and Washington University School of Medicine, ranked among the top medical schools nationally.

Preferred Qualifications

Role Purpose

The Senior Performance Measures Consultant provides performance measurement and analytical support to aid clinical decision-making. This role involves coordinating daily operations of the quality team, producing reports to identify opportunities for targeted interventions, and serving as an expert in Healthcare Effectiveness Data and Information Set (HEDIS) and regulatory quality measures. The position evaluates, recommends, and monitors best practice processes to maintain high-quality patient care, improve outcomes, and support staff through training, onboarding, and issue escalation.

Responsibilities

1. Analyze provider quality performance data to identify trends and gaps in care; track weekly work to support quality reporting.
2. Assist leaders in establishing performance standards and metrics; develop and refine workflows or data collection methods to ensure accurate measurement and tracking of improvements.
3. Support medical record capture for HEDIS and quality measure reviews, including abstraction of supplemental data.
4. Maintain strong knowledge of regulatory requirements impacting the organization (e.g., MACRA, MIPS, eCQM).
5. Provide guidance, training, and support to team members; escalate process or technology issues as needed.

Minimum Requirements

Education

• Bachelor's Degree in a related field

Experience

• 5-10 years of relevant experience

Supervisor Experience

• No supervisory experience required

Preferred Requirements

Education

• Master's Degree

Experience

• 10+ years of relevant experience

Benefits and Legal Statement

BJC Total Rewards

We are committed to supporting your physical, emotional, social, and financial well-being with comprehensive benefits including medical, dental, vision, life insurance, legal services, disability insurance, pension and 401(k) plans, tuition assistance, and more. For details, visit www.bjctotalrewards.com/Benefits. Benefits may vary by role.

This description provides a general overview of the role's responsibilities and qualifications. It is not exhaustive. BJC is an Equal Opportunity Employer.