Sr Qual Improv Analyst - PCCN

Phoenix Children's; United States; Remote; USD 110,000 - 140,000; Full time

Job summary

Join a leading healthcare network as a Senior Quality Improvement Analyst. This key role focuses on advancing quality initiatives, enhancing patient care, and collaborating with stakeholders located across telecommuting platforms. Ideal candidates will possess strong project management skills and a passion for healthcare quality.

Qualifications

• 3-5 years of experience in healthcare quality improvement.
• Strong understanding of healthcare quality measures.
• Experience with Lean and Six Sigma methodologies.

Responsibilities

• Lead quality improvement initiatives across PCCN.
• Develop and implement data-driven strategies.
• Analyze performance data to identify opportunities for improvement.

Skills

Project Management

Data Analysis

Quality Improvement Methodologies

Communication

Education

Bachelor's Degree in Healthcare Administration, Public Health, Nursing, or related field

Master's Degree in Healthcare Administration, Public Health, Nursing, or related field

Tools

Microsoft Office Suite

Job description

Join to apply for the Sr Qual Improv Analyst - PCCN role at Phoenix Children's

Join to apply for the Sr Qual Improv Analyst - PCCN role at Phoenix Children's

Position Details

Department: PCCN | Phx Children's Care Network

Sr Qual Improv Analyst - PCCN Apply! Apply! Position Details

Department: PCCN | Phx Children's Care Network

Location: Telecommuting

Shift: Mon-Fri, Days, 8am-5pm

Category: PCCN

Posting #: 920708

Employee Type: Full-Time

Position Summary

Posting Note: We're looking for a Quality Improvement Analyst with a strong interest in population health and a passion for improving care. The ideal candidate will be organized, collaborative, and skilled in translating complex data into clear, actionable insights that drive meaningful improvements in quality performance and pediatric healthcare. Strong presentation and project management skills, as well as a team-oriented mindset, are essential to supporting impactful quality initiatives across our network.

The Senior Quality Improvement Analyst will play a strategic role in advancing a culture of quality and continuous improvement within PCCN and the practices affiliated with its clinically integrated network. As a senior member of the PCCN Quality Team, this role will be responsible for leading and overseeing quality improvement initiatives, with a focus on quality performance tracking, reporting, and achieving measurable outcomes. The Senior Quality Improvement Analyst will work closely with internal and external stakeholders, including payor partners, to drive initiatives that improve patient care, address healthcare disparities, and enhance the performance of the network in value-based contracts. Key responsibilities include developing and implementing data-driven strategies to identify and close gaps-in-care, tracking quality performance metrics, and generating reports that provide actionable insights for the network`s stakeholders. This role will involve managing multiple high-impact quality projects simultaneously, ensuring alignment with organizational goals, and driving continuous improvement efforts. The Senior Quality Improvement Analyst will collaborate with cross-functional teams to analyze performance data, identify opportunities for improvement, and develop innovative solutions to enhance patient care. In addition to strong communication and project management skills, the ideal candidate will have advanced expertise in quality improvement methodologies, a deep understanding of healthcare quality metrics, and experience in value-based contracting. The Senior Quality Improvement Analyst will report directly to the Manager of Network Quality Performance and will play a pivotal role in shaping the future of quality performance within the organization.

Position Duties

• Quality Improvement
• Assists in designing, implementing, and maintaining a comprehensive continuous quality improvement (QI) program.
• Works with PCCN leadership and staff to develop and integrate quality improvement processes into all aspects of PCCN’s clinical programs and operations. (i.e., PIT, ICC)
• Serves as a subject matter expert on NCQA/HEDIS and CMS Core quality measures as well as AHCCCS quality programs for PCCN and its practices.
• Contributes to a culture of continuous improvement and excellence, promotes standardization, efficiency, efficacy, and safety across the institute.
• Analyzes clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
• Demonstrates strong project management skills by organizing and overseeing multiple quality improvement projects concurrently.
• Stays up to date on industry trends, regulations, and best practices related to quality performance and value-based care.

• Network Quality Interventions
• Reviews practice performance data for trends in the context of best clinical practice as well as contractual quality goals
• Works with PCCN leadership and staff to implement a comprehensive performance improvement program for PCCN and PCCN’s practices using formal process improvement techniques including but not limited to PDSA, DMAIC, and Lean Six Sigma.
• Uses performance trends to develop plans for practice engagement, education, and process improvement.
• In coordination with the Practice Integration team, provides ongoing process improvement support to PCCN’s practices by frequently reviewing practice-level performance and outcomes data, observing clinical workflows, identifying root causes, implementing ongoing performance improvement activities, and evaluating the effectiveness of performance improvement activities on an ongoing basis.
• Contributes to the development and maintenance of a library of quality performance best practices for PCCN’s practices.
• Contributes to the development and implementation of innovative approaches to address patient gaps-in-care specific to PCCN’s contractual quality measures.
• Work collaboratively with network practices in obtaining patient records and supplemental data to submit to partnered health plans.
• Communicate clearly and effectively with internal teams, external stakeholders, and payor partners.
• Develop positive relationships with key stakeholders to facilitate collaboration and information exchange.
• Collaborate with payor partners to plan Clinical Quality Meetings, including agenda development and scheduling.

• Quality Performance Reporting
• Present PCCN’s contract performance and population health initiatives in meetings with internal and external stakeholders.
• Generate reports and presentations to communicate progress and outcomes to stakeholders.
• Reports data from quality initiatives to appropriate individuals, departments and committees through interpretive presentations, automated electronic reports, and/or publications.
• Assists in the development and maintenance of performance dashboards indicating performance against contractual obligations and/or population health initiatives in coordination with the data and analytics team.
• In some circumstances, will assist the Phoenix Children’s Data and Analytics division in data management, reporting, and operational integration.
• Work with Phoenix Children’s research teams to support PCCN’s quality initiatives in the development of research papers and academic writings.

• Performs miscellaneous job related duties as requested.
  
  

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families
  
  

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable
  
  

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Position Qualifications Please review the following qualifications and specify whether you meet each of the requirements listed.

Education Do you meet this requirement or have the ability to obtain it

within the timeframe listed in the requirement?

• Bachelor`s Degree in Healthcare Administration, Public Health, Nursing, or related field.
  
  

Required

Yes No

• Master`s Degree in Healthcare Administration, Public Health, Nursing, or related field.
  
  

Preferred

Yes No

Experience Do you meet this requirement or have the ability to obtain it

within the timeframe listed in the requirement?

• Minimum of 3-5 years of experience in healthcare quality improvement, project management, or related field.
  
  

Required

Yes No

• Previous experience with process improvement methodologies (e.g., Lean, Six Sigma).
  
  

Required

Yes No

• Experience working in a managed care or health insurance setting.
  
  

Preferred

Yes No

Special Skills Do you meet this requirement or have the ability to obtain it

within the timeframe listed in the requirement?

• Strong understanding of healthcare quality measures (HEDIS, NCQA, etc.), value-based contracting, and payer-provider relationships.
  
  

Required

Yes No

• Excellent communication and interpersonal skills, with the ability to build and maintain positive relationships with diverse stakeholders.
  
  

Required

Yes No

• Demonstrated project management skills, including the ability to organize, prioritize, and manage multiple tasks effectively.
  
  

Required

Yes No

• Analytical mindset with proficiency in data analysis and reporting.
  
  

Required

Yes No

• Proven ability to work independently and collaboratively in a fast-paced, team-oriented environment.
  
  

Required

Yes No

• Proficiency in Microsoft Office Suite, Smartsheet, and/or project management software.
  
  

Required

Yes No

• Familiarity with electronic health record (EHR) systems and healthcare informatics.
  
  

Required

Yes No

Additional Requirements Do you meet this requirement or have the ability to obtain it

within the timeframe listed in the requirement?

• Certification in healthcare quality (e.g., CPHQ) or project management (e.g., PMP).
  
  

Preferred

Yes No

Physical Requirements & Occupational Exposure/Risk Potential

• Physical Requirement - Climbing - Occasionally
• Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
• Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally
• Physical Requirement - Hearing - Constantly
• Physical Requirement - Pushing/pulling - Occasionally
• Physical Requirement - Reaching - Occasionally
• Physical Requirement - Sitting - Constantly
• Physical Requirement - Standing - Occasionally
• Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
• Physical Requirement - Talking - Constantly
• Physical Requirement - Walking - Occasionally
• Physical Requirement - Near Vision - Constantly
• Physical Requirement - Far Vision - Occasionally
• Physical Requirement - Color Discrimination - Constantly
• Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
• Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
• Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
  
  

I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply

I Agree

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development and Sales

• Industries

  Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices

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