Clinical Quality Analyst

Primary Duties and Responsibilities:

· Monitors and maintains data integrity and validity.

· Conducts data collection and analysis, identifying quality improvement opportunities, establishes a feedback loop to communicate findings with other departments, and monitors for improvement.

· Understands data storage and data sharing methods. Investigate data to find patterns and trends. Converts data into usable information that is easy to understand.

· Collaborates with internal & external teams by establishing effectiveness benchmarks, conducting analyses of internal and external outcome data and leading interpretation, review, as well as communication of results.

· Provides analytical assessment of health services using clinical decision support as well as information systems and provides recommendations for improvement.

· Collaborates with data abstractors, provides training and education for data management, reporting of outcomes, communication of results to clinical effectiveness teams, and external data submissions.

· Serves as a resource to the department, physicians, clinicians, other departments and senior leadership in the evaluation of systems and processes of care and service, based upon operational, clinical, perceptual and financial outcome data.

· Utilizes Lean management tools and processes to facilitate performance improvement initiatives that support organizational goals and strategies.

· Provides guidance and feedback to leadership on their application of quality improvement data, utilizing analytic principles, concepts, and problem-solving tools and techniques.

· Develop reports and presentations. Communicates analytic insights to management.

· Knowledge of quality measures such as HEDIS, CMS Star, Value Based Care and other quality programs and reporting methodologies.

· Knowledge of healthcare regulations and quality improvement framework.

· Proficiency with data analytical tools such as SAS, SQL, Python, R, Tableau/Power BI, Microsoft Office suite or similar applications.

Knowledge, Skills & Experience Required:

Education:

· Bachelor’s degree in healthcare administration or equivalent experience in healthcare setting.

Skills:

· Proficiency in Microsoft Office (Excel, Word) and experience with EHR/EMR systems and database query tools.

· Strong verbal and written communication skills for interacting with patients, providers, and community partners.

· Ability to manage multiple tasks, prioritize effectively, and coordinate with various departments

Preferred:

· Lean Fundamental or Process Improvement preferred.

Salary Range: $36.90 - $58.07 per hour

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