Quality Data Analyst

Role & Department: Quality Data Analyst in the Quality Improvement Department Hours & Shift: Part-time, 20 hours a week (0.5 FTE), Day Shift Position Role Responsibilities:

• Serve as the primary liaison with insurance payers for pay-for-performance and value-based care programs.
• Monitor payer scorecards, quality dashboards, and performance reports to evaluate organizational performance and identify improvement opportunities.
• Conduct chart reviews and clinical documentation audits to identify care gaps and opportunities for quality measure improvement.
• Monitor and track performance improvement project metrics and outcomes.
• Collaborate with providers and clinical staff to close identified care gaps and improve performance on payer quality measures.
• Analyze clinical and operational data to identify trends, recommend solutions, and support quality improvement initiatives.
• Abstract clinical information from multiple data sources to support reporting and analysis requirements.
• Oversee MIPS quality measure monitoring and reporting activities, including data validation, chart reviews, performance analysis, provider and staff education, and compliance with CMS requirements.
• Prepare and submit MIPS quality measures through QualityNet and other required reporting platforms.
• Maintain knowledge of CMS regulations and other healthcare quality reporting requirements.
• Provide education and support to providers and clinical staff regarding quality measures, documentation requirements, and performance improvement strategies.
• Participate as a member of the UHH Quality Council and Clinic Quality Committee.
• Attend and contribute to additional committees, workgroups, and special projects as assigned.

• Minimum of one (1) year of experience working in a healthcare setting required.
• Knowledge of medical terminology and clinical practice guidelines required.
• Experience working with electronic health records (EHRs) required.
• Strong analytical and problem-solving skills with the ability to evaluate complex data and recommend effective solutions.
• Excellent interpersonal, organizational, written, and verbal communication skills.
• Proficiency in Microsoft Excel, Word, PowerPoint, and other business software applications.
• Ability to prioritize work, coordinate multiple projects, and work independently with minimal supervision.
• Degree or certification in Nursing, Certified Medical Assistant (CMA), Licensed Practical Nurse (LPN) is beneficial.
• Experience working with clinical data and knowledge of ambulatory or clinic operations preferred.
• Knowledge of CMS and other healthcare quality reporting regulations preferred.
• Experience in Quality Management, Health Information Management (HIM), healthcare analytics, or a related clinical environment is beneficial.
• Experience with value-based care programs, quality metrics, and performance improvement initiatives preferred.

Pulled from the full job description

• Retirement plan

• Paid time off, * Comprehensive benefits packages available for both part and full-time employees!

• Paid Time Off (PTO) benefits begin to accrue on day one!

• Retirement Plan with matching dollars available!

• Two wellness center facilities that employees are eligible to use free of charge & a minimal fee for spouses!

• Many Employer Sponsored Events held throughout the year to celebrate our employees!