Quality Regulatory Reporting Advisor

Location Address:

2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321

Date Posted:

December 05, 2025

Department:

16002245 Metro Safety and Quality

Shift:

Day (United States of America)

Shift Length:

8 hour shift

Hours Per Week:

40

Union Contract:

Non-Union-NCT

Weekend Rotation:

None

Job Summary:

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.

Key Position Details:

• 1.0 FTE (80 hours per two-week pay period)
• 8-hour day shifts
• No weekends
• Eligible for mileage reimbursement

Job Description:

Provides system-wide program leadership and support for ambulatory or hospital-based payer quality measure performance. Serves as a bridge between quality regulatory reporting and operational practice, translating regulatory requirements into actionable strategies that drive performance improvement across payer and reputational programs. Maintains knowledge and meeting reporting deadlines for current quality measures within value-based programs and contracts, including: Value Based Purchasing, Quality Payment Program, Bundled Payments, Commercial and Medicare Advantage programs, reputational programs (e.g. Leapfrog, USNWR) and other value-based payment models.

Principle Responsibilities

• Develops and implements quality regulatory reporting programs to align with the organization’s goals and strategies
  • Serves as primary contact for external key stakeholders and maintains strategic partnerships with external organizations such as Minnesota Community Measurement, the MN Department of Health, DHS, and CMS.
  • Advises Allina Health internal clinical quality program committees, project teams and leadership on alignment with value-based contracts, external regulatory reporting requirements, and reputational programs.
  • Partners with Payor Relations & Contracting Team to understand and inform of the impact of value-based programs on operations and financial outcomes, including opportunity analysis and gap identification.
  • Understands government electronic medical record (EMR) requirements and application in alignment with quality reporting requirements for the Promoting Interoperability program.
• Measurement and Reporting
  • Interprets and applies measurement specifications and program requirements to ensure accurate validation and submission of data for ambulatory and hospital-based quality programs. (i.e., Value Based Purchasing, Quality Payment Program, MNCM, Alternative Payment Model data).
  • Meets regulatory quality reporting requirements for multiple entities in alignment with State and Federal agencies, value-based programs, and contracts.
  • Coordinates with necessary stakeholders and facilitates data validation, management and reporting within mandated deadlines.
• Performance Improvement and Strategy
  • Influences strategy by connecting measure performance to organizational goals, payer program requirements, and reputational outcomes.
  • Partners with clinical quality and clinical leaders to ensure regulatory standards are embedded into performance improvement initiatives.
  • Supports the development and implementation of action plans and improvement initiatives that align with system strategies, payer incentives, and reputational programs.
  • Provides foresight and strategic recommendations to leadership and clinical quality regarding emerging risks and opportunities in quality performance programs including tracking and communicating progress.
  • Collaborates with Performance Transformation and Payer Relations and Contracting on pay for performance programs that rely on clinical quality metrics.
  • Advises on performance targets and feasibility of clinical topics to optimize reimbursement
  • Participates in payer discussions regarding performance opportunities for Allina Health Group (e.g. HEDIS and Stars performance).
• Policy Interpretation, Input and Feedback
  • Analyzes and monitors state and federal legislative policy proposals regulating clinical quality programs and translates policy for operational understanding.
  • Monitors quality measurement activities occurring at national level (NCQA, NQF, CMS, eCQI, etc.) to anticipate and proactively communicate implications of measurement revisions.
  • Analyzes, monit