Quality Intelligence Program Consultant

Department:

39709 AHP Administration - Quality Intelligence EPH II

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This is a full-time, Mon-Fri business hours remote role. Advocate may approve remote workers who reside in the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.

Pay Range

$37.50 - $56.25

Leads and supports the implementation of strategic quality priorities for Advocate Aurora Medical Group (AAMG) and Enterprise Population Health (EPH) to drive top decile quality performance internally in system health outcomes goals and externally in health plan quality incentives, publicly reported metrics, Medicare Advantage (MA) Stars, Medicare Shared Savings Program (MSSP), and other value-based agreements ensure quality and cost metrics are met for prioritized internal and external partners including those required or rewarded by government and payer relationships. Leads and supports the development of quality improvement projects for Quality Improvement Ops teams and AAMG and EPH primary care practices/clinics.  Applies project management, quality, and safety improvement frameworks, and methodologies for data analysis and to lead complex projects related to value-based agreements and internal quality reporting.

Major Responsibilities:

• Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH.  Keeps current on external reporting programs, associated measures, and best practices in order to ensure internal priorities align with external environment and demands.  Maintains programming specifications and code lists for all quality measures in value-based agreements and internal reporting and partners with other data professionals to ensure timely communication of critical updates.
• Leads the development of enterprise-wide reports, processes, workflows, tools, and initiatives designed to improve health outcomes.  Leads the development and adoption of processes and mechanisms for accurate quality data collection, analysis and reporting. Manages the interpretation, analysis, and communication of Quality data by engaging professionals in own department and leaders of other collaborating departments to drive improvements.
• Participates in the development of reports, files, and databases used for internal and external reporting.  Ensures accuracy and optimization of quality data and is a resource for business intelligence, data analysis, and workflows supporting Quality initiatives and data integrity.  Performs data validation to assure data accuracy and integrity (related to data feeds, measure mapping, etc.) and assists in resolving deficiencies.
• Helps develop readily accessible and intuitive quality intelligence solutions (dashboards, dynamic reports, data visualizations, etc.) to deliver actionable information to multiple end users (clinicians, leaders, executives etc.).  Leads Quality Intelligence meetings with key stakeholders.  Tracks and trends value-based payer quality performance data and analyzes improvement opportunities to inform the department strategy.
• Meets with and serves as the contact for external payer partners and internal partners for assigned area of oversight.  Manages and leads system improvement efforts, develops quality strategies related to internal and external quality measures and payer data feeds, and serves as the subject matter expert. 
• Develops improved Electronic Health Record (EHR) tools to ensure complete data capture and to support the strategic priorities related to value-based agreements in collaboration with key functional departments and leadership.

Licensure, Registration and/or Certification Required:

• None Required.

Education Required:

• Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field.

Years of Experience:

• Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field.

Knowledge, Skills & Abilities Required:

• Knowledge of quality improvement methodologies, tools, and measures.
• Project Management methodology and tools.
• Statistical techniques to support analysis and interpretation of data.
• Ability to create reports, graphs, and other vi