Quality Data Analyst

Quality Assurance


Description

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

Data Extraction and Data Management

  • Maintains a working knowledge of internal analytics platforms to generate quality reports, conduct performance opportunity analysis and creates templates for end-user use.
  • Utilizes a combination of analytical skills to design and maintain complex application systems.
  • Develops and manages organizational dashboards and scorecards to provide the identified stakeholders with the most recent information available; updates data on regular cadence.
  • Develops and manages internal data dictionaries with quality measure information to include measure definitions, data sources, and benchmarks/targets.
  • Establishes and maintains data accuracy and data integrity criteria; validates are data reports. 
  • Provides data support for Ambulatory Clinics; prepares dashboards, scorecards, and performance reports as needed.
  • Serves as an expert resource for software applications such Microsoft Word, Power point, Excel software and Pivot tables or other related applications 

Regulatory Reporting

  • Ensures all data submission and validation deadlines are met for CMS inpatient, outpatient and electronic clinical quality measures (eCQM ).
  • Assists with CMS, State, and Joint Commission (ORYX) data submission as needed. 
  • Maintains a working knowledge of all CMS measure types, measure definitions, CMS HQR portal, and pay-for-performance program criteria.

Data Visualization

  • Prepares monthly PowerPoint presentations for the Quality Management Committee using the established reporting schedule and standard presentation template.
  • Summarizes and analyzes quality and PI data, prepares reports and presentations for stakeholders and designated Committees.
  • Visually highlights positive performance trends and areas needing immediate corrective action with all data reports, dashboards and scorecards.
  • Establishes data presentation standards and serves as data management resource for the Department.

Quality Improvement

  • Supports performance improvement teams by transforming clinical and operational data into clear, actionable insights; provides the empirical foundation for process changes, helping teams identify inefficiencies, measure outcomes, and optimize workflows to improve patient care.
  • Assists with patient experience data interpretation and analysis. 
  • Works closely with clinical and business teams as assigned to strategize data solutions that support measurable patient outcomes and long-term business objectives.

Other Duties 

  • Effectively manages assigned projects with a level of independence in performance of the role to include problem resolution. 
  • Actively participates as the department representative on designated multidisciplinary teams and Committees.
  • Supports clinical operations and clinical initiatives as assigned.
  • Attends required hospital-wide orientations, meetings, and in-services.
  • Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise.
  • Other duties as assigned to include coverage of essential departmental functions and services 

Education and Experience

Minimum Required Education: Bachelor's degree in a clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field). Experience in lieu of degree may be considered. Healthcare of Informatics experience required

Working knowledge of basic business software such as Excel, PowerPoint, Word, and Visio. Working knowledge of statistical analysis software such as Minitab preferred.

 Certificates, Licenses, Registrations

Certification in Cerner, EPIC, Tableau or Power BI preferred. Green Belt certification or comparable certification preferred. Experience or training in lieu of certification may be considered.

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