Quality Data Analyst

Description

Job Summary 

The Quality Data Analyst is integral to ensuring success in maintaining HRSA compliance, supporting value-based incentive programs, enhancing star ratings, and upholding Patient-Centered Medical Home (PCMH) standards. This position will also establish and maintain critical connections between the EMR and reporting systems to ensure data integrity, including the creation of reports required for regulatory compliance. Additionally, the analyst will analyze, report, and maintain dashboards at the provider and facility level to improve organizational performance on clinical quality measures. By collaborating with care teams, population health teams, and department leaders, the Quality Data Analyst will identify care gaps, implement action plans, and drive improvements in preventive care, chronic disease management, and overall patient outcomes. 

Qualifications / Requirements 

• Bachelor’s degree in business or related field, or a combination of education and related experience 

• 3-5 years of experience working in a clinical setting with at least 1 year of experience in data management and reporting 

• Minimum of 2 years of experience working with healthcare data and/or with HEDIS measures, data collection, and electronic medical records (EMR) 

• Knowledge of PCMH and population health preferred 

• Strong knowledge of healthcare clinical fundamentals and preventive healthcare standards 

• Excellent verbal and written communication skills 

• Attention to detail and a commitment to accuracy 

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment 

• Computer skills and knowledge of applicable software programs including Excel, Word, and PowerPoint. 

• Ability to work with diverse populations 

• Must demonstrate personal and professional commitment to the mission of Heart of Florida Health System and its Mission and Vision Statement, and the Achievement of Performance Standards of Principles of Practice. 

Essential Functions 

• Collaborates with the Quality Manager and Chief Compliance Officer (CCO) to collect, analyze and report on organizational performance metrics. 

• Analyzes data related to HEDIS, UDS, HRSA, and other key performance measures. 

• Aggregates and presents performance data to the Senior Leadership Team and oversight committees. 

• Builds/maintains provider EMR templates to ensure discrete fields for accurate reporting, including assigning proper coding. 

• Designs, develops, and maintains dashboards and reports that enable providers to monitor clinical quality measures, including performance-based care and peer review. 

• Participates in center meetings to discuss  performance on clinical quality measures. 

• Collaborates with leaders to maintain, update, and disseminate departmental KPIs. 

• Reports on gaps and barriers to care, as well as progress of action plans to various teams. 

• Assists Heart of Florida Health Center (HFHC) staff in understanding and utilizing data systems to close care gaps effectively. 

• Ensures timely and accurate submission of clinical quality measure reports for HRSA and other regulatory requirements. 

• Coordinates with insurance payers to follow up on care gaps and report/attest to resolved gaps. 

• Participates in improvement teams utilizing the Plan-Do-Study-Act (PDSA) cycle to address identified gaps. 

• Attends clinical and operational rounding meetings to stay informed of care delivery needs. 

• Maintains professional knowledge through training focused on VB care, regulatory compliance, etc. 

• Participates in external committees, workgroups, and payor meetings, as requested. 

• Assists with quarterly risk assessments and action plans as directed by the CCO/designee. 

• Supports the Quality Improvement team in monitoring and evaluating organizational performance. 

• Performs other duties as assigned to support organizational quality and compliance goals. 

Physical Requirements 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   

While performing job duties, the employee is occasionally required to stand; walk; sit; use hands to handle or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 

Qualifications