Senior Manager – Quality Reporting and Data Analytics

Responsibilities

• Manage technology-driven initiatives to optimize clinical and EHR workflows, ensuring documentation and coding meet program-specific reporting requirements for assigned partners, by developing technology solutions to meet unique reporting requirements and ensure optimal quality performance

• Deliver and interpret technical specifications for quality programs, ensuring optimal performance through advanced data analysis

• Partner with internal teams to successfully deploy and manage quality improvement programs, working with external vendors to ensure accurate end-of-year quality reporting and optimal ACO scoring

• Design and maintain data collection workflows from multiple EHR systems, ensuring data quality and integrity for quality measure improvement

• Utilize SQL and data analytics tools to analyze large healthcare datasets for quality reporting and performance insights

• Collaborate with EHR vendors and technical teams to optimize data extraction processes, working with C-CDA, QRDA, flat files, and other healthcare data formats

• Monitor practice quality performance by developing data-driven actionable strategies for continuous improvement and optimal measure benchmark achievement

Requirements

• Bachelor's degree in Health Informatics, Data Analytics, Public Health, or related field

• 5+ years of experience in healthcare quality reporting, preferably with ACO, MSSP, REACH, or MIPS programs

• 3+ years of experience in value-based care, population health, government programs, or quality improvement

• Deep understanding of CMS quality measures, including eCQMs, CAHPS, and Medicare CQMs

• Basic understanding of clinical workflows across inpatient, ambulatory, and ancillary care settings, including how data is captured and used in EHR systems

• Knowledge of healthcare administrative and clinical datasets, including demographics, encounters, labs, diagnoses, and medications

• Experience working with EHR, practice management, revenue cycle tools, or population health platforms to support clinical or operational use cases

• Excellent organizational and communication skills with an emphasis on problem-solving and building subject matter expertise

• Proven ability to manage multiple projects and stakeholders

• Strong problem-solving and strategic thinking capabilities

Hard Skills

• SQL

• data analytics

• data collection workflows

• data quality

• data integrity

• quality reporting

• performance insights

• healthcare datasets

• eCQMs

• CAHPS

Soft Skills

• organizational skills

• communication skills

• problem-solving

• strategic thinking

• project management

• stakeholder management

• subject matter expertise

Industry Keywords

• health informatics

• data analytics

• public health

• healthcare quality reporting

• ACO

• MSSP

• REACH

• MIPS

• value-based care

• population health

Tools & Technologies

• EHR systems

• practice management tools

• revenue cycle tools

• population health platforms

• C-CDA

• QRDA