Quality - Data Program Coordinator

SUMMARY:

This role will require the use and application of data analytics and quality improvement tools, and methods to support external reporting strategies. Recommends and coordinates activities that support compliance with voluntary, mandatory, and contractual reporting requirements for data acquisition, analysis, reporting, and improvement. Leverages the organization's analytic environment to help guide data-driven decision making and inform quality improvement initiatives.

ESSENTIAL FUNCTIONS:

Creates well-developed oral and written communications.

Demonstrates strong analytical, critical thinking and communication skills.

Organizes and delivers professional presentations that communicate quality measure specifications, data and trends.

Leverages predictive analytics and public reporting calculators to identify public reporting risks.

Develops and implements work plans with actionable components and measurable outcomes. Proactively monitors key performance indicators and makes real-time adjustments to ensure that progress stays on track.

Remains current with regulatory changes/additions related to reportable data requirements for CMS and other agencies/associations whose data is managed by the Quality department.

Responsible for accurate and timely submission of required reporting. Communicates timelines and validates data prior to submission.

Leverages advanced analytics, predictive modeling, and data visualization tools to communicate trends, projections, external comparisons and correlations.

Develops data-driven strategies to support quality improvement across healthcare programs, supporting cross-functional teams, and collaborating with stakeholders to design and implement actionable data solutions.

Develops and maintains timely predictive models that support hospital leaders in identifying and addressing external reporting outcome risks.

Identifies measures at high risk of not meeting national benchmarks, identifies potential adverse trends and collaborates with key stakeholders to identify opportunities for improvement.

Ensures accurate data collection and collaboration with Clinical Informatics and Business Intelligence for data sources and dashboard development through specification expertise.

Assists in analyzing documentation workflows to assure efficiency and high performance on metrics set by CMS, individual payor contracts, and organizational goals.

Proficient in the use of VIZIENT resources and Clinical Database (CDB) to assist in identifying organizational priorities as they relate to quality metrics.

Proficient in PowerBI/DAX for successful collaboration with the Business Intelligence Team in the objective of dashboard transparency and accuracy.

Develops an understanding and proficiency in the use of quality improvement tools to identify and eliminate external reporting measure variability throughout the organization.

Ability to question staff using “humble inquiry.”

Builds and maintains long-term relationships with others based on mutual respect and trust. When conflict arises, works effectively towards solutions and compromises that take the needs of all parties into account.

Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.

Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION: Bachelor’s degree in healthcare, or related field or equivalent combination of experience and education. Master’s degree preferred.

EXPERIENCE: Five (5) years of experience in healthcare quality analytics field. Preferred experience with process improvement principles.

LICENSURE OR CERTIFICATION: None required. Certified Professional in Healthcare Quality preferred.

KNOWLEDGE, SKILLS, AND ABILITIES:

· Knowledge with project facilitation from start to finish.

· Knowledge of root causes creating process problems.

· Skill in verbal/written communication and report development to negotiate and persuade as needed.

· Skill in public speaking and presenting information to leadership, boards and committees.

· Skill in developing and maintaining working relationships with outside agencies, executive management, employees, and the public.

· Skill in applying and teaching exceptional customer service.

· Ability to develop, interpret and read detailed documents, contracts, proposals, and related legislative materials.

· Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.

· Ability to read, analyze, and interpret; ability to write reports and business correspondence.

· Ability to speak effectively before groups of employees or customers.

· Ability to respond to inquiries or complaints from employees, patients and/or their representatives, and the public.

· Ability to identify positive or negative variances from expected outcomes.

· Ability to define problems, collect data, establish facts, and draw valid conclusions.

· Ability to solve practical problems and deal with a variety of concrete and abstract variables in situations where only limited standardization exists.