Quality Management Data Analyst (48029)

The Quality Management Data Analyst under direct supervision of the Chief Quality Officer, provides analytical and administrative support to the Quality Management Department by collecting, validating, organizing, and reporting healthcare quality, patient safety, and regulatory compliance data. The position assists with internal audits, quality monitoring, performance measurement, and accreditation readiness by preparing data and identifying trends that support informed decision-making. The Data Analyst serves as a resource to Quality Management leadership by gathering information, developing reports and dashboards, maintaining audit documentation, and tracking quality metrics. Responsibility for interpreting findings, directing corrective actions, implementing performance improvement initiatives, and regulatory decision-making remains with Quality Management leadership. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Maintains regular attendance and punctuality.
• Collect, compile, validate, and organize quality and regulatory data from multiple organizational sources.
• Prepare recurring reports, scorecards, and dashboards for Quality Management leadership.
• Assist with data analysis to identify trends, patterns, and opportunities for improvement.
• Maintain databases supporting quality, patient safety, risk management, and regulatory compliance activities.
• Produce routine reports for committees and executive leadership.
• Assist Quality Management staff with planning and conducting internal audits.
• Gather documentation and evidence requested during internal and external surveys.
• Perform medical record reviews and data abstraction under the direction of Quality Management leadership.
• Track audit findings and assist with documenting compliance rates.
• Maintain audit schedules and supporting documentation.
• Assist with Joint Commission, CMS, IHS, CLIA, and other regulatory readiness activities by collecting and organizing required documentation.
• Maintain electronic and hard-copy survey readiness files.
• Prepare data requested for mock surveys, tracers, and accreditation reviews.
• Support continuous survey readiness through routine monitoring activities.
• Track organizational quality indicators and performance measures.
• Maintain logs for quality metrics, patient safety events, risk management activities, and performance improvement projects.
• Monitor reporting deadlines and notify Quality Management leadership of upcoming reporting requirements.
• Assist with benchmarking and trend reporting.
• Maintain a centralized corrective action tracking database.
• Record assigned corrective actions, responsible departments, due dates, and completion status.
• Collect supporting documentation submitted by departments.
• Prepare status reports for Quality Management leadership.
• Monitor completion timelines and notify leadership of overdue corrective actions.
• Prepare committee reports, graphs, and statistical summaries.
• Assist in developing presentation materials.
• Maintain committee records and quality performance documentation.
• Support data requests from organizational committees and leadership.
• Ensure accuracy and integrity of quality databases.
• Perform routine quality checks of collected data.
• Maintain confidentiality of protected health information.
• Assist with developing standardized reporting tools and templates.
• Position requires occasional travel within the service area and periodic overnight travel for training, conferences, and professional development.
• Requires completion of tasks or duties assigned by a supervisor.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.