Quality Intelligence Program Consultant

Role Overview

• Leads and supports the implementation of strategic quality priorities for Advocate Aurora Medical Group (AAMG) and Enterprise Population Health (EPH) to drive top decile quality performance internally in system health outcomes goals and externally in health plan quality incentives, publicly reported metrics, Medicare Advantage (MA) Stars, Medicare Shared Savings Program (MSSP), and other value-based agreements
• Ensures quality and cost metrics are met for prioritized internal and external partners including those required or rewarded by government and payer relationships
• Leads and supports the development of quality improvement projects for Quality Improvement Ops teams and AAMG and EPH primary care practices/clinics
• Applies project management, quality, and safety improvement frameworks, and methodologies for data analysis and to lead complex projects related to value-based agreements and internal quality reporting
• Contributes to system-wide Quality/Health Outcomes measure development and definitions, goal setting, project improvement activities and work groups for AAMG and EPH
• Keeps current on external reporting programs, associated measures, and best practices in order to ensure internal priorities align with external environment and demands
• Maintains programming specifications and code lists for all quality measures in value-based agreements and internal reporting and partners with other data professionals to ensure timely communication of critical updates
• Leads the development of enterprise-wide reports, processes, workflows, tools, and initiatives designed to improve health outcomes

Requirements

• Bachelor’s degree in Health Care Administration, Project Management, Quality, Engineering, or related field
• Typically requires 5 years in Health Care Administration, Project Management, Quality Intelligence, or related field
• Knowledge of quality improvement methodologies, tools, and measures
• Project Management methodology and tools
• Statistical techniques to support analysis and interpretation of data
• Ability to create reports, graphs, and other visual presentation materials, and effectively maintain statistical data
• Excellent analytical and statistical skills with ability to analyze complex data, make inferences, and validate conclusions
• Team and meeting facilitation techniques and tools
• Strong written and oral communication skills
• Experience with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams)
• Demonstrates knowledge of value-based agreements, Accountable Care Organizations (ACOs), integrated health care operations and value based health care models
• Knowledge of Information system tools, report programming, and measure development
• Knowledge of CMS, NCQA HEDIS, MA Stars and evidence-based guidelines

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short
• and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program