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

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

Senior Manager – Quality Reporting and Data Analytics

Key skills