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