Senior Manager- Quality Reporting and Data Analytics

 Posted 2 hours ago
     
5-10 years experience
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AI Summary

Manage technology-driven initiatives to optimize clinical workflows and ensure accurate quality reporting for ACO and value-based care programs. Design data collection workflows and utilize SQL to analyze large healthcare datasets for performance insights.

Your Opportunity

As a Senior Manager, Quality Reporting & Data Analytics at Vytalize Health, you’ll be a vital part of the Technology team, focusing on ACO quality reporting and data analytics initiatives. This role combines deep healthcare quality expertise with technical data management skills to ensure optimal performance across our Medicare Shared Savings Program (MSSP), ACO REACH, and other value-based care programs. The ideal candidate will have hands-on experience with quality measure reporting, provider engagement, and data analytics in healthcare settings.

What You Will Do

  • 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

What Will Make You Successful Here

Required Qualifications

  • 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

Preferred Qualifications

  • Proficient in SQL, with experience querying large healthcare for data extraction, manipulation, and analysis

  • Intermediate understanding of EHR data integration and applicable data standards, including FHIR, QRDA, C-CDA, SNOMED CT, LOINC, ICD-10, CPT, and RxNorm

  • Experience with clinical datasets to ensure accurate patient record linkage, data integration, and interoperability between clinical, administrative, and claims data sources

  • Experience working with clinical data pipelines, including ingestion, normalization, and mapping to standardized terminologies and schemas

  • Familiarity with software development environments, version control systems, and basic coding or scripting languages to effectively communicate with development teams and participate in technical discussions

  • Experience applying project management principles and techniques with an eye towards execution, including skills in leading and managing change within teams and initiatives more broadly

  • Experience in team leadership and cross-functional collaboration

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