Senior Manager- Quality Reporting and Data Analytics

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

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 working 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