About the position
The Quality and Contract Analyst, in conjunction with the Executive Director of Contract Management and Payer Relations, has responsibility for the development, implementation, and oversight of the quality performance functions of IHCI. The individual in this role will bring population health, value-based care quality management, and quality improvement initiative experience that demonstrates leadership and proven quality outcomes. The Quality and Contract Analyst will have experience in value-based care, population health, and a strong background in quality improvement methodologies and initiatives. The Quality Coordinator is responsible for facilitating IHCI's quality efforts in collaboration with IHCI leadership to deliver high patient & provider satisfaction, high quality outcomes, and drive strong results against value-based care quality measures. The person in this role must partner effectively with internal and external stakeholders, excel working in an ambiguous environment, and have proven experience driving organizational change collaboratively as we build infrastructure to support value-based payment models. The ideal candidate must possess a high degree of integrity and bring both the energy and initiative necessary build out and scale operations associated with sustainable performance in value-based care. This individual will drive success for both existing and new lines of business and represent the organization to committees and payers as assigned.
Responsibilities
- Develop, implement, and oversee quality performance functions of IHCI.
- Facilitate IHCI's quality efforts in collaboration with leadership.
- Drive high patient and provider satisfaction and quality outcomes.
- Collaborate with internal and external stakeholders.
- Drive organizational change to support value-based payment models.
- Represent the organization to committees and payers as assigned.
Requirements
- High School Diploma or GED equivalent required.
- Bachelor's degree preferred.
- Certified Professional in Healthcare Quality (CPHQ) Certification preferred.
- Three (3) years of experience in a health care or managed care environment and project management experience preferred.
- Experience analyzing quality data and driving improvement based on those results.
- Experience with ACO Quality Reporting and developing workflows to ensure accurate receipt of quality performance measures by payer partners.
- Knowledge of CMS requirements and regulations, and NCQA standards and regulations.
- Excellent analytical, verbal, written, organizational and interpersonal skills.
- Strong understanding of Continuous Quality Improvement (CQI) principles.
- Intermediate level proficiency with Microsoft Office applications and data management reporting, particularly Excel.
Nice-to-haves
- Familiarity with Hospital Value Based Purchasing initiatives.
- Population health experience with an understanding of performance measurement and improvement processes.
- Lean Six Sigma certification preferred.
