Summary

This position is responsible for evaluating requirements, planning, and workflow testing for complex quality reporting requirements spanning several high priority at-risk contracts. This role is essential for ensuring the Baylor St. Luke’s Medical Group (BSLMG) meets complex quality reporting requirements, which are critical for maintaining high standards of care and compliance with regulatory mandates. By providing expert analysis, strategic planning, and effective communication, this position supports the continuous improvement of clinical practices and contributes to the overall success of the BSLMG practice.

Job Duties

• Researches industry and contract-specific requirements for clinical quality measures.
• Maintains monthly roster updates for new and departing practitioners.
• Extracts and organizes complex data into meaningful for mat for evaluation and decision-making.
• Assists in researching key business issues, collects and analyzes quantitative and qualitative data.
• Participates in project planning and implementation.
• Investigates and documents business and operations processes depicting organizational performance and quality.
• Participates in Quality Reporting team with focus on strategic initiatives designed to improve the quality of service, care and efficiency delivered in clinical practices.
• Collaborates with operational and technical teams in other departments.
• Subject knowledge expert of program requirements for the federal Quality Payment Program, Merit-based Incentive Payment System (MIPS) (previously the CMS EHR Incentive Program (Meaningful Use), PQRS/Value modifier and CMS MSSP ACO.
• Maintains in-depth knowledge of state and federal regulations regarding Health Care Quality and Health Information Technology (HIT).
• Serves as a subject matter expert regarding physician quality and health information technology (HIT).
• Supports department meetings and collaborate in the development of agenda materials and communications.
• Develops education and communication materials on quality and HIT related initiatives at the state and federal level.
• Participates in policy development and prepare comments for state and federal regulations.
• Performs other duties as assigned.

Minimum Qualifications

• Bachelor's degree in Business, Analytics or related field.
• Five years of relevant experience.

Preferred Qualifications

• Exceptional organizational skills is required for this detail-oriented role.
• Experience with EpicCare Ambulatory, SER and Quality Metrics.