Qual Improv Analyst - PCCN

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Position Details

Department: PCCN | Phx Children's Care Network
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: PCCN
Posting #: 920708
Employee Type: Full-Time

Position Summary

The Quality Improvement Analyst will play a key role in contributing to a culture of quality and continuous quality improvement within PCCN and the practices belonging to its clinically integrated network. As a member of PCCN’s Quality Team, this role is responsible for driving quality improvement initiatives and fostering positive relationships with internal and external stakeholders. This role involves collaborating closely with payor partners, organizing and managing multiple quality projects simultaneously, and implementing innovative approaches to address patient gaps-in-care and healthcare disparities. This role works closely with and reports directly to the Manager of Network Quality Performance. The ideal candidate will possess strong communication skills, project management expertise, and a deep understanding of quality improvement and value-based contracting.

Position Duties

  • Quality Improvement
    1. Assists in designing, implementing, and maintaining a comprehensive continuous quality improvement (QI) program.
    2. Serves as a subject matter expert on NCQA/HEDIS and CMS Core quality measures as well as AHCCCS quality programs for PCCN and its practices.
    3. Contributes to a culture of continuous improvement and excellence, promotes standardization, efficiency, efficacy, and safety across the institute.
    4. Analyzes clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
    5. Demonstrates strong project management skills by organizing multiple quality improvement projects concurrently.
    6. Stays up to date on industry trends, regulations, and best practices related to quality performance and value-based care.
  • Network Quality Interventions
    1. Reviews practice performance data for trends in the context of best clinical practice as well as contractual quality goals
    2. In coordination with the Practice Integration team, provides ongoing process improvement support to PCCN’s practices by frequently reviewing practice-level performance and outcomes data, observing clinical workflows, identifying root causes, implementing ongoing performance improvement activities, and evaluating the effectiveness of performance improvement activities on an ongoing basis.
    3. Contributes to the development and maintenance of a library of quality performance best practices for PCCN’s practices.
    4. Contributes to the development and implementation of innovative approaches to address patient gaps-in-care specific to PCCN’s contractual quality measures.
    5. Work collaboratively with network practices in obtaining patient records and supplemental data to submit to partnered health plans.
    6. Communicate clearly and effectively with internal teams, external stakeholders, and payor partners.
    7. Develop positive relationships with key stakeholders to facilitate collaboration and information exchange.
    8. Collaborate with payor partners to plan Clinical Quality Meetings, including agenda development and scheduling.
  • Quality Performance Reporting
    1. Generate reports and presentations to communicate progress and outcomes to stakeholders.
    2. Assists in the maintenance of performance dashboards indicating performance against contractual obligations and/or population health initiatives in coordination with the data and analytics team.
    3. Work with Phoenix Children’s research teams to support PCCN’s quality initiatives in the development of research papers and academic writings.
  • Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
Do you meet this requirement?
1. Bachelor`s Degree in Healthcare Administration, Public Health, Nursing, or related field.
Required
2. Master`s Degree in Healthcare Administration, Public Health, Nursing, or related field.
Preferred
Experience
Do you meet this requirement?
1. Minimum of 2-3 years of experience in healthcare quality improvement, project management, or related field.
Required
2. Experience working in a managed care or health insurance setting.
Preferred
Certifications / Licenses / Registries
Do you meet this requirement?
1. Certification in healthcare quality (e.g., CPHQ) or project management (e.g., PMP).
Preferred
Special Skills
Do you meet this requirement?
1. Familiar with healthcare quality measures (HEDIS, NCQA, etc.), value-based contracting, and payer-provider relationships.
Required
2. Excellent communication and interpersonal skills, with the ability to build and maintain positive relationships with diverse stakeholders.
Required
3. Demonstrated project management skills, including the ability to organize, prioritize, and manage multiple tasks effectively.
Required
4. Analytical mindset with proficiency in data analysis and reporting.
Required
5. Proven ability to work independently and collaboratively in a fast-paced, team-oriented environment.
Required
6. Proficiency in Microsoft Office Suite, Smartsheet, and/or project management software.
Required
7. Familiarity with electronic health record (EHR) systems and healthcare informatics.
Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing - Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally
4. Physical Requirement - Hearing - Constantly
5. Physical Requirement - Pushing/pulling - Occasionally
6. Physical Requirement - Reaching - Occasionally
7. Physical Requirement - Sitting - Constantly
8. Physical Requirement - Standing - Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. Physical Requirement - Talking - Constantly
11. Physical Requirement - Walking - Occasionally
12. Physical Requirement - Near Vision - Constantly
13. Physical Requirement - Far Vision - Frequently
14. Physical Requirement - Color Discrimination - Constantly
15. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
16. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
17. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply