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Quality Measure and Data Manager

DEPARTMENT Quality
BASIC FUNCTION Supports Associate Executive Director (AED), Quality and Director, Clinical Emergency Data Registry (CEDR) to manage quality measures, data analytics, research, and measure related activities. Provides project management and administrative oversight for data projects, research projects, quality measures and measure related project in order to achieve department objectives and execute assigned deliverables.

Characteristic Duties and Responsibilities

  1. Supports all aspects of quality performance measures including measure development, measure maintenance, measure harmonization, licensing, grants, data requests, research, and defending.
  2. Serves as a liaison between ACEP, CMS, measure development subcontractors (i.e.: PCPI and HHS), and funding agencies in conjunction with AED of Quality, Director of CEDR, and AED of Public Affairs.
  3. Supports the measure lifecycle process by working with SME’s from ACEP committees, measure development subcontractors, technical implementation vendors, and Quality Division leadership. Includes managing annual measure maintenance process and working with vendors to develop measure artifact packages and data dictionary for registry.
  4. Prepares measure information for annual QCDR self-nomination and update it throughout the year based various reviews, recommendations, and user experiences.
  5. Supports the implementation of quality measures in CEDR by fielding questions on measure intent, mapping, and the addition of codes and keywords to the clinical equivalence crosswalk.
  6. Assists AED Quality and Federal Affairs Division with CMS communications for measure related issues and inquires, including commenting on the QPP proposed rule.
  7. Conducts analysis on data sets used in the QCDR system for data quality, consistency, and usability for quality metric calculation, research, and other purposes.
  8. Creates presentation and visualization reporting on data sets captured in the CEDR system.
  9. Builds and maintains measures knowledge library, including Measure Specifications, Measure Maps, Clinical Equivalence charts/tables, Mapping protocols, user manuals, technical manuals, implementation guides, FAQs, Human Readable versions, as well as, machine readable specifications, data call/request tools and templates, data dictionary, data models, information models, measure concept inventory, and change logs.
  10. Leads development of data sets in as-is and to-be models for use in the CEDR and data warehouse solutions at ACEP, and by external stakeholders.
  11. Supports ACEP measure owners program.
  12. Supports subcontractors with the annual PQMM Measure Owner update process for QPP measures in which ACEP is the measure steward.
  13. Monitors progress of multiple projects, collaborates with funding agencies, and works with department staff and physician leaders to develop appropriate reports and deliverables for funded projects.
  14. Collaborates with internal and external partners on the development of new quality performance measures.
  15. Coordinates and participates in webinars, trainings, and site visits for quality performance measures.
  16. Facilitates measure related committee and section outreach and related responsibilities to maximize interaction with physician leadership.
  17. Manages data projects, including data requests, data platform compliance, analytics, reporting, publications, presentations, and customer support.
  18. Manages research and special projects related to data, analytics, quality measures, and quality improvement.
  19. Establishes, maintains, and updates systems for communication among staff to facilitate the efficient flow of information relating to measure projects, activities, and objectives.
  20. Plans and develops project timelines, monitors project milestones, arranges for implementation of measure activities to ensure timely completion of projects to achieve departmental objectives and deliverables for funded projects.
  21. Monitors contracts, consulting hours, invoices, travel reimbursements, meeting budgets, and other budgetary and financial information as assigned.
  22. Attends educational and business meetings as assigned with some travel required.
  23. Performs other duties as assigned by supervisor.

Relationships and Contacts

Reports to:

Program Director, CEDR

Internal Contacts:

ACEP staff members in Quality, Technical Services, Member Communications and Marketing, Educational Products, Educational Meetings, Grants and Corporate Development

External Contacts:

Quality and Patient Safety Committee, Registry Committee, Quality Measures Technical Expert Panel, Quality Improvement and Patient Safety Section, Emergency Medicine Informatics Section, ACEP members, medical society staff, vendor and service providers

Required Education and Experience

  1. Bachelor’s Degree in Healthcare, Public Health, Business or related field or equivalent experience
  2. Ten years of project management and administration experience including writing reports, expense/budget monitoring, interactions with internal and external stakeholders, accommodating multiple and shifting priorities
  3. Experience with the development and management of quality performance measures.
  4. Advanced education and experience in statistical reporting techniques and analytic models.
  5. Experience in health care data set modeling in a data warehouse setting.
  6. Computer skills, including familiarity with Microsoft Word, Excel, PowerPoint, and Internet searches
  7. Communications and presentation skills, including facilitation of meetings with executive leaders and technical teams

Other Desired Qualifications

  1. Previous work experience with health care subject matter experts, physician organizations, billing and coding, or health policy
  2. Ability to handle full range of delegated tasks, work independently, exercise good judgment, prioritize tasks, display strong personal initiative, and follow through in all areas assigned with attention to detail and timeliness
  3. Ability to adapt to shifting priorities and schedules
  4. Ability to build, establish and maintain effective working relationships with internal and external stakeholders
  5. Excellent communications skills both written and the ability to communicate orally
  6. Cooperative, tactful and able to work under pressure
  7. Dependable, responsible and resourceful

We offer competitive salary, excellent benefits package, retirement plan and more.

If you have any questions or would like to send your resume, contact us here.

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