Joint Venture Quality Program Coordinator

Primary Responsibilities

Quality Data Abstraction & Reporting

• Collect abstract and validate clinical and operational quality data across all joint ventures ensuring accuracy and completeness for internal and external reporting.
• Maintain and update quality scorecards performance dashboards and tracking tools on a regular basis to reflect current performance across the JV portfolio.
• Generate recurring and ad hoc quality performance reports for the Quality Program Supervisor joint venture leadership and physician partners.
• Support accurate documentation and submission of quality and cost performance data in compliance with CMS MSSP ACO and other value-based care program requirements.

Performance Monitoring & Gap Analysis

• Monitor quality metrics and performance benchmarks across all joint ventures flagging variances trends and care gaps for supervisor review and action.
• Analyze data to identify root causes of quality score variances and support the development of targeted performance improvement initiatives.
• Track care gap closure activities across joint ventures coordinating with clinical staff and physician offices to ensure timely completion and documentation.
• Support the preparation of performance summaries and trend analyses to inform physician engagement and leadership decision-making.

Care Coordination Support

• Assist in coordinating care gap closure workflows between hospital and physician group partners helping to reduce service duplication and improve care transitions.
• Support outreach efforts to patients and care teams to facilitate completion of outstanding quality measures and preventive care activities.
• Maintain organized records of care coordination activities follow-up actions and outcomes across joint venture entities.

Meeting Coordination & Administrative Support

• Coordinate and prepare materials for quality meetings performance reviews and joint venture leadership presentations including agendas data summaries and follow-up action items.
• Maintain organized documentation of meeting minutes governance decisions performance records and compliance activities across the JV portfolio.
• Support the onboarding of new joint venture programs by assisting with data setup reporting infrastructure and workflow integration.

Compliance & Audit Support

• Assist in maintaining audit-ready documentation for regulatory and payer reviews ensuring quality and performance records are complete and accessible.
• Support the development of Plans of Correction (POC) by compiling data tracking corrective action progress and documenting outcomes.
• Ensure data abstraction and reporting activities align with HIPAA privacy standards CMS program requirements and joint venture governance policies.

Qualifications

Education:
Preferred: Associates or Bachelors degree in Health Information Management Healthcare Administration Nursing or a related field. Preferred: Bachelors degree in a healthcare or data-related discipline.

Experience:
13 years of experience in healthcare quality data abstraction performance reporting or a related role. Experience in an ACO value-based care or joint venture environment is a plus. Familiarity with CMS quality programs Stars measures or risk adjustment preferred.

Technical Skills:

• Proficiency in Electronic Health Records (EHR) systems and quality reporting tools.
• Experience with data visualization or reporting platforms such as PowerBI Tableau or Excel.
• Strong attention to detail with demonstrated ability to manage and validate large data sets accurately.

Knowledge Areas:

• Working knowledge of CMS regulations value-based payment models and quality reporting requirements.
• Familiarity with Stars quality measures and care gap closure processes.
• Understanding of HIPAA privacy standards and healthcare data governance practices.

Scope & Impact

• Supports quality performance across all joint ventures within the Deaconess Health System portfolio.
• Contributes directly to CMS Star Ratings shared savings performance and regulatory compliance through accurate and timely data support.
• Reports to the Quality Program Supervisor of Joint Ventures; collaborates with physicians clinical staff and operational leaders across joint venture entities.
• Plays a key role in building scalable standardized quality infrastructure to support the continued growth of the JV portfolio.

Required Experience:

IC