Quality Improvement Analyst - Phoenix Children's Care Network

Position Details

Department: PCCN | Value Based Network Ops


Location: Telecommuting


Shift: Mon-Fri, Days, 8am-5pm

Category: PCCN


Posting #: 992106


Employee Type: Full-Time

Position Summary

Posting Note: We're looking for a Senior Quality Improvement Analyst with a strong interest in population health and experience supporting quality and performance measures tied to contracts. The ideal candidate will be organized, collaborative, and skilled in translating complex data into clear, actionable insights that drive improvements in quality and contract performance across pediatric care. This role partners closely with clinical and operational teams to monitor, report on, and improve population-based measures such as well-child visits and immunization status. Strong presentation and project management skills, along with a team-oriented mindset, are essential to advancing impactful, measure-driven quality initiatives across our network.


The Senior Quality Improvement Analyst will play a strategic role in advancing a culture of quality and continuous improvement within PCCN and the practices affiliated with its clinically integrated network. As a senior member of the PCCN Quality Team, this role will be responsible for leading and overseeing quality improvement initiatives, with a focus on quality performance tracking, reporting, and achieving measurable outcomes. The Senior Quality Improvement Analyst will work closely with internal and external stakeholders, including payor partners, to drive initiatives that improve patient care, address healthcare disparities, and enhance the performance of the network in value-based contracts. Key responsibilities include developing and implementing data-driven strategies to identify and close gaps-in-care, tracking quality performance metrics, and generating reports that provide actionable insights for the network`s stakeholders. This role will involve managing multiple high-impact quality projects simultaneously, ensuring alignment with organizational goals, and driving continuous improvement efforts. The Senior Quality Improvement Analyst will collaborate with cross-functional teams to analyze performance data, identify opportunities for improvement, and develop innovative solutions to enhance patient care. In addition to strong communication and project management skills, the ideal candidate will have advanced expertise in quality improvement methodologies, a deep understanding of healthcare quality metrics, and experience in value-based contracting. The Senior Quality Improvement Analyst will report directly to the Manager of Network Quality Performance and will play a pivotal role in shaping the future of quality performance within the organization.

Position Duties

• Quality Improvement
  
  
  1. Assists in designing, implementing, and maintaining a comprehensive continuous quality improvement (QI) program.
  2. Works with PCCN leadership and staff to develop and integrate quality improvement processes into all aspects of PCCN's clinical programs and operations. (i.e., PIT, ICC)
  3. 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.
  4. Contributes to a culture of continuous improvement and excellence, promotes standardization, efficiency, efficacy, and safety across the institute.
  5. Analyzes clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
  6. Demonstrates strong project management skills by organizing and overseeing multiple quality improvement projects concurrently.
  7. 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. Works with PCCN leadership and staff to implement a comprehensive performance improvement program for PCCN and PCCN's practices using formal process improvement techniques including but not limited to PDSA, DMAIC, and Lean Six Sigma.
  3. Uses performance trends to develop plans for practice engagement, education, and process improvement.
  4. 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.
  5. Contributes to the development and maintenance of a library of quality performance best practices for PCCN's practices.
  6. Contributes to the development and implementation of innovative approaches to address patient gaps-in-care specific to PCCN's contractual quality measures.
  7. Work collaboratively with network practices in obtaining patient records and supplemental data to submit to partnered health plans.
  8. Communicate clearly and effectively with internal teams, external stakeholders, and payor partners.
  9. Develop positive relationships with key stakeholders to facilitate collaboration and information exchange.
  10. Collaborate with payor partners to plan Clinical Quality Meetings, including agenda development and scheduling.
  
  
• Quality Performance Reporting
  
  
  1. Present PCCN's contract performance and population health initiatives in meetings with internal and external stakeholders.
  2. Generate reports and presentations to communicate progress and outcomes to stakeholders.
  3. Reports data from quality initiatives to appropriate individuals, departments and committees through interpretive presentations, automated electronic reports, and/or publications.
  4. Assists in the development and maintenance of performance dashboards indicating performance against contractual obligations and/or population health initiatives in coordination with the data and analytics team.
  5. In some circumstances, will assist the Phoenix Children's Data and Analytics division in data management, reporting, and operational integration.
  6. 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