Quality Measures Analyst - Hospital Quality & Patient Safety

Job Description

Location: Hackensack, NJ

Work Arrangement: 100% Onsite

Industry: Healthcare / Hospital

Job Summary

We are seeking an experienced Quality Measures Business Analyst to support hospital quality, patient safety, clinical performance, and patient experience initiatives. The ideal candidate will have hands-on experience analyzing hospital quality metrics, Leapfrog measures, patient satisfaction, readmission rates, and CMS/HCAHPS-related indicators.

The candidate will collaborate with clinical quality teams, patient experience teams, data analytics, IT, and hospital leadership to monitor performance, identify improvement opportunities, and support data-driven decision-making.

Key Responsibilities

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• Analyze and monitor hospital quality measures, patient safety indicators, and clinical outcomes.
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• Evaluate hospital performance against internal targets, regional benchmarks, and national standards.
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• Analyze Leapfrog Hospital Survey and Hospital Safety Grade measures.
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• Support data preparation, validation, and reporting for Leapfrog and other hospital quality programs.
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• Analyze patient satisfaction and patient experience metrics, including HCAHPS scores.
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• Monitor readmission, recurrence/re-occurrence, mortality, complication, and adverse-event measures.
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• Identify performance gaps, trends, outliers, and opportunities for quality improvement.
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• Develop and maintain quality dashboards, KPI scorecards, reports, and management presentations.
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• Gather and document business requirements for quality analytics and reporting initiatives.
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• Perform data validation and reconciliation across source systems, reports, and dashboards.
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• Collaborate with clinical, quality, operational, and technical stakeholders to investigate root causes and recommend corrective actions.
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• Track performance improvement initiatives and communicate findings to hospital leadership.
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Required Qualifications

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• Bachelor's degree in Healthcare, Business, Analytics, Information Systems, Public Health, or a related field.
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• 5+ years of experience as a Business Analyst, Healthcare Business Analyst, Quality Analyst, or Clinical Data Analyst.
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• Strong understanding of hospital quality measures, patient safety, and healthcare performance indicators.
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• Experience analyzing patient satisfaction, readmission, or clinical outcome metrics.
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• Strong SQL skills and advanced Microsoft Excel proficiency.
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• Experience with KPI reporting, data analysis, data validation, and business requirements documentation.
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• Strong analytical, problem-solving, communication, and stakeholder management skills.
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Preferred Qualifications

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• Experience with Leapfrog Hospital Survey and Hospital Safety Grade.
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• Knowledge of CMS quality measures and HCAHPS reporting.
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• Experience working with hospital Quality, Patient Safety, or Clinical Performance Improvement teams.
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• Proficiency with Power BI, Tableau, or similar reporting tools.
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• Familiarity with EHR/clinical systems, healthcare data warehouses, and value-based care programs.
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