Senior Quality Improvement Advisor

Job Description

Job Description

Salary: Hiring Range Monthly $6,943 - $8,083

SENIOR QUALITY IMPROVEMENT ADVISOR

Job Code: SRQIA

Reports To: Director, Data Insights & Population Health
Base Location: Colorado Only

Work Status: Virtual Office

Minimum Starting Monthly Range: $6,943

Hiring Range (Monthly Pay): $6,943 - $8,083

Full-time / Part-time Full-time

Exempt / Non-Exempt Exempt

Risk Designation: Extremely High

Summary
The Senior Quality Improvement Advisor will be responsible for a variety of tasks related to supporting design and implementation of strategic plans for healthcare delivery transformation and population health initiatives. The Senior Quality Improvement Advisor will be a liaison with community partners, identifying data and reporting needs and collaborating to develop solutions that support stakeholder and participant objectives, while achieving programmatic and organizational goals. Senior Quality Improvement Advisor will be an expert in health information technology, healthcare markets including rural health, and value-based payment reform and models of care. This position will support leading and fostering collaboration across departments and cross-functional teams at Contexture.

This position is based in Denver Colorado and requires local residency. Our strategic flexibility allows for local work from home opportunities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties and Responsibilities include the following:

• Engages with diverse participant groups both in person and virtually to assess data and reporting needs, support quality improvement initiatives, and strengthen relationships with participants and stakeholders.
• Serves as a lead in engaging and working with complex participants including rural healthcare providers, navigating challenges with strategic guidance and tailored support to ensure success in programs.
• Leads program management efforts in collaboration with Director, ensuring strategic alignment on direction, priorities, and execution across teams and initiatives.
• Monitor progress, manage risks, and ensure timely delivery of program milestones.
• Coordinate resources across teams to ensure efficient execution and avoid bottlenecks.
• Communicate program status, risks, and outcomes to leadership and other key stakeholders.
• Support the Director, Data Insights & Population Health in developing and executing key strategic priorities.
• Prep for, schedule and facilitate quality improvement (QI) meetings with participants and hospitals including leading QI techniques such as process mapping, fishbone diagrams and PDSAs.
• Assist participants in adopting alternative visits, including telehealth and patient portal communication.
• Have an in-depth understanding of EHRs and HIEs including best practices for utilization of all HIT technology and reports and supporting EHR selection, adoption, migration.
• As a lead, collaborate with Contexture teams to support monitoring and validating data reports, support development of technical assistance roadmaps, development of new reports and products to support participants and provide insight on performance improvement techniques, including:
  • Analyzing data quality report results.
  • Measuring and auditing large volumes of data for quality issues and improvements.
  • Escalating data quality issues, working with teams within Contexture and with stakeholders to provide technical assistance, supporting continuous improvement efforts and ensuring data accuracy and completeness.
  • Evaluate and recommend new data reporting or data products needs to meet healthcare market, participant needs.
• Supports the development of training materials for internal teams and external participants, ensuring content aligns with program goals and best practices.
• Support gathering customer requirements for data solutions, define data solution vision, and coordinate across Contexture with appropriate teams to ensure seamless integration and delivery of data solutions.
• Serve as a product owner for complex projects, including rural health transformation program work.
• Guide participants on budgeting for value-based contracts.
• Actively participate in assigned committees to contribute to program development, process improvement, and organizational initiatives.
• Proactively identify business development opportunities with participants. Builds and maintains positive relationships with participants.
• Supports Recruitment of community partners for state and federal programs, fee-for-service contracts, and data reporting and population health solutions.
• Maintain expertise in the ever-changing healthcare landscape, including value-based payment models at local, state, and federal levels.
• Provides mentorship and onboarding support to new staff, fostering skill development and consistency in service delivery.
• Stay informed on evolving legislation and reporting requirements for participants and EHR vendors.
• Attend, participate in, and present at learning collaboratives and webinars in relation to Healthcare market changes, including local, state, and federal reporting programs.
• Work collaboratively with community partners.
• Collaborates with all Contexture operations and technical teams to identify and support participants within all managed programs, including achieving data quality standards.
• Ensure consistent adherence to Scrum Framework while guiding and supporting and leading Agile transformation initiatives.
• Performs other related duties as assigned.

Skills

• Extensive experience working with clinicians and hospitals on quality improvement efforts and EHR workflows.
• Proven customer service skills.
• Outstanding attention to detail.
• Excellent organizational skills.
• Comprehensive knowledge of EHRs and Health Information Exchange:
  • Experience with facilitating issue resolution between participants and EHR vendor
• Solid verbal and written communication skills.
• Strong process orientation, problem solving and troubleshooting skills and a firm commitment to quality and population health.
• Project management experience, including experience with agile sprint methodologies and project management software.
• Strong understanding of HL7, C-CDA and XDS.b standards and protocols, and HIE standards and protocols.
• 
  Proficiency in healthcare clinical codes sets such as SNOMED, LOINC, CPT, ICD, RxNorm, etc.
  
• Expertise in Value Based and Alternative Payment Models.
• Clinical health care experience in either an ambulatory or inpatient setting is desirable.
• Experience working with Salesforce a plus.
• Proficiency in a Windows environment, including MS Office suite with intermediate Excel skills.
• Scrum Master and/or Product Owner certification preferred.
• Commitment to Contexture mission and strategic direction.
• Strong sense of personal responsibility in achieving the organizations goals in a team environment.
• Supports and contributes to the organizations culture in a way that allows others to feel appreciated, included, and valued.
• Team player able to excel in structured and unstructured environments.
• Previous experience as a Practice Facilitator and/or clinical health IT advisor role a plus.
• Strong expertise in the following:
  • Alternative Payment Models Accountable Care Organizations
  • Value-based Payment Reform and models of care
  • NCQA Patient-Centered Medical Home
  • Bodenheimer building blocks
  • Quality Reporting/Programs
  • Quality Improvement methodologies and best practices
  • Clinical Quality Measures (CQM)
    • Experience with CQM data definitions and value sets
    • Experience with mapping including: LOINC, CPT, ICD, SNOMED a plus
    • Experience with registries a plus
  • Electronic Health Record functions
  • Medical Home Model
  • Agile and Scrum methodologies
  • Health Information Exchange
• Knowledgeable about Health Information Exchange.
• Familiarity with Agile tools.

• Adapts well to change and guides others through transitions.

• Possesses a strong work ethic and works independently with little supervision.
• Communicate proactively and clearly regarding project updates and progress on assigned projects.
• Experience in the health care industry.
• Effectively and efficiently manage multiple priorities and projects in a dynamic environment.
• Ability to establish and meet deadlines in a fast-paced environment.
• Outstanding communication skills the ability to communicate at all levels.
• Ability to produce high levels of customer satisfaction and commitment.
• Goal-oriented and motivated to meet and exceed expectations.
• Supports and contributes to the organizations culture in a way that allows staff to feel appreciated, included and valued.
• Ability to understand the big picture while working at a detailed, task-based level.
• Self-starter with a proactive approach to conflict resolution and a strong drive to deliver results.
• Valid drivers license.

Education/Experience

• Minimum of 7+ years of healthcare experience in a clinical, administration or technology environment with 2+ years of Quality Improvement methodologies desired.
• Bachelors Degree in Healthcare, Business Administration or related field required; equivalent directly related work experience may be considered in lieu of a degree.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.

The position may require occasional availability for after-hours work, outside of regularly scheduled hours.

The position may require ability to periodically drive to and from clients, conferences and / or events; and / or limited travel, including occasional travel out-of-state.

This position is expected to be exposed to, process, or handle sensitive information including but not limited to Protected Health Information (PHI), Personally Identifiable Information (PII), financial information, etc. As such, the holder of this position is expected to comply with all applicable laws, regulations, organizational policies, and compliance expectations.

Physical Demands

The physical demands described here are representative of those necessary to perform the essential functions of the role:

• Frequent communication and information exchange.
• Regular movement within the office to access equipment and materials.
• Ability to remain stationary for extended periods (approximately 50% of the time).
• Continuous use of computers and office equipment (e.g., keyboard, monitor, printer).
• Frequent handling of materials up to 10 lbs; occasional handling up to 30 lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities and / or qualifications associated with the job.

Benefits: The organization provides a comprehensive benefits package. For details, please request a Benefit Summary from our Benefits Department.

The organization is an inclusive Equal Opportunity Employer. We do not discriminate on the basis of age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other status protected by law or regulation.