Quality Program Specialist

Quality Regulatory Reporting Manager

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.

Key Position Details:

• 1.0 FTE (80 hours per two-week pay period)
• 8-hour day shift
• No weekends
• Hybrid position

Job Description:

Oversees regulatory quality, accreditation, and clinical quality efforts across applicable programs. Maintains up-to-date knowledge of applicable quality and cost-of-care measures, ensuring timely and accurate reporting. Supports data analysis, validation, and project management activities to enhance clinical quality, optimize measurement strategies, and improve operational efficiency. Collaborates with physicians, clinicians, operational leaders and other stakeholders to design and implement effective structures, processes, and outcomes.

Principle Responsibilities:

• Program Leadership
  • Partners with clinical experts in the development, implementation, and sustainability of evidenced-based clinical best practice standards for targeted populations.
  • Plays a key role in identifying unwarranted variation in clinical practice that may affect quality outcomes, patient experience, and total cost of care.
  • Collaborates with physicians and business unit leaders to ensure consistent implementation of best practices.
  • Leads meetings that support clinical program initiatives and assists operational leaders in the implementation and sustainability of plans.
  • Develops both internal and patient-facing communication/education materials.
• Measurement and Reporting
  • Manages quality reporting requirements and assures all required regulatory quality measures are reported accurately and timely.
  • Maintains scorecards related to program quality indicators, assisting in interpretation of data and development of meaningful action plans to improve performance.
  • Collaborates with program leadership on pay for performance programs that rely on clinical quality metrics.
• Improvement Support
  • Leads project management of initiatives using quality improvement tools to drive performance improvement, including the identification of industry benchmarking for goal setting.
  • Plans and implements necessary improvement initiatives needed to comply with regulatory annual rule requirements and changes.
  • Develops and implements system-level workflows across teams to create efficiencies.
• Policy and Compliance
  • Analyzes and monitors state and federal legislative policy proposals regulating clinical quality programs
  • Translates legislative policy and technical standards into meaningful language for key stakeholders and operational understanding.
  • Understands reporting requirements and data elements necessary to identify, support or negate regulatory quality concerns.
• Other duties as assigned.

Required Qualifications:

• Bachelor's degree in Nursing, Therapy, Public Health, Health Care Administration and/or other health care related field
• 5+ years Healthcare experience in related field
• 3+ years Project management and/or experience with quality improvement principles
• 2+ years Healthcare quality reporting
• 2+ years Electronic medical record experience

Preferred Qualifications:

• Master's degree in Nursing, Public Health, Pharmacy, Health Care Administration and/or other health care related field
• 2+ years Health informatics experience

Licenses/Certifications:

• Maintain license as applicable

Physical Demands:

• Sedentary:
• Lifting weight up to 10 lbs. occasionally, negligible weight frequently

Pay Range:

$41.28 to $57.11 per hourThe pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work.

Allina Health is committed to adhering with all applicable local, state and federal minimum wage requirements.

Benefit Summary:

Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being mind, body, spirit and community of you and your family members.

Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.

We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work.

Benefits include:

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program
• Allina Health is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.