RN Quality Measure Specialist

RN Quality Measure Specialist

The MACRA Department is expanding and seeking RN Quality Measure Specialists to support regulatory and quality reporting initiatives. This fully remote role focuses on validation, abstraction, and submission of clinical quality measures, including MIPS (CQMs, Eligible Clinician and Eligible Hospital eCQMs), Core Measures, and The Joint Commission requirements.

Key Responsibilities

• Perform clinical validation to ensure measure accuracy and compliance with CMS requirements
• Conduct medical record abstraction for assigned measures
• Identify and resolve data and logic discrepancies in collaboration with internal teams and external vendors (Oracle Health, Central Utah Informatics)
• Support timely and accurate regulatory submissions

Team members will be assigned to one of two primary areas:

• Validation
• Abstraction

Cross-training will be provided to support workload balancing and team flexibility.

Ideal Candidate

• RN with 5 years acute care experience (ED, ICU, PACU, or similar preferred)
• Strong critical thinking and clinical judgment
• Ability to work independently in a remote environment while managing priorities and deadlines
• Comfort collaborating across teams when needed
• Detail-oriented with an interest in quality and regulatory compliance
• Working knowledge of Cerner Millennium EHR (Oracle Health's EHR)

Work Hours - 8:30AM - 4:30PM AZ Time with potential for flexible scheduling after orientation. Must be available for scheduled meetings (which usually happen between the hours of 8:30AM - 4:30PM AZ time.)

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines.

Position Summary

This position performs clinical data abstraction and/or validation activities in support of regulatory programs and associated clinical quality measures, including IQR, OQR, IPFQR, Core Measures, TJC, and MIPS (CQM & eCQM). This role applies clinical knowledge and established measure specifications to ensure accurate, complete, and compliant data capture.

This position is primarily assigned to abstraction or validation functions with cross-training in both areas. Works within defined workflows and guidelines, contributing to data integrity, audit readiness, and overall quality performance.

Core Functions

• Performs clinical data abstraction and validation in alignment with regulatory measure specifications and clinical documentation.
• Applies clinical knowledge and established guidelines to support accurate, complete, and consistent data capture.
• Identifies data and logic discrepancies and follows defined processes for escalation and resolution.
• Adheres to standardized workflows, tools, and documentation requirements to ensure data integrity, regulatory compliance, and audit readiness.
• Applies and expands knowledge of assigned regulatory programs and measure specifications.
• Contributes to clinical quality data review and validation activities, including report logic review, to ensure data accuracy and alignment with regulatory intent.
• Participates in cross-training, knowledge sharing, and quality-related initiatives through data review and collaboration.

Minimum Qualifications

• Bachelor's degree in Healthcare or a related field or equivalent level of education and experience.
• Must possess a current valid Registered Nurse (RN) license.
• Strong clinical background and knowledge as typically obtained through a minimum of three to five years of clinical experience in an acute care setting. Demonstrated ability to apply critical thinking, analytical reasoning, and problem-solving skills to complex medical cases.
• Experience with electronic medical records and clinical documentation.
• Strong communication and organizational skills.
• Ability to work autonomously within a complex and quickly changing remote environment and navigate a variety of separate computer programs.

Preferred Qualifications

• Working knowledge of quality metric specifications, and clinical coding conventions.
• Experience with clinical quality abstraction and/or validation processes.
• Experience in high-acuity or critical care environments (e.g., ED, ICU, PACU, or comparable settings).
• Experience supporting regulatory programs.
• Exposure to report logic, external vendors, or regulatory audits (including IRR/ARR activities).
• Experience with Oracle Health EHR (Cerner Millennium).
• Experience contributing to process improvement initiatives.
• Proficiency with Microsoft Office (Excel).
• Additional related education and/or experience preferred.

Estimated Pay Range:

$35.43 - $59.05 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

Anticipated Closing Window (actual close date may be sooner): 2026-10-27

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