The Quality Strategist role is responsible for maintaining knowledge of current quality and cost measures within value based programs and contracts including but not limited to the CMS Quality Payment Program (Merit-based Incentive Payment System (MIPS) & Advanced Alternative Payment Models). The Quality Strategist will focus on preparing Sanford Health for reporting to the CMS Quality Payment Program. The Quality Strategist will collaborate with Information Technology and Data and Analytics teams to review specifications, develop internal specifications, develop/validate internal and external reports to maximize performance in payment programs.A familiarity with the structure of healthcare systems, practice and utilization patterns in various healthcare settings is necessary. Must be able to collect and organize detailed information. Must be able to review, analyze, and validate data reports. Must be willing to seek out new information and knowledge and be willing to embrace new responsibilities and change. This position is funded through a sub-award that Sanford was given for participating in Compass PTN with the Iowa Healthcare Collaborative (IHC), through the federal Transforming Clinical Practice (TCPI) initiative. This position is currently expected to be funded through September 30th, 2019.
Grant funded position who assists the Project Director with meeting quality data and improvement work requirements. Collaborates with the regional Quality Departments to implement change to increase compliance with quality metrics. Expands the collection of data using a holistic focus to identify gaps in quality care measures. Coordinates information flow between the hospitals and external/regulatory agencies; Provides assistance and consultation to market Quality & Patient Safety teams and executive management related to value based metrics and programs. Ensures consistency and accuracy in electronically pulled data. Identifies situations which require further investigation. Prepares meaningful statistical reports. Assists in data review submitted to and provided by payers and regulatory bodies. Communicates overview of improvement effort, information regarding changes to measures and evaluation and recommendation for areas with significant variance. Communicates summation of changes, new metrics, and changes in reporting to regional quality departments. Gathers and maintains current knowledge and information regarding updates or changes in measures and requirements.
Certification in the individuals profession is preferred. Bachelors degree required, Masters Degree preferred. Must be skilled with Microsoft Excel. One or more years experience in the healthcare industry is highly recommended. A variety of experiences may be applicable to this role including direct care, quality, billing, policy, contracting, and technology.