clinical quality analyst

Wolters Kluwer

<div><div>LOCATION: Hybrid &ndash; 8 days a month in the office. Indianapolis IN (preferred, other locations on posting can be considered). You will need to reside within 50 miles of an office location.</div><div></div><div>
OVERVIEW</div><div>
Our Lead Technical Writer is responsible for writing, maintaining, enhancing and interpreting complex content on a suite of products. You will be considered a subject matter expect and remains current on developments in the industry including pending legislative issues which might affect products. You may lead others in their efforts to maintain and enhance the interpretive content on the product. This position also works with project teams and other internal groups as a content expert to facilitate completion of initiatives and to improve the visibility of the product both internally and externally. You may also author papers, conduct customer focus groups, and speak on their topic of expertise to enhance the reputation and awareness of the product in the industry. Lastly, you may act as a knowledge expert spokesperson in the industry.<br>
<br>
RESPONSIBILITIES</div><ul><li>
Represents Wolters Kluwer Health - Clinical Solutions in a positive, professional, and customer-focused manner. Treats fellow employees and customers in a Fair, Honest, Responsive, and Results-Oriented manner.</li><li>
Applies practical clinical experience when evaluating and interpreting scientific literature and other evidence.</li><li>
Maintains a high degree of job knowledge and subject matter expertise via review of the medical and healthcare information technology literature and other activities as assigned. Actively develops and/or maintains clinical expertise with the express purpose of translating this expertise into improving clinical content. Continually develops and refines knowledge of databases, clinical decision support applications, and rules-based logic.</li><li>
Assesses and mitigates risks of drug therapy and clinical decision support based on knowledge of pharmacotherapy as well as disease/condition and patient-specific variables.</li><li>
Responsible for performing ongoing clinical data analysis and quality control activities related to proprietary drug content and clinical decision support software</li><li>
Identifies, documents, and reports omissions or errors in the data. Identifies, documents, and reports unexpected results generated by clinical decision support software.</li><li>
Submits work for collaborative peer review and responds appropriately to comments and criticisms. As a member of the team, critically, professionally, and thoroughly reviews the work of others to prompt improvements in clarity, consistency, accuracy, and accessibility to information across the spectrum of healthcare providers. Understands the use of the data by customers and factors this awareness into decisions.</li><li>
Anticipates problems or issues and identifies creative ways to solve problems or mitigate risks.</li><li>
Applies clinical knowledge and expertise to develop, implement, and adhere to policies. Clearly articulates WKH policies and processes.</li><li>
Achieves productivity by consistently meeting deadlines by meeting departmental and individual goals.</li><li>
Maintains a high degree of currency in area(s) of clinical or domain expertise as well as industry knowledge via reading, attendance at professional meetings/educational conferences, and other activities (i.e. clinical practice, teaching, research, discussions, etc.). Develops and maintains professional, specialty, and/or academic relationships</li><li>
Shares information and expertise with colleagues at all levels of the organization.</li><li>
Acts as an influential leader within the organization. Provides assistance and cross-education among clinical team/content members, and functional teams (e.g., sales, marketing, accounting, IT).</li><li>
Lends subject matter expertise and actively participates in the process of new product development or enhancements. Provides input for product design from a clinical perspective. Participates in the design and enhancement of tools used to manage content. Responds promptly to marketing and sales feedback (when appropriate) to introduce new information and/or concepts into the database.</li><li>
Provides a high level of customer service by offering customer and client support on an as needed basis, as well as responds in a timely and accurate manner to queries regarding clinical content issues or expected data outcomes. Understands the needs and expectations of the assessment and validation of client problem. Ensures quality responses (written, verbal) to customer inquiries. Works with other departments and authors to improve data/products and their appeal to selected segments of the market as requested.</li><li>
Applies clinical knowledge and expertise during development cycle to collaboratively create, maintain, and document testing scenarios.</li><li>
May participate and assist in the training of pharmacy students and residents.</li><li>
May professionally represent WKH on a national level.</li><li>
May be required to develop and maintain strong relationships with authors, contributors, editors and consultants. Cultivate and maintain relationships with individuals in specialty areas that can help improve content. Effectively facilitates obtaining consultant input by monitoring workflow and ensuring consultant responsiveness.</li><li>
Familiarity with Medical Device Regulations, ISO 13485, ISO 14971, and other regulatory considerations (preferred)</li></ul><div></div><div>
QUALIFICATIONS</div><div></div><div>
Education:</div><ul><li>
PharmD <i>or</i>,</li><li>
BSPharm with significant clinical practice experience or specialization <i>or,</i></li><li>
Other advanced clinical degree</li></ul><div></div><div>
Experience:</div><div>
Pharmacist</div><ul><li>
A minimum of 5 years of clinical practice experience (Note: exceptions may be made for candidates with unique skill sets such as drug information, clinical informatics, etc.)</li><li>
Pharmacy practice or clinical residency and/or board certification in pharmacotherapy or a specific sub-specialty (preferred)</li><li>
A minimum of 3 years of experience in the implementation and/or analysis of Clinical Decision Support data and applications or clinical informatics (required)</li></ul><div>
Other Advanced Clinical Degree</div><ul><li>
A minimum of 5 years of clinical practice experience involving medication ordering, administering, or related activities with medications (Note: exceptions may be made for candidates with unique skill sets such as drug information, clinical informatics, etc.)</li><li>
A minimum of 3 years of experience in the implementation and/or analysis of Clinical Decision Support data and applications or clinical informatics (required)</li></ul><div></div><div>
Other Knowledge, Skills, and Abilities:</div><ul><li>
Pharmacy License in good standing from any U.S. State (for pharmacists)</li><li>
Extensive knowledge of clinical content area of responsibility</li><li>
Advanced literature evaluation skills and/or advanced data analytic and clinical decision support skills (preferred)</li><li>
Ability to make independent decisions</li><li>
Strong critical thinking and complex problem-solving skills</li><li>
Ability to work in a highly collaborative environment</li><li>
Proficiency in written, verbal communication skills</li><li>
Computer literacy in word processing (required), spreadsheet use (required), relational database use (preferred)</li><li>
Experience and proficiency with SQL (preferred)</li><li>
Experience with ontologies and standardized vocabularies such as RxNorm, SNOMED CT, ICD10, LOINC</li><li>
Certification or fellowship in clinical informatics, or prior experience collaborating with informatics teams</li><li>
Experience with leading or collaborating on quality-focused standards, best practices, processes, and policies (preferred)</li><li>
Familiarity with CDS Hooks, SMART and FHIR standards (preferred)</li><li>
Familiarity with Medical Device Regulations, ISO 13485, ISO 14971, and other regulatory considerations (preferred)</li></ul><div></div><div>
TRAVEL: &lt; 5% for conference attendance or team meetings</div><div></div><div>
#LI-Hybrid</div><div></div><div>
Our Interview Practices</div><div></div><div><i>
To maintain a fair and genuine hiring process, we kindly ask that all candidates participate in interviews without the assistance of AI tools or external prompts. Our interview process is designed to assess your individual skills, experiences, and communication style. We value authenticity and want to ensure we&rsquo;re getting to know you&mdash;not a digital assistant. To help maintain this integrity, we ask to remove virtual backgrounds and include in-person interviews in our hiring process. Please note that use of AI-generated responses or third-party support during interviews will be grounds for disqualification from the recruitment process.</i></div><div></div><div><i>
Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process.</i></div><div></div><div><br>
Compensation:</div>
$94,600.00 - $169,100.00 USD<br>
<div></div>
This role is eligible for Bonus.<div></div><div><i>
Compensation range listed is based on primary location of the position. Actual base salary offer is influenced by a wide array of factors including but not limited to skills, experience and actual hiring location. Your recruiter can share more information about the specific offer for the job location during the hiring process.</i></div><div></div><div>
Additional Information:</div><div></div><div>
Wolters Kluwer offers a wide variety of competitive benefits and programs to help meet your needs and balance your work and personal life, including but not limited to: Medical, Dental, &amp; Vision Plans, 401(k), FSA/HSA, Commuter Benefits, Tuition Assistance Plan, Vacation and Sick Time, and Paid Parental Leave. Full details of our benefits are available upon request.</div></div>

Lead Technical Writer – Clinical Quality Analyst

Integra Partners

<div><p>The Clinical Quality Analyst is responsible for monitoring, auditing, and documenting both clinical and non-clinical production quality in support of departmental goals and organizational standards. This role evaluates clinical documentation and decision-making across operational areas that require regulatory oversight, client-specific requirements, and compliance with medical policy, with an emphasis on accuracy, completeness, documentation quality, adherence to clinical and operational guidelines, and alignment with applicable regulatory and client standards. As needed, the role also performs non-clinical audits, including reviews of customer service interactions, system documentation, claims, administrative workflows, and other operational processes.</p><p>
The Clinical Quality Analyst participates in the development of quality monitoring formats and standards, ensuring fair and consistent evaluation practices across clinical and operational functions. This role provides clear, constructive feedback to team members and leadership, supports coaching efforts, and collaborates cross-functionally to identify trends, recommend solutions, and drive continuous improvement. The Clinical Quality Analyst documents audit results, prepares quality reports, and facilitates discussions with stakeholders to support service excellence and operational effectiveness across the organization<br>
<br>
 <b>JOB QUALIFICATION: KNOWLEDGE/SKILLS/ABILITIES</b><br>
The Clinical Quality Assurance Analyst responsibilities include but are not limited to:
</p><ul><li>Audit clinical reviews and documentation, including medical necessity determinations, regulatory compliance, and adherence to medical policy
</li><li>Ensure adherence to clinical guidelines, payer policies, and industry standards (NCQA, URAC, CMS, state and federal regulations.)</li><li>
Complete and document audits using standardized quality monitoring tools
</li><li>Collaborate with clinical and operational leadership, as well as training teams, to support targeted coaching, process improvement, and the development of content-based training that equips personnel with the skills needed for success
</li><li>Maintain compliance with HIPAA and confidentiality requirements
</li><li>Support special audits, regulatory readiness activities, and ad hoc analysis requests
</li><li>Perform non-clinical audits as needed &middot; Participate in and support the design of quality monitoring forms and quality standards
</li><li>Record evaluations utilizing departmental quality monitoring forms
</li><li>Collect, evaluate, report on, and track operational data against performance metrics
</li><li>Prepare and analyze quality reports for management review
</li><li>Prepare and facilitate quality calibration sessions with designated department leads
</li><li>Facilitate meetings and prepare presentations related to insight analysis
</li><li>Monitor trends and provide input or feedback on the information reported on
</li><li>Identify, analyze, and share ways to optimize the quality monitoring process
</li><li>Complete all evaluations, reports, and employee coaching sessions on a timely basis
</li><li>Ability to learn new systems, tools, and methodologies as needed and continue progressing in a dynamic environment
</li><li>Support ad hoc quality monitoring, reporting, and analysis activities based on operational needs
</li><li>Work and communicate cross-departmentally</li></ul><div><p><b>
QUALIFICATIONS:</b></p><ul><li>
Active, unrestricted LPN/LVN or RN license</li><li>
Minimum 2 years of experience in Utilization Management or related clinical operations in a healthcare or managed care setting</li><li>
Minimum of 1 year of experience performing Quality Assurance in a call center or other production-oriented service operations environment (or equivalent education and experience)</li><li>
Strong knowledge of clinical review processes, regulatory requirements, and medical necessity criteria (e.g., InterQual, MCG)</li><li>
Familiarity with UM software platforms and audit tools</li><li>
Proficient understanding of QA methodologies and quality monitoring practices</li><li>
Demonstrated ability to rapidly gain product, process, and tools knowledge and effectively communicate it to employees</li><li>
Ability to analyze data to identify root causes of quality issues and propose actionable solutions</li><li>
Excellent communication skills including listening, interpersonal, verbal, written, spelling, and grammar</li><li>
Ability to coach/motivate employees with tact in order to facilitate optimal performance</li><li>
Must exhibit leadership capabilities and interpersonal skills</li><li>
Maintain confidential information and abide by necessary rules and regulations</li><li>
Strong organizational, problem-solving, and analytical skills</li><li>
Manage conflicting priorities while clearly communicating and managing expectations</li><li>
Proficiency in Microsoft Office (Word, Excel, PowerPoint) for presentations and reports</li><li>
Flexible and able to multitask and work with changing priorities with enthusiasm</li><li>
Self-motivated, detail-oriented, and prepared to work independently or as an active team player</li><li>
Ability to remain focused and motivated during the auditing process</li><li>
Consistent track record of 95%+ in Quality and Production scores in current/previous roles</li><li>
Experience conducting clinical or non-clinical audits or quality assurance reviews</li></ul><p><b>
What will you learn in the first 6 months?</b></p><ul><li>
You will learn the function of the Quality Assurance team within the Operations organization.</li><li>
You will fully understand your job role and responsibilities and which tools assist you in your position</li><li>
Familiarized with Integra&rsquo;s QA platform (Genie) and how to navigate through it. Including how to adjudicate an audit appeal</li><li>
Comprehensive understanding of Integra&rsquo;s Utilization Management workflows and QA processes</li><li>
Subject matter expert in the Policy and Procedures for the department you audit</li><li>
During this time, you will set measurable goals for personal development and growth.</li></ul><p><b>
What will you achieve in 12 months?</b></p><ul><li>
You will be fully integrated with your job, company and team.</li><li>
You will be contributing your skills and knowledge to meeting your department's goals.</li><li>
You will become confident in leading meetings with Interdepartmental Management teams and presenting complex concepts related to quality analysis</li></ul><p><b>
EDUCATION:</b></p><div>
Bachelor&rsquo;s degree in nursing</div><div>
Healthcare Quality Certification (e.g., CPHQ) or willingness to obtain within 12 months<br>
<br>
<b>Salary:</b> 70,000/Annually</div></div><p><b><br>
Benefits Offered</b></p>
<ul><li>Competitive compensation and annual bonus program</li>
<li>401(k) retirement program with company match</li>
<li>Company-paid life insurance</li>
<li>Company-paid short term disability coverage (location restrictions may apply)</li>
<li>Medical, Vision, and Dental benefits</li>
<li>Paid Time Off (PTO)</li>
<li>Paid Parental Leave</li>
<li>Sick Time</li>
<li>Paid company holidays and floating holidays</li>
<li>Quarterly company-sponsored events</li>
<li>Health and wellness programs</li>
<li>Career development opportunities</li>
</ul>
<p><b>Remote Opportunities</b></p>
<p>We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.</p>
<p><b>Our Story</b></p>
<p>Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health.</p>
<p>With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We&rsquo;re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.</p>
<p>Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don&rsquo;t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.</p><p>
</p><p>qY5GflkUpU</p></div>

Clinical Quality Assurance Analyst

LMH Health

<div><h1 class="jobSectionHeader"><b>Something special starts here.
</b></h1><p>You can&rsquo;t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full &ndash; with joy, purpose and lifelong health &ndash; it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you&rsquo;re looking for at LMH Health.<br>
</p><p><br>
You'll find everything you&rsquo;re looking for at LMH Health:
</p><ul><li>Join a team that cares about the community
</li><li>Tuition reimbursement to support continuing education
</li><li>Professional development and recognition
</li>Excellent benefits<br>
<li>
</li></ul><p><br>
<b>We&rsquo;re looking for you.
</b></p><p></p><h1 class="jobSectionHeader"><b>Job Description
</b></h1><p>The Clinical Data Quality Analyst ensures the accuracy, completeness, and reliability of clinical and quality data used to inform patient safety, regulatory reporting, operational decisions, and performance improvement. This role maintains LMH Health&rsquo;s Quality databases and registries, performs data validation and integrity checks, partner&rsquo;s cross‑functionally to deliver actionable analyses, and provides role-based training to enhance data literacy and effective use of data assets.
</p><h2 class="jobSectionHeader"><b>Responsibilities
</b></h2><p><b>Data Quality &amp; Registry Operations
</b></p><ul><li>Maintain data quality standards for Quality-owned databases and external submissions (e.g., Vizient CDB, NHSN, GWTG, AJRR, Press Ganey).
</li><li>Execute routine data integrity checks, reconciliation, and file structure reviews to ensure completeness and validity.
</li><li>Assist with metric specification alignment, regulatory requirements, and understanding outcome impact.
</li><li>Support data validation cycles; investigate anomalies, outliers, and missingness; coordinate corrections with data owners.
</li><li>Track and document data quality issues, root causes, and resolutions; maintain data dictionaries and SOPs.
</li></ul><p><b>Analytics &amp; Reporting
</b></p><ul><li>Deliver analytic support and interpretation for clinical leaders, Quality &amp; Safety, Performance Improvement, and operations.
</li><li>Build recurring and ad‑hoc reports/dashboards (e.g., trends, benchmarks, variance, risk-adjusted outcomes where applicable).
</li><li>Partner with clinical, operational, and enterprise analytics teams to align definitions and accelerate analysis for annual goals.
</li><li>Support reporting automation and version control; document logic and refresh schedules.
</li></ul><p><b>Clinical Database (CDB) Coordination
</b></p><ul><li>Serve as the internal point of contact for CDB access, training, and coordination of user roles.
</li><li>Ensure alignment between database capabilities and end user needs; escalate issues as appropriate.
</li><li>Contribute to data management plans and ensure published data assets meet quality, consistency, and accessibility standards.
</li></ul><p><b>Training &amp; Data Literacy
</b></p><ul><li>Provide training to quality professionals and teams on database queries, standard reports, data definitions, and visualization tools.
</li><li>Promote equitable, culturally competent data practices; support stratified analyses as appropriate.
</li></ul><p><b>Compliance &amp; Governance
</b></p><ul><li>Follow data governance, privacy, and security policies (HIPAA, organizational standards).
</li><li>Support audit readiness for internal/external quality data submissions; retain evidence per policy.
</li></ul><h2 class="jobSectionHeader"><b>Qualifications
</b></h2><p><b>Required:
</b></p><ul><li>Bachelor&rsquo;s degree in Health Information Management, Health Informatics, Biostatistics, Public Health, Nursing, Analytics, or related field.
</li><li>3&ndash;5 years of experience in healthcare data, quality reporting, registries, or clinical analytics (or 2+ years with strong internship/clinical registry exposure).
</li><li>Certified Professional in Healthcare Quality (CPHQ) on hire or within 24 months of hire
</li></ul><p><b>Preferred:
</b></p><ul><li>Master&rsquo;s Degree in Health Information Technology or similar
</li><li>Experience in healthcare quality or performance improvement
</li><li>Micro-credential in Health Data Analytics from NAHQ or nursing informatics certification
</li></ul><p></p><h1 class="jobSectionHeader"><b>Our Cultural Beliefs
</b></h1><ul><li><b>People First
</b></li><li><b>Integrity Matters
</b></li><li><b>Better Together<br>
</b></li></ul><p></p><p>At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.</p></div><p></p>

Clinical Data Quality Analyst

Crystal Clinic Orthopaedic Center

<p>Position Summary<br/></p><p>The Clinical Data Specialist supports the organization&rsquo;s clinical quality, regulatory, and performance-improvement initiatives by designing, maintaining, and analyzing clinical data systems. This role gathers, validates, and interprets clinical and operational data to provide insights that drive improved patient care, organizational effectiveness, and regulatory compliance. The Clinical Data Specialist collaborates closely with clinical teams, IT, and leadership to ensure high-quality data practices and meaningful reporting.<br/></p><p>Essential Job Functions/Accountabilities<br/></p><p>- Designs, builds, and maintains clinical quality and operational databases<br/></p><p>- Performs data extraction, transformation, and validation to ensure accuracy, consistency, and reliability<br/></p><p>- Develops and tests new clinical measures, metrics, and data-collection methodologies<br/></p><p>- Identifies automation opportunities and workflow enhancements to improve data capture and reporting processes<br/></p><p>- Queries databases and performs complex analyses to support regulatory reporting, registry reporting, quality initiatives, and operational decision-making<br/></p><p>- Creates dashboards, reports, and visualizations for clinical teams, leadership, and external regulatory bodies<br/></p><p>- Conducts trend analysis to identify patterns, variations, and opportunities for clinical improvement<br/></p><p>- Works with organization to understand data needs, clinical workflows, and organizational priorities<br/></p><p>- Communicates analytical findings in a clear, actionable, and accessible manner tailored to end users<br/></p><p>- Participates in the development of new quality initiatives by providing data-driven insights<br/></p><p>- Ensures data management processes meet regulatory, accreditation, and organizational requirements<br/></p><p>- Supports audits, compliance reviews, and quality assurance checks as needed<br/></p><p>- Performs assignments with increasing complexity as experience grows<br/></p><p>- Provides support for special projects<br/></p><p>- All other duties not specifically assigned<br/></p><p>Position Requirements<br/></p><p>Education<br/></p><p>Bachelor&rsquo;s degree in Health Informatics, Public Health, Data Science, Information Systems, Nursing, or a related field required.<br/></p><p>Experience<br/></p><p>Clinical Data Analyst level: 2&ndash;4 years of related experience in clinical data, quality, analytics, or health information systems.<br/></p><p>Technical Skills:<br/></p><p>Working knowledge of clinical data standards, healthcare terminology, and quality reporting requirements.<br/></p><p>Experience with BI tools (Power BI, Tableau)<br/></p><p>Hands-on SQL experience, including complex queries and data validation<br/></p><p>Experience with EHR systems, data warehouses, or clinical quality-reporting platforms.<br/></p><p>Strong analytical, critical-thinking, and problem-solving skills.<br/></p><p>Ability to communicate complex information to non-technical stakeholders.<br/></p><p>Attention to detail and commitment to data integrity.<br/></p><p>Certifications/Licenses/Registrations:<br/></p><p>CAHIMS or CPHIMS preferred<br/></p><p>Schedule: 8:00 AM - 5:00 PM<br/></p><p>Status: Full-Time<br/></p><p>Build Your Career with Crystal Clinic Orthopaedic Center<br/>At Crystal Clinic, people come first&mdash;patients and team members alike. Whether you&rsquo;re starting your career or bringing years of experience, you&rsquo;ll find a supportive environment where you can grow and make a real difference. Join our 5-star team of experts in orthopedics and plastic/reconstructive care, with over 50 board-certified physicians and 15+ locations across Northeast Ohio.<br/></p><p>What We Offer:<br/>Comprehensive Medical, Dental &amp; Vision<br/>100% Employer-Paid Life, Short- &amp; Long-Term Disability<br/>401(k) + PTO<br/>Voluntary Pet, Home, and Auto Insurance Benefits<br/>Tuition Reimbursement<br/>Employee Assistance &amp; Wellness Programs<br/></p>

IT Clinical Data Specialist

University of Maryland Medical System

<div><b>Job Requirements
</b><br>
<h2 class="jobSectionHeader"><b>Company Description</b></h2><p><br>
University of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience.</p><p>
A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system creating the healthiest community in Maryland. We are dedicated to maintaining and improving the health of the people in our community through an integrated health delivery system that provides high quality care to all. Our commitment to service excellence is evident through a broad range of health care services, technologies and facilities. We work collaboratively with our community and other health organizations to serve as a resource for health promotion and education.</p><p>
Today, UM UCH is the leading health care system and second largest private employer in Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern Baltimore County, and western Cecil County.</p><h2 class="jobSectionHeader"><b><br>
Job Description</b></h2><p><b><br>
Senior Quality Management Analyst, full time, exempt</b></p><p>
Provides advanced analytic oversight and strategic insight to support organizational decision-making related to quality outcomes, provider performance, and quality regulatory priorities. Translates complex clinical and operational data into actionable intelligence that informs quality improvement, pay-for-performance programs, and provider profiling. Leads the design, validation, and interpretation of analytic methodologies, including benchmarking, threshold setting, and variation analysis. Partners with clinical, operational, and system stakeholders to align data strategy with enterprise quality goals. Delivers high-value analysis and recommendations that drive measurable improvement in clinical quality, patient outcomes, and performance optimization.</p><ul><li><br>
Lead descriptive and exploratory analytics for clinical quality initiatives, including clinical variation analysis, reportable quality metrics, and performance improvement priorities.</li><li>Oversee the design, maintenance, and ongoing execution of the electronic Ongoing Professional Practice Evaluation (OPPE) process, ensuring accurate provider attribution, timely data refresh, and production of required trending and summary reports.</li><li>Design, maintain and disseminate executive-level status boards and dashboards to monitor quality outcomes, provider performance, and pay-for-performance programs.</li><li>Serve as a system liaison with the University of Maryland Medical System (UMMS) on data governance, metric definitions, benchmarking methodology, and pay-for-performance reporting.</li><li>Works with the Quality team to support metric governance by developing data collection system, defining data sources, calculation logic, inclusion/exclusion criteria, and version control.</li><li>Architect and manage analytic databases and data structures to support efficient data storage, processing, and reuse; continuously enhance performance, reliability, and usability.</li><li>Develop and automate reporting solutions, data extracts, and analytic tools; serve as a subject-matter resource to Quality Analysts on appropriate analytic methods and tool utilization.</li><li>Mentor and coach team members on analytic best practices, statistical thinking, and data interpretation; provide consultation on project feasibility, data requirements, and analytic approach.</li><li>Ensure data integrity through rigorous validation, reconciliation, and quality checks to meet internal, regulatory, and external reporting standards.</li><li>Drives improvement through collaboration with clinical and operational leaders to understand workflows and performance gaps; translate analytic findings into actionable recommendations to improve quality of care, patient outcomes, efficiency, and cost.</li><li>Present analytic findings effectively through written reports, oral presentations, and visual graphics to diverse audiences.</li><li>Participate in multidisciplinary committees and governance structures, identifying opportunities to standardize, automate, and improve data collection and analytic processes.</li><li>Ensure compliance with data security, privacy, and integrity standards across all analytic solutions and workflows.</li><li>Perform other duties as assigned, consistent with the scope and level of the role.</li></ul><b><br>
Work Experience<br>
</b><br>
<p><b>Education &amp; Experience - Required</b></p><ul><li>Bachelor&rsquo;s degree in Health Informatics, Public Health, Healthcare Administration, Data Analytics, Statistics, Nursing, or a related field.</li><li>Four (4) or more years of progressive experience in healthcare data analytics, quality analytics, or performance improvement. Years of experience can be substituted for relevant certifications.</li><li>Proficient in MS Word, Excel, Access, Power BI, and PowerPoint</li></ul><p><b><br>
Education &amp; Experience - Preferred</b></p><ul><li>Master&rsquo;s degree in Public Health, Health Informatics, Data Science, Healthcare Administration, or a related field.</li><li>Adept at Artificial Intelligence skills, queries and report writing. Programming skills preferred. Professional certification such as Certified Professional in Healthcare Quality (CPHQ), Certified Health Data Analyst (CHDA), or equivalent</li></ul><p><br>
</p><br>
<p><b>Compensation:</b></p><p>
Pay Range: $40.61-$60.96</p><p>
Other Compensation (if applicable):</p><p>
Review the 2025-2026 UMMS Benefits Guide</p><p>
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.</p></div>

Senior Quality Management Analyst

Fresenius Medical Care

<div></div><div><div><p><b>PURPOSE AND SCOPE:</b></p><p>
Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation by other members of the interdisciplinary team. Serves as a quality improvement champion and role model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes and patient outcomes at the facility and area levels. Must have effective communications among the interdisciplinary team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality oversight of the position covers all treatment modalities (e.g. in-center, home hemodialysis and home peritoneal dialysis), and in collaboration with the IDT, is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography.
</p><p></p><p><b>PRINCIPAL DUTIES AND RESPONSIBILITIES:</b></p><ul><li><p>
Facilitates the implementation and integration of the FKC Quality programs and initiatives into the facilities' standard operating procedures through teamwork and collaboration with area and facility clinical, interdisciplinary and operations teams.</p></li><li><p>
Serves as a subject matter expert for clinical quality matters when collaborating with other RNs and members of the Area Quality Team. Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quality program requirements.</p></li><li><p>
Manages the tactical execution of Quality and other clinical initiatives, interventions and standardized education materials with facility RNs within the assigned area.</p></li><li><p>
Provides general direction, nursing and clinical guidance related to appropriate theoretical perspectives and feedback based upon professional standards and FMCNA guidelines to support facility RNs within the assigned area in achieving the desired outcomes in the following: quality, patient satisfaction, teamwork, unit culture, and employee satisfaction.</p></li><li><p>
Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement.</p></li><li><p>
Mentors and trains staff to collect, trend, and analyze data on a day to day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality.</p></li><li><p>
Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and care delivery.</p></li><li><p>
Leverages available tools, resources and informatics technology to focus on targeted patient populations.</p></li><li><p>
Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to perform tasks and duties.</p></li><li><p>
Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and strategies for success. Mentors and assists facilities in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices.
</p></li><li><p>Under the direction of Clinical Quality leadership, provides guidance, interpretation and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications.</p></li><li><p>
Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation and attends QAPI meetings at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and CQI activities utilizing the following processes.</p></li><li><p>
Reviews completion of facility QAI activities including but not limited to adherence to the QAI calendar, completion of QAI tools and electronic applications</p></li><li><p>
Attends and participates in regional, area, facility and team meetings as appropriate which may include quality team building and staff development and other meetings as appropriate. Collaborates with appropriate management staff as needed to achieve effective inter-disciplinary, intra-disciplinary and clinic relationships.</p></li><li><p>
Identifies risk areas and opportunities for improvement.</p></li><li><p>
Assists with root cause analysis and action plan development and evaluation as needed.</p></li><li><p>
Provides written or verbal recommendations to facility and area management.
</p></li><li><p>Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in facility standard procedures.
</p></li><li><p>Accountable for outstanding customer service to all external and internal customers, including patients, staff, physicians, field management and staff, and payers, including disease management entities.
</p></li><li><p>Develops and maintains exceptional working relationships through effective and timely communication with all customers</p></li><li><p>
Under the direction of Clinical Quality leadership, assists with various projects as assigned.
</p></li><li><p>Performs other related duties as assigned.</p></li></ul><p><b>
PHYSICAL DEMANDS AND WORKING CONDITIONS</b><b>:</b></p><ul><li><p>
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><ul><li>
Day to day work includes desk and personal computer work and interaction with facility staff and physicians.</li><li>
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li></ul></li><li>
The position requires travel between assigned facilities and various locations within the community, approx.. 40-60%. Travel to Regional, Division and Corporate meetings may be required</li></ul><p><br>
</p><p><b>SUPERVISION:</b>
</p><ul><li>None</li></ul><p></p><p><b>
EDUCATION AND REQUIRED CREDENTIALS</b><b>:</b>
</p><ul><li>BSN or Bachelor's Degree in healthcare related field preferred or an equivalent combination of education and experience</li><li>
Registered Nurse required</li><li>
Certification in Nephrology Nursing or quality preferred.</li></ul><p><br>
</p><p><b>EXPERIENCE AND SKILLS:</b>
</p><ul><li>3+ years dialysis experience required</li><li>
3+ years management experience in a clinical leadership role</li><li>
Strong organizational, critical thinking and customer service skills</li><li>
Demonstrated leadership competencies and adaptability to changes in priorities</li><li>
Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities
</li><li>Strong verbal and written communications skills,
</li><li>Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues</li></ul><p><br>
</p><p></p><p><b>Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.</b></p></div><p><b>
EOE, disability/veterans</b></p></div>

Strategic Clinical Quality Mgr

Compassus

<div><p><b>Company:</b></p>
Providence at Home with Compassus<p></p><p><b><br>
Position Summary</b></p><p>
The Clinical Quality Specialist is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Clinical Quality Specialist is primarily responsible for ensuring the accurate entry of all Start of Episode and OASIS forms for patient charts. S/he processes Home Health Director of Clinical Services workflows.</p><p><b><br>
Position Specific Responsibilities</b></p><ul><li>
Completes or reviews all client medical records regarding OASIS.</li><li>
Executes all OASIS reviews on a timely basis.</li><li>
Assures compliance with OASIS time frames as required by law.</li><li>
Completes OASIS activities as appropriate in conjunction with field staff.</li><li>
Reviews and processes the Home Health Director of Clinical Services workflow as assigned, including tasks related to start and resumption of episode, OASIS review and utilization.</li><li>
Performs other duties as assigned.</li></ul><p><b><br>
Education and/or Experience</b></p><ul><li>
Associate or bachelor's degree in nursing required.</li><li>
One (1) year experience in home health care required.</li><li>
QA experience in home health care preferred.</li><li>
Prior experience with electronic medical records preferred.</li></ul><p><b><br>
Skills</b></p><ul><li><b>
Mathematical Skills:</b> Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.</li><li><b>
Language Skills:</b> Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.</li><li><b>
Other Skills and Abilities:</b> Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.</li></ul><p><b><br>
Certifications, Licenses, and Registrations</b></p><ul><li>
Active and unencumbered Multistate Compact Registered Nurse license required.</li><li>
Current COS-C certification required at the time of hire or must be obtained within 90 days of hire.</li></ul><p><b><br>
Physical Demands and Work Environment: </b>The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.<br>
<br>
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.</p><p></p><p><b>
Compensation range: $80,000 - $90,000</b></p><p><br>
</p><p><i>The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities</i></p><p><br>
</p><p><b>Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more</b>.</p><p></p><p>
#LI-AV1</p><p></p><p><b>
Build a Rewarding Career with Compassus</b><br>
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.</p><p></p><p><b>
Your Career Journey Matters</b><br>
We&rsquo;re dedicated to helping you grow and succeed. Whether you&rsquo;re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.</p><p></p><div><b>
The Compassus Advantage</b><br>
<ul><li>Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.</li><li>Career Development: Access leadership pathways, mentorship, and personalized professional development.</li><li>Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.</li><li>Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.</li><li>Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.</li><li>A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.</li></ul></div><p></p><p><b>
Ready to Join?</b><br>
At Compassus, your career is more than a job&mdash;it&rsquo;s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.</p></div>

Clinical Quality Specialist

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