Healthcare Quality Measures Manager

Summary

The American Heart Association is a nonprofit organization focused on cardiovascular and brain health and healthier communities. The Healthcare Quality Measures Manager provides administrative, analytic, and technical support for developing, testing, maintaining, harmonizing, and endorsing clinical quality measures across the Association’s quality programs. The role also supports data analytics, standardized measure documentation, national program monitoring, and project management for measure endorsement submissions.

Responsibilities

• In collaboration with volunteers and staff (measures, research, programs, and Healthcare Information Technology (HIT) staff) operationalize quality measure concepts and evidence into detailed measure specifications for implementation in the organization’s quality programs
• Contribute to the design, development, and testing of clinical quality measures
• Provide strategic and technical expertise related to digital quality measures
• Analyze existing program measures to identify potentially unnecessary variance and gaps in measures
• Assist in monitoring relevant national programs such as the Center for Medicare/Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and Hospital Inpatient Quality Reporting Program (HIQR); as well as The Joint Commission; Million Hearts; etc. for changes that may impact measures or programs
• Coordinate with other staff to communicate changes in national programs and impact to volunteer workgroups and other staff members
• Create ad-hoc data reports and visualizations to support measure development and testing using raw data sets
• Conduct feasibility, reliability, and validity testing of measures to support endorsement efforts and potential use in payment programs
• Create and maintain standardized documentation for measures used in the organization’s quality programs, including documentation of the organizations registry programs and measures information in national programs, databases, and clearinghouses
• Provide project management support and subject matter expertise for the submission of American Heart Association and the American Stroke Associate measures to national endorsement organizations for consideration and/or maintenance of measure endorsement

Skills

• * Bachelor's Degree or equivalent work experience
• * Three (3) years of relevant experience
• * Experience with clinical performance measure development, testing, implementation, and/or endorsement
• * Familiarity with the broader healthcare quality measurement environment and related organizations
• * Detail-oriented with data analysis experience and commitment to accuracy when writing
• * Excellent writing and oral presentation skills to communicate with external stakeholders, volunteers, and team members orally and in writing, and represent the organization in a professional manner
• * Ability to work independently and in a team environment to design, analyze, and report on projects
• * Effective time management skills and ability to consistently meet deadlines
• * Ability to identify risks to projects and timelines
• * Ability to travel 15% local and overnight stay
• * Health IT-related knowledge/skills such as electronic medical records, medical coding, and/or standard nomenclatures, such as SNOMED, ICD, CPT, LOINC, or RxNorm
• * Familiarity or experience with the development of electronic clinical quality measures and the CMS Measure Authoring Tool
• * Familiarity with the Partnership for Quality Measurement (PQM) measure submission and the endorsement process
• * Experience working with committees and volunteers

Qualifications

Must Haves

• * Bachelor's Degree or equivalent work experience
• * Three (3) years of relevant experience
• * Experience with clinical performance measure development, testing, implementation, and/or endorsement
• * Familiarity with the broader healthcare quality measurement environment and related organizations
• * Detail-oriented with data analysis experience and commitment to accuracy when writing
• * Excellent writing and oral presentation skills to communicate with external stakeholders, volunteers, and team members orally and in writing, and represent the organization in a professional manner
• * Ability to work independently and in a team environment to design, analyze, and report on projects
• * Effective time management skills and ability to consistently meet deadlines
• * Ability to identify risks to projects and timelines
• * Ability to travel 15% local and overnight stay

Nice to Haves

• * Health IT-related knowledge/skills such as electronic medical records, medical coding, and/or standard nomenclatures, such as SNOMED, ICD, CPT, LOINC, or RxNorm
• * Familiarity or experience with the development of electronic clinical quality measures and the CMS Measure Authoring Tool
• * Familiarity with the Partnership for Quality Measurement (PQM) measure submission and the endorsement process
• * Experience working with committees and volunteers

Benefits

• Full-time, benefits-eligible employment
• Performance and Recognition – You are rewarded for achieving success through annual salary planning and incentive programs; eligibility for an incentive program is based on the type of position.
• Medical, dental, vision, disability, and life insurance
• A robust retirement program that includes an employer match and automatic contribution
• Employee assistance program
• Employee wellness program
• Telemedicine and medical consultation
• Employee Resource Groups (ERG)
• Professional mentoring program
• Access to Heart U, the Association’s national online university, with more than 100,000 resources
• Paid Time Off (PTO) at a minimum of 16 days per year for new employees. The number of days will increase based on seniority level.
• 12 paid holidays off each year, which includes several days off at the end of the year.
• Tuition Assistance – This program provides financial assistance to employees who wish to further their education and career in relation to their current duties and responsibilities, or for potential future positions in the organization.
• Home-based work arrangement
• Additional training and support, locally