Quality Intelligence Program Consultant

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Quality Intelligence Program Consultant based in the United States.

The Quality Intelligence Program Consultant plays a key role in advancing healthcare quality outcomes through data-driven insights, strategic initiatives, and continuous improvement. This position focuses on developing quality measurement strategies, optimizing reporting processes, and transforming complex healthcare data into actionable intelligence. You will collaborate with clinical teams, business leaders, external payer partners, and data professionals to improve performance across value-based care programs. The role involves overseeing quality reporting, developing dashboards and analytical tools, and ensuring data accuracy and integrity. You will also contribute to enterprise-wide initiatives that strengthen healthcare delivery, improve patient outcomes, and support strategic business priorities. This is an opportunity to combine healthcare expertise, analytical capabilities, and project leadership in a collaborative, fully remote environment.

• Contribute to the development and implementation of enterprise-wide quality and health outcomes measures, definitions, performance goals, improvement initiatives, and cross-functional working groups.
• Monitor external quality reporting programs, industry standards, regulatory requirements, and best practices to ensure internal quality priorities remain aligned with evolving healthcare expectations.
• Maintain programming specifications, measure definitions, and code lists for quality measures used in value-based agreements and internal reporting, coordinating updates with relevant data and technology professionals.
• Lead the development and implementation of enterprise-wide reports, workflows, processes, tools, and initiatives designed to improve healthcare quality and patient outcomes.
• Establish and promote effective processes for accurate quality data collection, analysis, interpretation, and reporting across the organization.
• Coordinate the interpretation and communication of quality performance data with internal departments and leadership teams, translating analytical findings into actionable improvement strategies.
• Participate in the development and maintenance of reporting files, databases, and data infrastructure supporting internal and external quality reporting requirements.
• Ensure the accuracy, consistency, and integrity of quality data through validation activities, including data feed reviews, measure mapping, and identification and resolution of reporting deficiencies.
• Develop accessible and user-friendly quality intelligence solutions, including dashboards, dynamic reports, and data visualizations that provide meaningful insights to clinicians, operational leaders, and executives.
• Lead Quality Intelligence meetings with key stakeholders, facilitating discussions, tracking performance trends, and identifying opportunities to improve quality outcomes.
• Monitor and analyze value-based payer quality performance metrics, identifying improvement opportunities and providing insights to support departmental strategy and decision-making.
• Serve as a primary point of contact and subject matter expert for assigned areas of responsibility, collaborating with internal stakeholders and external payer partners.
• Lead system-wide quality improvement initiatives and develop strategies related to internal and external quality measures, payer data feeds, and reporting requirements.
• Partner with relevant departments and leadership to enhance Electronic Health Record (EHR) tools and improve data capture in support of strategic value-based care agreements.

Requirements:

• Bachelor's degree in Healthcare Administration, Project Management, Quality Management, Engineering, or a related discipline.
• At least 5 years of professional experience in healthcare administration, project management, quality intelligence, quality improvement, or a related field.
• Experience with HEDIS and National Committee for Quality Assurance (NCQA) payer programs is preferred.
• Strong understanding of healthcare quality improvement methodologies, performance measurement frameworks, and continuous improvement tools.
• Knowledge of project management methodologies and the ability to coordinate complex initiatives, manage timelines,