TriWest Healthcare Alliance

Dir, Clinical Quality Data Analyst (RN/PA or NP Required)

Recruiting Location Phoenix, AZ
ID 2020-3060

Overview

Taking Care of Our Nation’s Veterans.

 

It’s Who We Are. It’s What We Do.

 

Do you have a passion for serving those who served?

 

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

 

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

 

Are you our next Director, Clinical Quality Data Analyst?  

 

In this role, the Director is responsible for the analysis of clinical quality data sets to identify clinical quality trends and issues, and direct strategies to improve beneficiaries' clinical markers. This position is responsible for coordination with Data Management and vendors to ensure accuracy of medical management reports and with Provider Services to build scorecards.

Responsibilities

TriWest Director, Clinical Quality Data Analyst: 

  • Direct and lead the Clinical Quality data analysis processes and department's initiatives to support TriWest's mission, strategic and operational plans, and contract performance requirements
  • Conduct Quality and Patient Safety Improvement initiatives.
  • Collaborate with the Clinical Quality team to assist with implementation of initiatives as well as corrective action plans from findings.
  • Develop methods for consistency and validity and review the accuracy of data and reports.
  • Collaborate with Provider Services to build scorecards and with various sources for data and reporting. Be a change leader to promote the development and integration of systems thinking, customer focus and use of improvement tools.
  • Promote quality concepts for problem identification, investigation, and resolution.
  • Supports the company’s quality program including monitoring, trending and reporting quality metrics, development of analysis and reports for quality meetings, and supporting accreditation and certification efforts.
  • Participates in work process redesign efforts.
  • Functions as a key resource for department-level quality planning and management, performance improvement, workflow management, and re-engineering efforts.
  • Supervises staff to include training, work assignments, coaching, and preparation of annual performance evaluations and development plans for assigned staff.
  • Serves on cross-functional committees as the voice for TriWest's quality program.
  • Performs other duties as assigned.
  • Regular and reliable attendance is required.

Qualifications

Are you qualified?  

 

Required

  • Bachelor’s degree in Health Informatics, Business Administration, Healthcare Administration, Nursing, Statistics or applicable discipline
  • Clinical licensure such as RN, PA or NP
  • A minimum of five years senior management, increasingly responsible experience in health care organization or managed care organization
  • Experience with health management systems, collection and analysis of large health care data sets and developing initiatives to improve quality or patient safety
  • Experience and knowledge of government health care programs, and Medicare/Medicaid
  • Familiar with coding methods and guidelines (CPT, ICD, HCPCS, POS, DRG, Revenue)

Preferred

  • Master’s degree in Health Informatics, Business Administration, Public Health, Healthcare Administration, Nursing or applicable discipline
  • Experience and knowledge of the Veterans Affairs health care system and Department of Defense military healthcare system

More about working at TriWest Healthcare Alliance

 

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

  • Medical, dental and vision coverage
  • Generous paid time off
  • 401(k) Retirement Savings Plan (with matching)
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance


Equal Opportunity Employer


TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.

 

Are you ready to make a difference in the lives of our nation’s heroes?

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