Job Details

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary and Responsibilities

Responsible for evaluating requirements, planning, and workflow testing for complex quality reporting requirements spanning several high priority at-risk contracts. This role is essential for ensuring the Texas PE (Baylor St. Luke's Medical Group and St. Joseph Medical Group) meets complex quality reporting requirements, which are critical for maintaining high standards of care and compliance with regulatory mandates. By providing expert analysis, strategic planning, and effective communication, this position supports the continuous improvement of clinical practices and contributes to the overall success of the BSLMG practice.

• Research industry and contract-specific requirements for clinical quality measures.
• Maintains monthly roster updates for new and departing practitioners.
• Extracts and organizes complex data into meaningful formats for evaluation and decision-making.
• Assists in researching key business issues, collects and analyzes quantitative and qualitative data.
• Participates in project planning and implementation.
• Investigates and documents business and operations processes depicting organizational performance and quality.
• Participates in the Quality Reporting team with focus on strategic initiatives designed to improve the quality of service, care and efficiency delivered in clinical practices.
• Collaborates with operational and technical teams in other departments.
• Subject knowledge expert of program requirements for the federal Quality Payment Program, Merit-based Incentive Payment System (MIPS) (previously the CMS EHR Incentive Program (Meaningful Use), PQRS/Value modifier and CMS MSSP ACO.

Job Requirements

Bachelor degree in Business, Analytics or related field preferred

5 years of clinical experience preferred