Job Title: Quality Measures Business Analyst – Hospital Quality & Patient Safety
Location: Hackensack, NJ
Work Arrangement: 100% Onsite
Duration: Long-Term Contract 24+ Months
Industry: Healthcare / Hospital
Job Type: Contract
Job Summary
We are seeking an experienced Quality Measures Business Analyst to support hospital quality, patient safety, clinical performance, and patient experience initiatives. The ideal candidate will have strong experience working with hospital quality measures, healthcare performance data, Leapfrog, patient satisfaction, readmission/re-occurrence metrics, and CMS/HCAHPS-related measures.
The candidate will work closely with Quality, Clinical, Patient Experience, Data Analytics, IT, and hospital leadership teams to analyze performance, identify gaps, develop actionable insights, and support initiatives designed to improve hospital quality and patient outcomes.
Key Responsibilities
- Analyze and monitor hospital quality and patient safety measures across clinical departments and service lines.
- Work with hospital quality data to understand how the hospital is performing against internal, regional, and national benchmarks.
- Analyze Leapfrog Hospital Survey and Hospital Safety Grade measures and identify areas requiring improvement.
- Support preparation, validation, and analysis of data used for Leapfrog reporting and other hospital quality programs.
- Analyze patient satisfaction and patient experience metrics, including HCAHPS-related measures.
- Evaluate patient feedback, trends, and performance drivers to identify opportunities to improve patient experience.
- Analyze readmission, recurrence/re-occurrence, complication, adverse-event, and other outcome measures.
- Identify trends, gaps, outliers, and performance deterioration across quality measures.
- Develop dashboards, scorecards, reports, and presentations for Quality and hospital leadership.
- Translate complex healthcare data into clear business insights and recommendations.
- Work with clinical and business stakeholders to define requirements for quality measurement and reporting.
- Gather and document business requirements for quality analytics, reporting, and performance improvement initiatives.
- Perform data validation and reconciliation between source systems, reports, dashboards, and external quality reporting sources.
- Track KPIs and develop recommendations to improve hospital performance.
- Support root-cause analysis for unfavorable quality and patient-experience trends.
- Collaborate with data/BI teams to improve reporting automation and data quality.
- Monitor changes in quality-measure definitions, benchmarks, scoring methodologies, and reporting requirements.
- Prepare executive-level summaries highlighting hospital performance, risks, trends, and improvement opportunities.
Key Quality Areas
Experience with some or most of the following is highly desirable:
- Leapfrog Hospital Survey
- Leapfrog Hospital Safety Grade
- Hospital Quality Measures
- Patient Safety Measures
- Patient Experience / Patient Satisfaction
- HCAHPS
- CMS Quality Measures
- Readmission Rates
- Recurrence / Re-occurrence Rates
- Mortality Measures
- Hospital-acquired conditions
- Healthcare-associated infections
- Adverse Events
- Clinical Quality Indicators
- Patient Safety Indicators (PSIs)
- Benchmarking and Performance Improvement
- Quality Scorecards and Dashboards
Leapfrog's current Safety Grade incorporates process/structural and outcome measures, while patient-experience measures include areas such as nurse communication, doctor communication, staff responsiveness, medication communication, and discharge information.
Required Qualifications
- Bachelor's degree in Healthcare, Business, Analytics, Information Systems, Public Health, or a related field.
- 5+ years of experience as a Business Analyst, Healthcare Business Analyst, Quality Analyst, Clinical Data Analyst, or similar role.
- Strong understanding of hospital quality and performance measures.
- Hands-on experience analyzing hospital/healthcare quality data.
- Experience with patient satisfaction/patient experience metrics.
- Experience working with readmission or recurrence/re-occurrence measures.
- Strong understanding of healthcare business processes and hospital operations.
- Experience gathering business requirements and translating them into analytical/reporting requirements.
- Strong SQL and data analysis skills.
- Advanced Excel skills, including PivotTables, lookups, data analysis, and reporting.
- Experience developing or supporting dashboards and KPI reporting.
Preferred Qualifications
- Experience with Leapfrog Hospital Survey / Safety Grade.
- Experience with CMS quality measures and HCAHPS.
- Experience working directly with a hospital Quality/Patient Safety department.
- Experience with Power BI, Tableau, or similar BI tools.
- Knowledge of EHR/clinical systems and healthcare data sources.
- Experience with healthcare data warehouses and reporting platforms.
- Knowledge of value-based care / value-based purchasing.
- Familiarity with healthcare regulatory and quality-reporting environments.
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