Quality Management Data Analyst (48029)

The Quality Management Data Analyst under direct supervision of the Chief Quality Officer, provides analytical and administrative support to the Quality Management Department by collecting, validating, organizing, and reporting healthcare quality, patient safety, and regulatory compliance data. The position assists with internal audits, quality monitoring, performance measurement, and accreditation readiness by preparing data and identifying trends that support informed decision-making. The Data Analyst serves as a resource to Quality Management leadership by gathering information, developing reports and dashboards, maintaining audit documentation, and tracking quality metrics. Responsibility for interpreting findings, directing corrective actions, implementing performance improvement initiatives, and regulatory decision-making remains with Quality Management leadership. Uphold the principles of WIHCC’s Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Maintains regular attendance and punctuality.
• Collect, compile, validate, and organize quality and regulatory data from multiple organizational sources.
• Prepare recurring reports, scorecards, and dashboards for Quality Management leadership.
• Assist with data analysis to identify trends, patterns, and opportunities for improvement.
• Maintain databases supporting quality, patient safety, risk management, and regulatory compliance activities.
• Produce routine reports for committees and executive leadership.
• Assist Quality Management staff with planning and conducting internal audits.
• Gather documentation and evidence requested during internal and external surveys.
• Perform medical record reviews and data abstraction under the direction of Quality Management leadership.
• Track audit findings and assist with documenting compliance rates.
• Maintain audit schedules and supporting documentation.
• Assist with Joint Commission, CMS, IHS, CLIA, and other regulatory readiness activities by collecting and organizing required documentation.
• Maintain electronic and hard-copy survey readiness files.
• Prepare data requested for mock surveys, tracers, and accreditation reviews.
• Support continuous survey readiness through routine monitoring activities.
• Track organizational quality indicators and performance measures.
• Maintain logs for quality metrics, patient safety events, risk management activities, and performance improvement projects.
• Monitor reporting deadlines and notify Quality Management leadership of upcoming reporting requirements.
• Assist with benchmarking and trend reporting.
• Maintain a centralized corrective action tracking database.
• Record assigned corrective actions, responsible departments, due dates, and completion status.
• Collect supporting documentation submitted by departments.
• Prepare status reports for Quality Management leadership.
• Monitor completion timelines and notify leadership of overdue corrective actions.
• Prepare committee reports, graphs, and statistical summaries.
• Assist in developing presentation materials.
• Maintain committee records and quality performance documentation.
• Support data requests from organizational committees and leadership.
• Ensure accuracy and integrity of quality databases.
• Perform routine quality checks of collected data.
• Maintain confidentiality of protected health information.
• Assist with developing standardized reporting tools and templates.
• Position requires occasional travel within the service area and periodic overnight travel for training, conferences, and professional development.
• Requires completion of tasks or duties assigned by a supervisor.
• Upholds all principles of confidentiality and patient care to the fullest extent.
• Adheres to all professional and ethical behavior standards of the healthcare industry.
• Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
• Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
• Possesses cultural awareness and sensitivity.
• Maintains compliance with all Human Resources requirements.
• Performs other duties as assigned.

Qualifications

Minimum Qualifications:

Bachelor’s Degree in Health Information Management, Health Information Technology, Healthcare Administration, Public Health, Data Analytics, or a closely related healthcare field is required. Minimum two (2) years’ experience in healthcare data analysis, quality improvement, healthcare information management, or regulatory compliance. Experience with healthcare quality reporting and internal audits preferred.  Bilingual skills in English and Navajo language preferred. Must maintain a valid unrestricted and insurable driver’s license. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).

Knowledge, Skills, Ability

• Knowledge of healthcare quality improvement principles and performance measurement.
• Knowledge of confidentiality requirements, including HIPAA regulations and patient privacy standards.
• Knowledge of service area demographics, socioeconomic factors, and barriers that impact healthcare access and outcomes.
• Knowledge of customer service principles, professional ethics, integrity, and workplace conduct.
• Knowledge of strong work ethics in the workplace.
• Knowledge of duties and responsibilities of the position.
• Skill in critical thinking, strategic planning, and decision-making.
• Skilled in excellent organization and documentation.
• Skill in analyzing complex problems, projecting consequences, identifying solutions, and implementing effective recommendations.
• Skill in conducting audits, and review of charts utilizing investigative techniques, with strong attention to detail and accuracy.
• Skill in creative problem-solving and process improvement.
• Skill in verbal and written communication, including proper grammar, spelling, punctuation, and professional correspondence.
• Skill in establishing and maintaining effective working relationships with healthcare providers, vendors, referral facilities, and community partners.
• Skill in customer service and interpersonal communication.
• Skill in the use of computer applications including Microsoft Outlook, Word, Excel, PowerPoint, Database Management and other healthcare information systems.
• Ability to interact positively with others and possess great interpersonal skills.
• Ability to analyze complex healthcare data and develop executive dashboards.
• Ability to learn, navigate, and effectively utilize healthcare information systems and databases, including RPMS, EHR platforms, HIE systems, Cerner, Epic, McKesson, AHCCCS portals, Novitasphere, spreadsheets, and related software applications.
• Ability to maintain strict confidentiality and protect sensitive patient, employee, and organizational information.
• Ability to communicate effectively both orally and in writing with individuals at all organizational levels.
• Ability to represent WIHCC's Mission, Vision, and Values while providing exemplary customer service.
• Ability to multitask, prioritize workload, and perform effectively in a fast-paced environment under pressure.
• Ability to adapt to changing organizational priorities, processes, and healthcare regulations.
• Ability to accept constructive feedback and apply recommendations for professional growth and performance improvement.
• Ability to demonstrate professionalism, reliability, punctuality, dependability, and accountability in attendance and job performance.
• Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.
• Ability to function effectively as a collaborative team member while maintaining self-confidence and initiative.

Physical Demands:

While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands and fingers, handle, or feel objects and equipment, reach with hands and arms, and communicate effectively by talking and hearing. The employee frequently must stand, climb, balance, stoop, kneel, crouch, or crawl and may occasionally use taste or smell. The employee must occasionally lift and/or move objects weighing up to 50 pounds.

Work Environment:

Work is performed in an office setting or outdoor work environment with a moderate noise level.  Work environment may involve exposure to physical risks, such as blood borne pathogens, hazardous chemicals, or operating dangerous equipment, and requires adherence to all safety protocols.  Required work schedules may include evening, weekend, overnight shifts, extended hours, or irregular schedules as operational needs dictate. 

As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants.  If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.