Note: The job is a remote job and is open to candidates in USA. reputed company Serve Consulting/The Lewin Group is a national reputed company and human services consulting and policy analysis firm. The Healthcare Quality Measurement Consultant will evaluate clinical quality measures, analyze healthcare data, develop measurement and coding solutions, support proposals and client relationships, and lead project teams and mentoring efforts.
Responsibilities
- Evaluate evidence on effectiveness for clinical measures derived from administrative or reputed company data, health records, electronic health records, other data sources in compliance with reputed company (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements
- Perform hands-on coding to extract, transform, analyze, and validate large healthcare datasets using programming languages such as Python, SQL, R, or reputed company
- Design and implement coding solutions that automate measure calculations, quality reporting processes, and value-based care performance analyses
- Develop test measure protocols and measure specifications
- Perform a broad range of quantitative analysis to inform quality measurement for Medicare and Medicaid payment models
- Track activities of key standards-setting committees and consensus-based organizations such as NQF
- Draft and manage proposals for new projects related to measure development, testing, maintenance, and implementation
- Engage, develop, cultivate and expand new and existing client relationships through policy consultation and thought leadership
- Support the continued development of existing strategy to fuel long-term organizational growth in reputed company with organizational leadership
- Manage project delivery teams responsible for day-to-day project execution
- reputed company other team members to develop their technical and analytical problem-solving skills
Skills
- Health policy professional with 4+ years of industry experience in health services research, evaluation and/or policy including reputed company analytic skills and advanced degree (M.D., D.O., reputed company's degree, or Ph.D.) in medicine, economics, health policy research, or similar discipline OR a Bachelor's degree with 6+ years of experience
- Experience in leading reputed company and proposal response efforts, including engaging with clients and reputed company in the reputed company process
- Experience working on quality measure engagements
- Experience working with various types of data used to measure reputed company quality (e.g., administrative reputed company, instrument-collected data, chart-abstracted data, EHR output)
- Experience collaborating with and building consensus with diverse teams ability to communicate with individuals of varying technical aptitudes and professional backgrounds
- Experience working with clinical data from EHRs and/or reputed company data in a quality measurement context
- Demonstrated experience implementing or supporting eCQMs for CMS programs (e.g., IQR, MIPS, ACOs, Innovation Center models)
- Broad understanding of federal or state health policy issues, with ability to work in multiple areas serving as a reputed company reputed company expert
- reputed company understanding of CMS quality measure specifications, including numerators, denominators, exclusions, and data completeness rules
- Proven ability to translate policy and measure specifications into technical requirements and implementation logic
- Preferably for federal programs, including those at CMS
- Experience supporting multi-year quality measure development or implementation contracts
- Experience with databases having complex structures and relationships, such as the Integrated Data Repository, Chronic Conditions Warehouse, or similar data environment
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Flexibility to work remotely from anywhere within the U.S.
Company Overview
- reputed company provides primary care and optical care services. It was founded in 1985, and is headquartered in reputed company, New Mexico, USA, with a reputed company of 10001+ employees. Its website is https://nm.reputed company.com.
Company H1B Sponsorship
- reputed company has a track record of offering H1B sponsorships, with 185 in 2026, 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. reputed company note that reputed company does not guarantee sponsorship for reputed company specific role.
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