What are the responsibilities and job description for the Quality Measures Analyst - Hospital Quality & Patient Safety position at Entrans Inc.?
Location: Hackensack, NJ
Work Arrangement: 100% Onsite
Industry: Healthcare / Hospital
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 hands-on experience analyzing hospital quality metrics, Leapfrog measures, patient satisfaction, readmission rates, and CMS/HCAHPS-related indicators.
The candidate will collaborate with clinical quality teams, patient experience teams, data analytics, IT, and hospital leadership to monitor performance, identify improvement opportunities, and support data-driven decision-making.
Key Responsibilities
- Analyze and monitor hospital quality measures, patient safety indicators, and clinical outcomes.
- Evaluate hospital performance against internal targets, regional benchmarks, and national standards.
- Analyze Leapfrog Hospital Survey and Hospital Safety Grade measures.
- Support data preparation, validation, and reporting for Leapfrog and other hospital quality programs.
- Analyze patient satisfaction and patient experience metrics, including HCAHPS scores.
- Monitor readmission, recurrence/re-occurrence, mortality, complication, and adverse-event measures.
- Identify performance gaps, trends, outliers, and opportunities for quality improvement.
- Develop and maintain quality dashboards, KPI scorecards, reports, and management presentations.
- Gather and document business requirements for quality analytics and reporting initiatives.
- Perform data validation and reconciliation across source systems, reports, and dashboards.
- Collaborate with clinical, quality, operational, and technical stakeholders to investigate root causes and recommend corrective actions.
- Track performance improvement initiatives and communicate findings to hospital leadership.
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, or Clinical Data Analyst.
- Strong understanding of hospital quality measures, patient safety, and healthcare performance indicators.
- Experience analyzing patient satisfaction, readmission, or clinical outcome metrics.
- Strong SQL skills and advanced Microsoft Excel proficiency.
- Experience with KPI reporting, data analysis, data validation, and business requirements documentation.
- Strong analytical, problem-solving, communication, and stakeholder management skills.
Preferred Qualifications
- Experience with Leapfrog Hospital Survey and Hospital Safety Grade.
- Knowledge of CMS quality measures and HCAHPS reporting.
- Experience working with hospital Quality, Patient Safety, or Clinical Performance Improvement teams.
- Proficiency with Power BI, Tableau, or similar reporting tools.
- Familiarity with EHR/clinical systems, healthcare data warehouses, and value-based care programs.