Clinical Quality Analyst

Summary

Join Oscar Medical Group as a Clinical Quality Analyst and contribute to our mission of refactoring healthcare. This remote role, available in select states, involves supporting the clinical care team by collecting, analyzing, and interpreting data related to patient safety and quality of care. You will conduct patient safety incident reviews, develop mitigation plans, and collaborate with various teams to ensure compliance. The position requires a BSN (or MSN), significant nursing experience, and expertise in quality improvement and risk management. Competitive salary, benefits, and performance bonuses are offered.

Requirements

• Minimum of Bachelor of Science in Nursing (BSN), but may hold a Master’s degree in Nursing (MSN)
• 3+ years of experience in patient safety, quality improvement, or risk management
• 5+ years of experience as registered nurse in ambulatory or hospital setting

Responsibilities

• Data collection and analysis Analyze and report out trends related to quality initiatives, HEDIS metrics, NPS/patient complaints, and safety issues to OscarCare, OMG leadership, and Compliance
• Patient Safety incident review and mitigation action plans Perform incident reviews in timely manner with closed loop feedback
• Develop mitigation action plans in collaboration with clinical leadership for future risk reduction and process improvement
• Trend and track reported events, themes, and preparation of summary reports for Safety and Compliance Committee meetings and stakeholders
• Risk Management & Regulatory Compliance Demonstrate expert knowledge in all internal policies as well as general knowledge of healthcare regulation
• Provide feedback for improvements in internal policies and standard operating procedures to support Compliance and Risk Management
• Quality assurance and process improvement Conduct structured, targeted chart audits related to quality and HEDIS metrics
• Synthesize and share findings of chart audits with cross functional clinical leaders and teams working on quality / performance improvement
• Collaborate with operations and product teams in investigation and mitigations of systems issues and internal product/EMR patterns
• Conduct investigations into formal patient complaints, PQIs, and NPS feedback
• Education and training Maintain and develop patient safety and quality training materials for OMG
• Compliance with all applicable laws and regulations
• Other duties as assigned

Preferred Qualifications

• 1+ years proficiency in google suites applications and presentations to leadership
• Experience as registered in nurse in telehealth setting
• Patient Safety certification including but not limited to one of the following: CPPS, CSHM, CSP, CSS
• Quality certification including but not limited to one of the following: CPHQ
• Experience with Symplr platform or other patient safety tracking tools
• Experience with NCQA, HEDIS, STARS, CAHPs metrics including monitoring and reporting

Benefits

• Employee benefits
• Annual vacation grant of up to 18 days per year
• Annual performance bonuses
• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements