Quality Measures Business Analyst – Hospital Quality & Patient Safety

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.

Key Skills

Hospital Quality Measures | Leapfrog | Patient Safety | Patient Satisfaction | HCAHPS | CMS Quality Measures | Readmission Rates | Clinical Outcomes | SQL | Advanced Excel | Power BI | Tableau | KPI Dashboards | Data Validation | Root-Cause Analysis | Business Requirements