Quality Program Data Manager

Dayton Physicians Network is an independent physician network focused on value-based care, quality performance, and patient outcomes. The Quality Program Data Manager oversees value-based payment programs and quality-reporting obligations, leads MIPS/MVP reporting, validates and analyzes data, and coordinates cross-functional improvement initiatives using Epic and Healthmonix.

Responsibilities

Oversee DPN’s participation in applicable value-based payment models and quality programs, including contractual, operational, data, reporting, and compliance requirements

Lead the annual MIPS/MVP reporting cycle, including eligibility review, strategy, measure selection, data validation, submission, audit readiness, performance review, and corrective-action planning

Monitor CMS, payer, and oncology quality-program requirements and communicate changes, responsibilities, deadlines, and operational or financial impact

Coordinate with clinical, operational, revenue cycle, compliance, finance, and IT leaders to resolve gaps, improve performance, and maintain evidence of compliance

Assess new value-based care opportunities and contract requirements, identifying feasibility, resource needs, dependencies, financial implications, and risk

Support payer and regulatory audits, attestations, validation requests, inquiries, and appeals through complete, accurate, and retrievable documentation

Reconcile and validate data across Epic, Healthmonix, payer files, and other approved sources; investigate exclusions, missing data, attribution issues, measuring logic, and discrepancies

Develop and maintain dashboards and performance reports that communicate results, trends, benchmarks, care or workflow gaps, financial exposure, and recommended actions

Support organizational Epic reporting and self-service analytics needs by gathering requirements and developing, validating, maintaining, and interpreting reporting solutions

Partner with and provide operational guidance to the Cancer Registrar, including developing and validating data lists to identify missing or incomplete cancer staging, documentation, and registry information for follow-up and correction

Translate complex clinical, operational, financial, and quality data into actionable recommendations for clinicians and organizational leaders

Maintain reporting methodologies, measure specifications, business rules, validation controls, and data-governance documentation

Serve as the business owner and subject-matter expert for value-based care, MIPS/MVP, and quality-reporting workflows and data requirements within Epic and Healthmonix

Partner with Epic analysts, Healthmonix, and approved vendors to design, test, implement, and maintain workflows, interfaces, extracts, dashboards, reports, and validation controls

Lead or coordinate value-based care, payer quality, and technology-enhancement projects, including requirements, scope, testing, implementation, training, milestones, risks, and outcomes

Facilitate data-driven performance-improvement initiatives and evaluate their effect on quality, utilization, cost, patient experience, and reimbursement

Translate regulatory and payer requirements into clear workflows, documentation standards, policies, procedures, education, and job aids

Educate and advise affected stakeholders regarding program requirements, performance results, documentation expectations, workflows, and improvement priorities

Maintain current knowledge of value-based care, MIPS/MVPs, oncology quality programs, interoperability, measure specifications, and applicable payer requirements

Protect confidential and regulated information and perform all responsibilities in accordance with HIPAA, organizational policies, contractual obligations, and applicable laws and regulations

Perform other related duties as assigned

Preferred

Bachelor's degree in health information management, health care administration, business, analytics, information systems, nursing, or a related field preferred

oncology experience preferred

Experience using Epic for clinical, billing, reporting, or workflow functions strongly preferred

Experience with Healthmonix, MIPSpro, a qualified registry, or comparable quality-reporting platform preferred

Experience with project management, workflow design, testing, implementation, education, and change management preferred

Epic Cogito reporting certifications or proficiencies—such as SlicerDicer, Reporting Workbench, or other relevant Epic analytics credentials—are a plus

other relevant quality, analytics, project management, or health information certifications are also valued

Health Information Management

Healthcare Administration

Information Systems

Nursing

Oncology Experience

Epic

Clinical Systems

Medical Billing

Workflow Management

Healthmonix

MIPSpro

Qualified Registries

Quality Reporting Platforms

Workflow Design

Software Testing

Change Management

Epic Cogito

SlicerDicer

Reporting Workbench

Epic Analytics Certifications

Quality Certifications

Analytics Certifications

Health Information Certifications

Benefits

Full-time employees are eligible for health, dental and vision benefits

Company holidays and a flexible holiday

Generous Paid Time Off (PTO) Package

Additional PTO accrual increase after 1 year of service with Dayton Physicians

401K

Scrub Allotment

Yearly Bonus Program

Upon completion of training this position is eligible to work from home coming into the office as needed

Monday - Friday, 8:00am - 4:30pm, eight-hour shifts; no evenings, weekends or holidays

Company

Multi-specialty cancer and urologic care network

Dayton, Ohio, USA

http://daytonphysicians.com/

Founded in 2006

201-500 employees

Qualifications

Three or more years of experience in health care quality reporting, value-based care, population health, clinical analytics, revenue cycle, or a related area

Demonstrated knowledge of MIPS, the CMS Quality Payment Program, value-based payment models, quality measures, cost and utilization concepts, and performance improvement

Experience coordinating regulatory or payer reporting from requirements interpretation through data validation, submission, and audit support

Experience working with clinicians, operational leaders, compliance, finance, revenue cycle, and technical teams on cross-functional initiatives

Strong analytical skills, including the ability to interpret measure specifications, validate data, identify root causes, and convert findings into actionable recommendations

Advanced proficiency with Microsoft Excel and working proficiency with Word, Outlook, PowerPoint, and collaboration tools

Ability to understand clinical and billing workflows and communicate effectively with technical and nontechnical audiences

Strong project-management, organization, prioritization, documentation, and follow-through skills

Excellent written, verbal, facilitation, training, and presentation skills

Sound judgment, attention to detail, and the ability to manage multiple deadlines in a changing regulatory and payer environment

Ability to build effective working relationships and influence outcomes across departments without direct authority

Ability to handle confidential information appropriately and maintain accurate records and audit documentation

Bachelor's degree in health information management, health care administration, business, analytics, information systems, nursing, or a related field preferred

Oncology experience preferred

Experience using Epic for clinical, billing, reporting, or workflow functions strongly preferred

Experience with Healthmonix, MIPSpro, a qualified registry, or comparable quality-reporting platform preferred

Experience with project management, workflow design, testing, implementation, education, and change management preferred

Epic Cogito reporting certifications or proficiencies—such as SlicerDicer, Reporting Workbench, or other relevant Epic analytics credentials—are a plus

Other relevant quality, analytics, project management, or health information certifications are also valued

Three or more years of experience in health care quality reporting, value-based care, population health, clinical analytics, revenue cycle, or a related area;

Required skills

MIPS and CMS Quality Payment Program, Value-Based Payment Models, Healthcare Quality Reporting, Clinical Analytics, Data Validation, Epic, Healthmonix, Microsoft Excel, Workflow Design and Testing, HIPAA Compliance, Performance Improvement

Preferred skills

oncology experience preferred

Experience

3+ years