Summary/Objective:
The Quality Analyst strengthens organizational quality, accreditation readiness, and population‑health performance across IDD and Behavioral Health/CCBHC programs. This role conducts Personal Outcome Measures (POM) interviews, analyzes outcomes and quality metrics, supports continuous quality improvement (CQI), and contributes to Community Needs Assessment (CNA) activities.
The Analyst transforms qualitative and quantitative data into actionable insights that guide program improvement, strategic planning, and value‑based care initiatives.
Essential Functions (Job Duties):
CQL POM Data Management (IDD)
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Conduct POM interviews and document narratives, indicators, and supports with accuracy and depth; identify and escalate immediate concerns related to rights, safety, or quality.
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Manage the full POM data lifecycle: entry, scoring, validation, and analysis.
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Build POM dashboards and trend reports in collaboration with Data Analysts.
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Identify patterns in outcomes, supports, and life domains to inform program practice.
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Produce quarterly and annual POM outcome summaries for leadership, CQL, and CQI teams.
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Translate POM findings into actionable insights for program improvement and organizational decision making.
Accreditation Analytics & Evidence Management (CQL & CARF)
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Maintain datasets, documentation, and evidence required for CQL Basic Assurances monitoring and self-assessment.
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Prepare analytic summaries, POM trend analyses, quality indicator reports, and CQI documentation for survey readiness.
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Ensure evidence is organized, current, and accessible for internal reviews and external surveyors.
Quality Metrics & Performance Monitoring (IDD & BHS/CCBHC)
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Track and analyze CCBHC Quality Measures, CARF indicators, and IDD outcomes (including POMs).
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Conduct PSYCKES data pulls to identify high‑risk individuals, service gaps, and opportunities for targeted interventions.
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Validate and manage IPA attribution and performance‑tracking data, including HEDIS‑like measures and population‑health metrics used for value‑based care contracts.
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Identify trends, disparities, and opportunities for improvement across service lines.
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Support leadership with data for strategic planning and population‑health initiatives.
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Provide data and analytic support to CQI teams, committees, and program level improvement initiatives.
Community Needs Assessment
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Assist in planning, coordinating, and executing the Community Needs Assessment process.
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Collect, analyze, and synthesize community‑level data related to behavioral health, IDD, SDOH, and service gaps.
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Conduct outreach, surveys, interviews, and focus groups with community members and stakeholders.
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Summarize findings to inform service planning.
Data Quality & Documentation Integrity (IDD & BHS/CCBHC)
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Identify documentation gaps and collaborate with EHR Analysts to improve workflows and data capture.
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Validate that data structures support quality reporting needs.
Competencies:
Technical & Analytical Competencies
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Strong analytical and critical‑thinking skills with the ability to interpret complex datasets, identify trends, and translate findings into actionable insights.
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Proficiency with Microsoft Excel and comfort using data visualization tools (Power BI) and quality reporting platforms (PSYCKES, CQL Portal).
- Strong attention to detail and commitment to data accuracy and data integrity.
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Proficiency with EHR systems preferred.
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Understanding of IDD and Behavioral Health service models and their associated documentation and reporting requirements.
Operational & Project Competencies
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Ability to manage multiple projects, priorities, and deadlines independently and with strong follow-through.
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Proactive approach to identifying quality issues, proposing data‑driven solutions, and supporting continuous improvement efforts.
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Comfortable working in a cross‑functional role that bridges programs, operations, quality, and data teams.
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Comfort traveling to program sites to conduct interviews, gather data, and support quality initiatives.
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Strong organizational skills with the ability to maintain structured documentation, evidence libraries, and accreditation materials.
Interpersonal & Collaboration Competencies
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Skilled interviewer with the ability to build rapport, navigate sensitive topics, and gather accurate qualitative information.
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Strong written and verbal communication skills with the ability to present data clearly to non‑technical audiences, including frontline staff and leadership.
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Collaborative mindset with the ability to work effectively across departments.
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Ability to build trust with staff at all levels and support teams in understanding and using data for decision‑making.
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Skilled at facilitating discussions around quality, outcomes, and performance improvement.
Ethics & Compliance Competencies
