Quality Program Data Manager
Dayton Physicians Network · Kettering and Work from Home, OH ·
- Work mode
- Remote
- Employment
- Contract
- Category
- Management
- Experience
- 1+ years
Join Dayton Physicians Network as our Quality Program Data Manager and play a key role in advancing value-based care, quality performance, and patient outcomes. This is an exciting opportunity to use your expertise in data, quality reporting, and cross-functional collaboration to turn insights into meaningful improvements across our organization.
Summary:
The DPN Quality Program Data Manager provides operational oversight for the organization’s value-based payment programs and related quality-reporting obligations. This position interprets payer and regulatory requirements; coordinates MIPS/MVP planning, data validation, submission, and performance improvement; and partners with clinical, operational, revenue cycle, compliance, finance, and IT stakeholders to support accurate reporting and strong performance. The manager leads value-based care and quality initiatives that rely on Epic as DPN’s electronic medical record and billing platform and Healthmonix as a quality-reporting and analytics solution. The role monitors performance, identifies gaps and financial risk, supports compliant workflows and documentation, and translates data into actionable recommendations that improve quality, patient outcomes, cost performance, and reimbursement.
Schedule:
Monday - Friday, 8:00am - 4:30pm, eight-hour shifts
No evenings, weekends or holidays!
Upon completion of training this position is eligible to work from home coming into the office as needed.
Why work for Dayton Physician's Network?
- Full-time employees are eligible for health, dental and vision benefits
- Company holidays and a flexible holiday!
- Generous Paid Time Off (PTO) Package
- Additional accrual increase after 1 year of service with Dayton Physicians!
- 401K
- Scrub Allotment
- Yearly Bonus Program
- Dayton Physicians Network as an Independent Practice <--- Watch video here!
DPN Core Value Expectations:The CARES model reflects the principles that guide our day-to-day behaviors; our decisions, our actions, and our relationships with each other and with the patients and families we serve. All DPN employees are expected to embrace and demonstrate the following:
- COMPASSION: the patient is at the center of all we do
- ACCOUNTABILITY: we hold ourselves accountable for our actions
- RESPECT: we show respect for others
- EXCELLENCE with Innovation: we strive for excellence in all we do
- SERVICE through Collaboration: we provide service to our patients, team members and community.
Additionally, as DPN is a service-oriented organization, All DPN employees are expected to embrace and demonstrate the following when interacting with patients, employees and other customers:
- Smile, make eye contact and greet with energy!
- Restate what you are hearing. Listen patiently and compassionately to complaints. Our patients and families are likely going through a difficult time. Irritability on their part is not about you.
- Give full attention. Turn away from the computer screen and face the person you are conversing with.
- Explain any potential delays in service and provide frequent updates.
- Empathize (feel empathy for someone)
Essential Duties and Responsibilities:
Value-Based Care, Quality & Program Management
- 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.
Analytics, Reporting & Data Management
- 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.
Systems, Workflow & Project Management
- 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.
Education & Cross-Functional Collaboration
- 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.
Supervisory Responsibilities:
Not applicable
Required Education and/ or Experience:
- Bachelor’s degree in health information management, health care administration, business, analytics, information systems, nursing, or a related field preferred; equivalent relevant experience may be considered.
- Three or more years of experience in health care quality reporting, value-based care, population health, clinical analytics, revenue cycle, or a related area; oncology experience preferred.
- 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 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 working with clinicians, operational leaders, compliance, finance, revenue cycle, and technical teams on cross-functional initiatives.
- 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.
General Skill Requirements:
- 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.
- Reliable attendance and punctuality are essential to supporting internal and external stakeholders.
Physical/ Mental Demands:
- Demonstrates a positive attitude and respectful, professional customer service.
- Proactively acts as patient advocate, responding with empathy and respect to resolve patient and family concerns.
- Proactively continues to educate self and improve professional skills.
- Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders.
Environmental/ Working Conditions:
- Demonstrates professional, appropriate effective and tactful communication/presentation skills, including written, verbal and nonverbal.
- Acknowledges patient’s rights on confidentiality issues, maintains patient confidentiality at all times, and follows HIPAA guidelines and regulations.
- Flexible and able to adjust workloads as the industry demands.