The Program Director, Regulatory and Clinical Analytics Operations supports the CHRISTUS Health quality mission of 'Zero Harm' through the development of reporting and analytic programs using expertise with analytic and application tools, such as SAS, SQL, Midas+ Care Management, Epic, Meditech, Microstrategy, and NextGen. Responsible for working with system and region stakeholders in understanding national imperatives from agencies and programs, such as CMS (Medicare), National Quality Forum (NQF), National Healthcare Safety Network (NHSN), The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), and more. Proactively performs impact analysis of emerging or new quality agencies and program regulations. Provides analytics to support CHRISTUS Health response to national calls for comment. Provides statistically & methodologically sound analytics to ensure analytic validity regarding hypothesis evaluation, study design/methodology development and findings in order to drive improvements in clinical, operational, and economic outcomes for CHRISTUS Health. This function includes the development, implementation, maintenance, governance, and assessment of value based imperatives, including oversight in development, and management of system analytic and healthcare application tools. The Program Director, Value Based Imperatives and Analytics collaborates with subject matter experts across all regions, departments, and facilities to develop and promote program performance and reporting programs that drive improvements. The Program Director, Value Based Imperatives and Analytics will have a global view of the organization and is expected to bring high-reliability processes and information governance strategies to the performance of job responsibilities. The incumbent must be a proactive and decisive person who adapts well to and initiates changes in analytic, application tools and program reporting needs. These activities will decrease exposure to risks, increase quality patient care and steward financial and human resources and perform duties and responsibilities in a manner consistent with CHRISTUS Health Mission, Values, and Service Standards.
Value Based Imperatives
A. Responsible for development of value based imperatives reporting and analytic strategy in working with the System Health Outcomes & Analytics Leader.
B. Drives value based initiative integration, reporting, and taskforce needs of CHRISTUS Health, including Joint Commission Standards, CMS Regulations and State Regulations to provide consistent processes across the CHRISTUS Health Ministries.
Leads, directs and organizes interdisciplinary teams for value based initiative awareness and reporting.
Foster alignment and engagement across the CHRISTUS Health system quality leaders.
Supports development of reports in collaboration with subject matter experts.
Maintains a crosswalk of value based initiative metrics and requirements (NHSN, NDNQI, CMS: IQR, IPPS, VBP, RRP, HAC, etc.), update routinely and when regulatory requirements change, structured communication to key stakeholders.
C. Proactively monitors national regulatory initiatives and develops impact analysis for CHRISTUS Health, including close collaboration with Information Management teams to enhance or develop new tools for stakeholders in addressing initiatives.
D. Develops, implements and maintains analytic programs and reporting systems ensuring CHRISTUS Health value based initiative reporting programs are accurate, accessible, and consistent with public reporting and requirements.
E. Provides system-wide advice on National Imperatives, including pay for performance measures and public reporting of metrics for CHRISTUS Health hospitals and providers to guide necessity, impact for modification and/or development of process improvement efforts.
F. Serves as internal and external stakeholder point of contact for projects with either minimal or moderate ambiguity around the customer's objective for analytic request, including creating analytic data sets and coordinating ad hoc analyses to address member inquiries & resolve anomalies.
G. Conduct statistical inference analysis and testing to develop & evaluate data driven hypotheses and results, including analysis for leadership team to identify critical issues/questions around clinical improvements related to value based imperatives.
H. Communicate findings from analytic testing to key stakeholders via a comprehensive, standardized format detailing the methods, analysis and conclusions, and recommended next steps.
I. Develops and maintains relationships with stakeholders and team members.
J. Determines stakeholder needs and recommends solutions from knowledge of available data.
K. With minimal direction, identifies data sources and approaches to be used in simple and complex queries.
L. Demonstrates a commitment to self-improvement by actively developing the Leadership, Professional and Technical competencies assigned.
M. Continuously evaluates and maintains chosen system analytic and application tool(s) for data sources within the CHRISTUS Health System Office:
Alignment with value based imperative metrics
Consistency with data governance definitions and processes
Collaborates with CHRISTUS Health tool Administrator/stakeholders, as needed for software upgrades and other changes to the tool environment to meet the needs of CHRISTUS Health users
Serves as a resource for tool management
Monitors content posted on site for appropriateness
Modifies or removes inappropriate or inaccurate tool content
Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties
MBA, MHA, or Advanced degree (Masters or higher) preferred in applied math, statistics, computer science, or related field.
Demonstrated competency in value based initiatives and healthcare application tools, such as Midas, Premier, required
Strong working knowledge of regulatory standards for acute and ambulatory care settings (NHSN, NDNQI, CMS: IQR, IPPS, VBP, RRP, HAC, etc.)
Intermediate or higher skill level in statistical analytic software required, SAS/SQL preferred.
Computer literacy (Microsoft Office, healthcare analytic applications, such as MIDAS+, and communications tools, such as SharePoint)
Ability to develop effective presentations and reports for leaders
5-7 years of experience managing large disparate data sets, including CMS data and using quantitative and qualitative analysis to draw meaningful and valid insights, including 3 years of programming experience using SAS/SQL/Python/R.
Previous experience facilitating teams or leading projects
Strong communication skills (both oral and written).
Excellent prioritization, organizational and program management skills
Must be able to present results to senior leadership and region stakeholders.
Must be a team player and be willing to collaborate and assist with members of the team as necessary.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.