QUALITY ANALYST - HOME HEALTH

Job Category: Utilization/Case Mgmt

Requisition Number: QUALI025549

Posted: April 10, 2026

Full-Time

On-site

City of Greensburg, Greensburg, PA, USA

Data Entering

• Scrutinize source of data and data received.
• Remain cognizant of the objective of gathering the data.
• Gather data in the most efficient and effective manner to streamline processes.

Analyzing Data

• Organize analysis in a manner to effectively and efficiently communicate findings.

Communicating Information

• Prepare analyzed data in a manner so that the reader will understand the purpose for which the information was gathered and conclusions reached.

Reporting

• Prepare and distribute reports on a timely basis, including but not limited to statistical, quality measures.

Actively participates in the quality initiative teams; requires active participation on the Home Health and Hospice QaPI Committees

Conducts audits for compliance regarding regulatory measures for Home Health & Hospice from payors and other sources.

Conducts regular quality audits of patient records, clinical documentation, and care plans to ensure accuracy and adherence to policies.

Assists in education to clinical staff with audit findings.

Utilizes the current software program to compile data to analyze and develop quality initiatives.

Actively participates and/or coordinates actions to improve service or perception of care.

Works with different insurance payers and quality programs to maximize reimbursement and improve patient outcomes

Work with clinical managers and provide support, education, and/or remediation to the clinical team as needed

Ensure compliance with Medicare, Medicaid, and other regulatory requirements and standards

Monitor key performance indicators (KPIs) related to patient care, outcomes, and agency performance.

Implement performance improvement plans related to key performance indicators.

Provide oversight, planning and implementation to new and existing health care quality initiatives and educational programs

Responsible for projects related to the Medicare Star Rating Quality of Care Report; delivering impactful initiatives through the design process to completion and measurement of outcomes.

Responsible for projects related to the Medicare and other Value based Programs; delivering impactful initiatives through the design process to completion and measurement of outcomes.

Leads and manages the agency in planning and executing outcome and claims based strategies and programs

Effectively manages internal and external vendor communications by collaborating and disseminating reports, defining program descriptions, and sharing analytical findings.

Works with clinical team to mitigate emergency department and hospital utilization as appropriate

Works collaboratively with other teams/departments as needed to accomplish quality activities and to ensure that all tasks are accomplished timely and accurately

Active participation with affiliated health care related committees as assigned with regular attendance and dissemination of information.

Active participation with home health and hospice licensure survey

Knowledge and interpretation of home health and hospice Medicare Conditions of Participation

Other duties as assigned.

Required Qualifications/Experience (please add any additional requirements)

• Completion of Bachelor's Degree (Business, Education, or Health Care Related Field)
• Graduate of an accredited Nursing Program
• 2 years of medical/surgical care
• 2 to 4 years of experience in healthcare with preferred experience in health plan quality improvement, value based care, and/or equivalent experience.
• Operational knowledge and expertise with Excel and Microsoft Teams
• Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
• Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.

Preferred Qualifications/Experience (please add any additional requirements)

• Master's degree in nursing preferred.
• Experience with quality tools such as failure mode effects analysis, root cause analysis, SWOT analysis, LEAN or Toyota Production tools.
• Home Health experience
• CPHQ Certification preferred
• Project management and team building experience

License, Certification & Clearances (please add any additional requirements)

• Current licensure to practice as a Registered Nurse in the State of Pennsylvania required.
• Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required.
• Act 33 with renewal
• Act 34 with renewal
• Act 73 FBI Clearance

Position Type/Expected Hours of Work

• Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
• Travel may be expected locally between System locations.

Equal Employment Opportunity

Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations.

Disclaimer

This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Work Environment

Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.Essential – Absolute Necessity.Marginal – Minimal Necessity.Constantly – 5.5 to 8 hours or more or 200 reps/shift.Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift.Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift.Rarely – Less than 0.25 hours or less than 2 reps/shift. - Physical Condition - Essential - Marginal - Constantly - Frequently - Occasionally - Rarely - Never

Extreme Heat - X

Extreme Cold - X

Heights - X

Confined Spaces - X

Extreme Noise(>85dB) - X

Mechanical Hazards - X

Use of Vibrating Tools - X

Operates Vehicle (company) - X - X

Operates Heavy Equipment - X

Use of Lifting/Transfer Devices - X

Rotates All Shifts - X

8 Hours Shifts - X - X

10-12 Hours Shifts - X - X

On-Call - X

Overtime(+8/hrs/shift; 40/hr/wk) - X - X

Travel Between Sites - X - X

Direct Patient Care - X

Respirator Protective Equipment - X

Eye Protection - X

Head Protection (hard hat) - X

Hearing Protection - X

Hand Protection - X

Feet, Toe Protection - X

Body Protection - X

Latex Exposure - X - X

Solvent Exposure - X

Paint (direct use) Exposure - X

Dust (sanding) Exposure - X

Ethylene Oxide Exposure - X

Cytotoxic (Chemo) Exposure - X

Blood/