Clin Qual Peer Review Coord

York, PA | Professional | Tracking Code: 63317

Job Description:

Under the general supervision of the Administrative Director (Medical Affairs) provides central data resources to clinical and medical staff leadership. Supports the measurement and monitoring of quality indicators and progress towards metrics primarily at the physician level and at department, hospital and system levels as indicated.


Duties and Responsibilities


  1. Coordinates and analyzes clinical data for the purpose of developing data into useable, understandable information to improve patient care and delivery, identify opportunities for improvement and obtain desired reportable and patient outcomes.
  2. Provides consultation regarding data analysis and interpretation to clinicians, leadership and others. Works collaboratively to provide consistent, meaningful information to all levels of the organization, including the information provided to the Hospital Board of Directors.
  3. Serves as a liaison between the Hospital and other entities.
  4. Facilitates conversations and assists staff to identify and translate quality outcomes into a change in practice (e.g., policy, procedure, process, protocol, etc.).
  5. Uses problem analysis skills and critical thinking to collect and analyze data, propose solutions, develop and write reports, letters and materials needed to achieve desirable results as requested. Able to manage advanced database and spreadsheet applications (e.g., formulas, linking calculations, graphing and reporting).
  6. Works collaboratively with others to develop strategies to successfully anticipate and meet outcome-based quality initiatives internally and externally.
  7. Works directly with department and quality committee chairs to develop and maintain physician dashboards for re-credentialing, accountability for quality initiatives, financial performance, workload, etc..
  8. Provides oversight of focused and ongoing peer review for all medical staff departments in a timely and effective manner from the development of an infrastructure to identify and screen concerns for review through the critically-important actions and follow-up with specific physicians and providers. Coordinates multidisciplinary approach to clinical concerns by working closely with nursing and other ancillary departments.
  9. Maintains professional knowledge of peer review requirements of external agencies, along with best practices for peer review and strategies for successful outcome-based quality initiatives internally and externally. Meets with external agencies during investigations and complaints as needed.
  10. Designs and implements a system for planning, organizing and controlling workflow and reporting related to physician dashboards and peer review.



  • Notes:
    • Other combinations of formal education, training and experience may be considered.


  • Minimum Experience:
    • 2 - 3 years
    • Min Field Of ExpertiseHealthcare
    • Pref Cert/RegistrationRegistered Health Information Administrator (RHIA); or LPN/RN


  • Minimum Education:
    • Bachelor's Degree in a pertinent health related field


  • Skills:
    • OtherExcellent interpersonal and written and oral communications skills; knowledge of statistical
    • analysis, spreadsheet and other software programs
    • The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
James Kane
James Kane
Sr. Talent Acquisition Consultant
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)