Metabolic and Bariatric Surgery Quality Analyst at Cambridge Health Alliance – Cambridge, Massachusetts

Location: 1035 Cambridge Street
Work Days: 8:00am-4:30pm (day shifts- flexible hours per day)
Category: Registered Nurse
Department: Quality and Safety Reporting and Analytics
Job Type: Part Time
Work Shift: Day
Hours/Week: 20
Union Name: Non Union

Join the Quality and Safety team at Cambridge Health Alliance (CHA), where we are committed to cultivating a culture of safety, eliminating preventable harm, and delivering equitable, high-value, evidence-based care. This role is integral to advancing data-driven decision-making and improving patient outcomes across the organization.

CHA is launching participation in the American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) and is seeking a dedicated Metabolic & Bariatric Surgery (MBS) Quality Analyst. In this role, you will work both independently and collaboratively with surgical leadership, clinical teams, and quality partners to support registry reporting, performance improvement, and program success.

Key Responsibilities:

• Perform detailed chart abstraction, coding, and interpretation of clinical data
• Submit complete, accurate, and timely data to the MBSAQIP registry (100% case capture)
• Analyze clinical outcomes and identify opportunities for quality and safety improvement
• Serve as CHA’s liaison to the MBSAQIP program and maintain annual certification
• Partner with surgical leadership and interdisciplinary teams on quality initiatives
• Develop and maintain monthly, quarterly, annual, and ad hoc reports
• Ensure data integrity and compliance with federal, state, and regulatory reporting requirements
• Contribute to data dictionaries, abstraction guidelines, and process improvement efforts
• Manage multiple priorities, proactively identify barriers, and recommend solutions

Qualifications:

• Direct clinical data abstraction experience required
• Active MBS certification or ability to obtain within 6 months of hire
• Strong knowledge of clinical registries, abstraction guidelines, and EMR systems (EPIC preferred)
• Advanced proficiency in data and reporting tools (Google Workspace, Microsoft Office, Smartsheet, Lucidchart)
• Demonstrated ability to synthesize data, identify trends, and make recommendations

Education & Experience:

• Bachelor’s degree required (RN preferred; equivalent experience considered)
• 3–5 years of chart abstraction experience required
• Program or project management experience preferred

Core Competencies:

• Exceptional attention to detail and commitment to data accuracy
• Strong analytical thinking and problem-solving skills
• Ability to work independently and take ownership of projects
• Excellent communication skills, with the ability to engage diverse stakeholders
• Strong organizational and time management skills in a fast-paced environment
• Commitment to maintaining confidentiality and safeguarding PHI

Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.