Mount Sinai Careers

Quality Improvement Research Analyst, Surgery

New York, New York

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Quality Improvement Research Analyst , #2318338

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Quality Monitoring Analyst’s chief responsibility is to collect and submit reliable data to the American College of Surgeons (ACS) MBSAQIP. This is accomplished through high-quality clinical screening, data compilation, documentation and entry into the ACS MBSAQIP database of all eligible surgeries for the medical center. The Quality Monitoring Analyst also works closely with the members of the Department of Surgery to identify opportunities for clinical quality improvement and other special projects as may be identified.

Roles & Responsibilities:

Data Collection 

  • Responsible for the identification of surgical patients for inclusion in the program registry through the application of strict program inclusion/exclusion criteria and randomization protocol
  • Responsible for the reliable collection of pre-operative, operative, and post-operative data components for the program through the effective utilization of the hospital medical record system
  • Responsible for meeting the accrual requirement of cases per year through the correct application of the program's randomization protocol
  • Attends weekly general surgery morbidity & mortality conference and quarterly bariatric M&M conference to ensure reliable data collection of postoperative occurrences
  • Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program through Inter-Rater Reliability (IRR) testing as required
  • Responsible for identifying areas for streamlining and process improvement in the data collection process
  • Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the Program 

Website Interaction

  • Responsible for utilizing software applications available at the ACS MBSAQIP for data collection and analysis
  • Responsible for the accurate and timely entry of data into the program's website and assuring the transmission of completed data
  • Responsible for reviewing weekly site accrual report on the website and responding to accrual report alerts.
  • Working Effectively with Patients, Families, and Staff 
  • Establishes effective working relationships with members of the hospital community, especially staff in the Surgery, Medicine, Nursing, Medical Records and the Information Systems departments whose support is necessary for the management and success of the program 
  • Contacts patients and/or families via telephone and/or written communications post-operatively for the purpose of identifying possible occurrences associated with surgical procedures performed at the hospital
  • Serves as an educational resource on the MBSAQIP for internal and external audiences by developing educational material and delivering presentations 

MBSAQIP Participation 

  • Participates in weekly teleconferences with other quality monitoring analysts
  • Attends national conferences pertaining to the program as requested 

  • Bachelors Degree preferred
  • 2 - 5 years of previous quality research/monitoring experience 

Strength Through Diversity

The Mount Sinai Health System believes that diversity and inclusion is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize healthcare delivery together.

We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospitals, including Mount Sinai Beth Israel, Mount Sinai Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation. 

EOE Minorities/Women/Disabled/Veterans



for Live Chat Click Here