Performed advanced data analysis to include hospital performance improvement reviews, medical staff data and regulatory data collection and analysis.• Facilitated clinically focused performance improvement teams, improving clinical outcomes related to balanced score card and quality initiatives.• Conducted quality of care reviews related to complaints, determined if care is appropriate and recommended referrals as needed.• Tracked and reported on outcomes and KPIs for the program, achieving progress throughout the various projects’ life cycles.• Ensured patients privacy is protected by adhering to HIPAA standards, company policies and state local requirements, protecting organizational goals and achieving quality excellence.• Supported surveyors in reviews of clinical records and policies, positively reflecting on the patient’s satisfaction.• Liaised and collaborated with hospital leaders, medical staff, and administrators, identified areas of quality improvement and suggested action plans.