The Peer Review Data Analyst/Regulatory Affairs Specialist is responsible for applying quality performance metrics and assessing provider performance identifying opportunities for improvement to increase provider knowledge, performance, and competence in relation to privileges granted to positively affect patient outcomes. Create, revise, or maintain policies and protocols addressing identified variations, including medical staff determination of validity, written explanation of findings, and, if appropriate, an action plan to include improvement strategies, the need for further training or proctoring, or amendment to privileges to help ensure positive patient outcomes.