QI Analyst

Partnership HealthPlan of California•Fairfield, CA

23h•$93,691 - $117,114•Onsite

About The Position

To prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis. Works collaboratively with departments company-wide to identify data needs, develop and maintain data queries and tools, and complete accurate reporting to support performance and process improvements. Project/program involvement may include Partnership’s Healthcare Effectiveness Data Information Set (HEDIS) reporting initiative, Partnership Quality Dashboard (PDQ), Partnership’s provider pay-for-performance programs, and others as assigned.

Requirements

Bachelor’s degree in related field
One – two (1-2) years of experience providing the knowledge and abilities listed.
Demonstrated aptitude for acquiring and applying technical skills in data analysis, reporting, and data systems.
Good oral and written communication skills.
Strong analytical skills including knowledge of statistics.
Excellent interpersonal skills.
Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.

Nice To Haves

Knowledge of MS Excel, Access, and other analytic software.
Knowledge of Lean and Model for Improvement methodologies.
Familiar with quality measurement and healthcare data.
Ability to communicate technical concepts with both technical and non-technical individuals.
Detail-oriented with good organizational and project management skills to work on multiple projects simultaneously within established time frames.

Responsibilities

Develops and maintains working knowledge (technical and user interfaces) of Partnership data management and analytics programs and systems.
May manage/monitor data integration into data infrastructure and may lead system-level user testing.
Utilizes the Enterprise Data Warehouse and other data sources to identify and isolate data for analysis.
Validates data reports and manages key data sources within program requirements, to ensure the completeness and accuracy of data.
Works collaboratively with various departments (i.e. QI, IT, Finance, and Analytics teams) and external stakeholders to define business requirements and identify data needs.
Refines reporting requests to support operational excellence initiatives and creates tools and reports to measure process/performance changes.
Develops and executes data collection plans that identify baseline performance and capture the impact of interventions.
Analyzes performance data (which may include data trending or stratification) to identify areas for improvement.
Provides actionable recommendations and informs stakeholders of the impact of key decisions based on available data.
Serves as active contributor in data quality or analytics workgroups.
Develops and maintains standards and methodologies in data governance and data quality issue resolution timelines; streamlines reporting to reduce unnecessary duplication; ensures consistent and accurate use of data reporting; and provides accurate definitions of all data elements.
Serves as a primary contact for internal and external stakeholders related to Partnership performance data management.
Serves as the analytic lead on select operational initiatives as assigned.
Maintains expert knowledge of assigned business unit.
Provides project management support for data related and performance/process improvement projects, which may include HEDIS, PDQ, pay-for-performance programs, and others as assigned.
Tracks multiple deliverables and collaborates closely with broader project team.
Other duties as assigned.