Quality Analyst I

TRILLIUM HEALTH RESOURCES•Remote in North Carolina, NC, US, NC

6d•$67,524 - $85,222•Remote

About The Position

Trillium Health Resources is seeking a Quality Analyst I to join their Quality Management Department. This role is responsible for conducting data analysis activities, including completing reports in compliance with DMH and DMA contract requirements, NCQA accreditation, HEDIS reporting, and other external/internal reporting needs. The Quality Analyst I supports daily operations of the QM Department, managing committee support, data/reports, training, HEDIS measures, and national accreditation. This position handles sensitive, complex, and confidential information with discretion and professionalism.

Requirements

High School diploma/GED and six (6) years of experience in data analysis, data reporting, data collection, or use of databases; OR Associate’s degree and four (4) years of experience in data analysis, data reporting, data collection, or use of databases; OR Bachelor’s degree and two (2) years of experience in data analysis, data reporting, data collection, or use of databases; OR Equivalent combination of education/experience.
Must have a valid driver’s license.
Must reside within North Carolina.
Must be able to travel within catchment as required.

Nice To Haves

Four (4) year degree in Information Technology, Statistics, Analytics, Economics, Mathematics, Business, or the Human Service field (such as Psychology, Social Work, etc.).
Experience in quality improvement activities and HEDIS.
Two – four (2-4) years working knowledge of Microsoft SQL server, handling large data sets, relational databases, and Microsoft Excel (vlookups, pivot tables, graphs).
CSPA, Certified Machine Learning – Specialty (AWS), Predictive Analytics Certificate (SOA), and/or CAHIMS, ITIL v3 or equivalent certifications preferred.

Responsibilities

Develop analytical reports, including conducting analysis, information synthesis, summarizing and interpretation of results, to include the identification of patterns and trends in data.
Ensure all reports are submitted within assigned deadlines to avoid possible penalties or plans of correction. Supports established schedule of external reporting per contracts and internal reporting (as requested).
Ensure that data from reports are presented in a user-friendly format and made accessible to staff, consumers and community members. Ensure all reports include appropriate references to data sources so that reports can be replicated, if requested.
Analyze and report statistical data on populations, disabilities and cultural factors. Work to integrate available physical health and pharmacy data into the QM/QIC process. Identify matters of significance that could impact the agency.
Assist and support the development of HEDIS oriented plans assuring the agency's compliance with national accreditation standards, as well as implementing improvements throughout the organization to ensure efficient and quality care.