Quality Analyst III

CareSource
Onsite

About The Position

The Quality Analyst III is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance.

Requirements

  • Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
  • Minimum of three (3) years of experience in data analysis and/or analytic programming is required
  • Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required
  • 3-5 years Programming experience (i.e., SQL, SAS, Alteryx ) is required
  • Intermediate proficiency level with Microsoft Office Suite
  • Complex problem-solving skills for solving multi-dimensional business questions
  • Proficient in Programming language (i.e., two of SQL, SAS and/or DAX) is required
  • Knowledge of managed care and health care data coding
  • Ability to interface with IT teams, familiarity with MDS and advanced data architecture

Nice To Haves

  • Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred
  • Programming in DAX/Power BI is preferred
  • Health care delivery, clinical experience and/or payer experience is preferred.
  • Managed Care Organization knowledge and familiarity
  • Graphic development & presentation skills
  • Exposure to statistical concepts strongly preferred
  • Critical thinking and active listening skills
  • Effective verbal and written communication skills
  • Ability to lead analytic efforts
  • Ability to serve as liaison with business partners

Responsibilities

  • Generate comprehensive reports, graphics and dashboards that effectively summarize and display data for key stakeholders
  • Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques and provide management level summaries that explain key findings
  • Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations
  • Interpret and maintain understanding of technical specification and other quality reporting requirements and ensure any changes are implemented and communicated with key stakeholders timely
  • Interact and work collaboratively with business partners on analysis, reports and data patterns to identify trends
  • Gather, understand and refine requirements for analytics requests including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development and RFP requests
  • Collaborate with IT teams to enhance data collection and reporting systems
  • Perform any other job duties as assigned

Benefits

  • In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
  • We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
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