Quality Control Data Analyst

Center For Improving Value In Health Care•Denver, CO

6d•$68,000 - $78,000•Hybrid

About The Position

The Center for Improving Value in Health Care (CIVHC) is an independent, mission-driven nonprofit that leverages data to drive price transparency, advance health equity, and improve health and health care for Coloradans. As the designated administrator of the Colorado All Payer Claims Database (CO APCD), we transform claims data into powerful insights that inform policy, foster accountability, and accelerate system-level improvement. We partner with communities, health systems, policymakers, and leaders across the state to advance affordability, equity, and outcomes – and we approach this work with analytical rigor, creativity, and a commitment to measurable impact. We envision a community where everyone has the opportunity to be healthy and can access affordable, high-quality care. Our core values – Service, Stewardship, Integrity, and Equity – guide every aspect of our work and reflect our dedication to empower people and organizations working to improve health and well-being across the state. The Quality Control Data Analyst I will support quality control and assurance activities for all data products and processes using data from the Colorado All Payer Claims Database (CO APCD) and other sources. This position supports the Data Solutions’ teams by providing timely reviews, comparisons, and output validations of CIVHC’s data products. This position supports CIVHC in ensuring that CO APCD data and data products are complete, accurate, and reliable in support of a variety of existing and novel use cases. The Quality Control Analyst I helps identify opportunities to develop and enhance quality control standards to better serve CIVHC teams and partners. Under the supervision of the Quality Control Manager, the Analyst will leverage existing technical and analytic skills to complete assigned project reviews while strengthening foundational understanding of health care claims data. Success in this role will be measured according to the accuracy, completeness and usability of CIVHC administered data.

Requirements

Proficiency in SQL basics (understanding of SELECT, FROM, WHERE, ORDER BY statement); interest and experience in one additional programming language (R, Python, or similar) preferred
Exposure to data visualization tools and use (e.g., Power BI, Tableau, etc.)
Basic understanding of healthcare procedure and/or diagnosis codes and standards, or desire/willingness to learn
Basic understanding of healthcare systems and/or data; willing to learn HIPAA, HL7, PHI, and healthcare standards
Desire to independently investigate findings, analyze output, or improve upon established quality checks.
Ability to communicate analytic findings to both technical and non-technical audiences, with support from the Quality Control Manager.
Good organizational skills to independently manage assigned tasks within established deadlines.
Collaborative work style, actively seeking out input or guidance from others through asking clarifying questions, actively listening, etc.
Desire to build skills and knowledge related to healthcare data analytics, systems, and structures.
Strong attention to detail.
Demonstrated ability to manage multiple data-focused projects simultaneously
Strong critical thinking and problem-solving skills, with the ability to make recommendations aligned with customer needs
Excellent interpersonal and customer service skills
Strong communication and organizational skills, with the ability to collaborate effectively across teams
Excellent time management skills and ability to meet deadlines
Experience with project planning/project management software
Exceptional attention to detail
Ability to develop and execute long-term work plans with multiple partners and overlapping deadlines
Creativity, tenacity, diligence, and curiosity
Bachelor’s degree in healthcare informatics, data science, computer science, or related field
Alternative: 5+ years of claims data analysis experience can substitute for a degree
Experience in a health plan or managed care environment, focusing on claims, member, and provider data, decision support, or performance measurement, gained through internships, academic projects, or professional employment is welcomed
Experience analyzing commercial, Medicare, and/or Medicaid claims and/or claim billing and processing preferred
Experience working with big data, preferably in an enterprise data warehouse environment
Demonstrated ability to run queries using basic SQL commands Must demonstrate strong critical thinking, dependable execution, and adherence to issue resolution guidelines.
At least two years’ related experience required.

Nice To Haves

Current credentials or certification preferred.

Responsibilities

Serves as a primary reviewer of custom data set and report products prior to delivery to external and internal partners.
Leverages basic SQL skills to perform validation checks, compare output to established benchmarks, and other similar activities to support the integrity of the final output.
Follows guidance to understand issue resolution and implements needed adjustments for future work.
Understands and executes assigned functions and tasks, proactively requesting support as needed.
Works from instructions within established frameworks and team structures.
Performs project-level analyses and support larger analytic initiatives as assigned by the Quality Control Manager.
Prepares for and participates actively in internal meetings, and may attend external meetings as appropriate to support project work.
Listens, asks clarifying questions, and owns assigned tasks while delivering work products within established timelines.
Shares findings and insights clearly in both written and verbal communications.

Benefits

403b Retirement Plan
Medical, Dental, and Vision plans
Healthcare and Dependent Care Flexible Spending Account options
Paid life insurance
Short- and long-term disability coverage
9 paid holidays per year plus generous personal time off
Company-paid parking
On-site workout facility
Excellent work-life programs, such as flexible schedules, and work-from-home options
Employee wellness program
Internal professional development opportunities
Position may qualify for Public Service Loan Forgiveness Program.