Quality Improvement Analyst
About The Position
The Quality Improvement Analyst performs ongoing measurement, analysis, and monitoring of business process and member outcomes data sets. This is a remote position, with a schedule aligned to CST or EST. The ideal candidate has experience developing documents that clearly communicate data trends and recommendations, and has a Six Sigma White Belt certification or is willing to obtain one within 90 days of hire. The role performs quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends. It also develops extraction specifications and prepares quarterly, annual, and ad hoc reports with analysis and narrative for NCQA accreditation and Health Plan deliverables. Other performance and process improvement activities and duties may be assigned. The employee must comply with all policies and standards.
Requirements
- Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or a related field.
- At least 2 years of performance and statistical analysis or quality improvement experience.
- Six Sigma White Belt certification, or willingness to obtain it within 90 days of hire.
- Experience developing documents that clearly communicate data trends and recommendations.
Nice To Haves
- Experience in public sector managed care or managed behavioral health care.
- Experience with standard statistics software.
- Certified Professional in Healthcare Quality (CPHQ).
Responsibilities
- Perform ongoing quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends.
- Develop extraction specifications for HEDIS measures, service utilization, and quality reports.
- Develop and update quarterly, annual, and ad hoc reports, including analysis and narrative for NCQA accreditation and Health Plan deliverables.
- Perform other performance and process improvement activities as needed.
- Perform other duties as assigned.
- Comply with all policies and standards.
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
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What This Job Offers
Job Type
Full-time
