Senior Analyst, Quality Data

Community Care Cooperative-posted about 2 months ago

Full-time • Mid Level

Hybrid • Boston, MA

51-100 employees

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The Senior Quality Data Analyst is a key member of the analytics team working directly with the Director of Analytics, Director of Quality, and Senior Manager of Quality Programs. This role supports the organization's mission by providing critical analytical and technical expertise to the Quality and Health Equity Programs. The Analyst collaborates across internal departments and with external partners, especially Federally Qualified Health Centers (FQHCs) to manage Health Equity program analytics, population health reporting, and data-driven decision-making. The Analyst must be able to independently analyze complex healthcare data, draw meaningful conclusions, and communicate findings effectively to senior leadership. A customer-service mindset and a collaborative approach are essential for success in this role.

Monitor and analyze performance on quality and health equity measures that impact shared savings, incentive payments, and compliance under the Medicaid, Medicare, and Commercial value-based contracts
Generate clear, actionable reports, dashboards, and insights to support clinical, operational, and strategic decision-making across internal teams and FQHC partners
Translate analytical findings into strategic insights that inform interventions and drive improved outcomes and financial performance for ACO leadership and FQHCs
Query and analyze large data sets to generate clear, concise reports and dashboards for both routine and ad hoc needs, supporting internal and external stakeholders
Ensure accuracy, completeness, and integrity of data used for quality reporting, regulatory submission, and performance monitoring
Lead data validation, preparation, and process improvement efforts to ensure consistency and reliability across reporting processes
Partner with Quality and Clinical teams, serving as a strategic partner in cross-departmental workgroups and planning sessions to ensure alignment on data use, shared goals, and coordinated efforts
Collaborate with IT to improve the capture and completeness of demographic and SDOH data
Support reporting efforts related to CMS, Medicaid, and health plan reporting requirements related to quality and health equity performance

Experience working with healthcare quality and health equity metrics (e.g., HEDIS, eCQMs, MSSP, and other state Medicaid programs)
Experience querying and manipulating large data sets using computational tools; SQL or similar language required; experience in other tools like SAS, R, or Python is a plus
Skilled in extracting actionable insights from complex, unstructured data sets to support strategic business objectives
Strong communication skills with the ability to present complex information clearly to both technical and non-technical audiences
Proficiency in Excel required; experience with data visualization tools such as Tableau, Power BI, or Qlik-or willingness to learn-is essential
Demonstrated ability to work independently, manage competing priorities, and maintain attention to detail in a fast-paced environment
Commitment to accuracy, integrity, and high-quality deliverables
Experienced with developing models that achieve objectives with minimum required complexity
Bachelor's degree required; advanced degree in business, economics, statistics, public health, or related fields strongly preferred
Four or more years of practical experience in healthcare or analytics with at least two years focused on healthcare data

Experience working with medical claims and payment methodologies including MassHealth data (or other Medicaid and Medicare data sets)
Familiarity with other healthcare quality measurement frameworks
Demonstrated understanding of value-based care models, managed care contracting, or financial modeling
Ability to design, execute, and summarize clinical and population health analyses that identify actionable insights for Quality teams
Experience supporting or partnering with Federally Qualified Health Centers (FQHCs)
Experience with anti-racism activities, and/or lived experience with racism is highly preferred

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