JOB TITLE: Health Care Quality Data Analyst
POSITION SUMMARY: This position supports the design, development, implementation, and coordination of complex data compilation and analyses that promote and support population health management initiatives, the goals of which are to improve the health of the population and lower costs of care. The ideal candidate identifies and helps to secure needed data and develops innovative analyses through understanding of the care delivery model and the business need for information. The ideal candidate designs, builds and implements data structures and analytical systems so they serve complex reporting requirements. The ideal candidate prepares effective analytical results in reports, presentations, abstracts, graphs or summaries for nontechnical users to gain the business intelligence needed to promote effectiveness.
RESPONSIBILITIES: Serve as a subject matter expert on HEDIS/QARR quality management programs Responsible for the monthly reporting and tracking of HEDIS/QARR results to management. Provide analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS/QARR, internal and external reporting. Extract, load, model, and reconcile large amounts of data across multiple system platforms and/or sources.
Review data to identify operational impacts and recommended actions; elevate issues, trends, areas for improvement and opportunities to management. Develop reports and deliverable and make recommendations to management Model data using MS Excel, Access, SQL, and/or other data warehouse analytical tools Perform detailed data quality audits and analysis on assigned projects, recommend potential business solutions and assist with implementation Assist in developing, implementing and helping deploy performance dashboards. Identify ways to enhance performance management and operational reports related to new business implementation and process initiative improvement processes
QUALIFICATIONS: Four years of statistical analysis or data analysis experience in healthcare industry Prior HEDIS/QARR experience. Bachelor’s degree in a related field or equivalent experience Knowledge of e-Clinical Works (eCW) and Cognos
SALARY: Commensurate with experience