HEDIS Quality Analyst III

Job Summary:

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

Essential Functions:

• 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

Education and Experience:

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
• Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred
• 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  
• Programming in DAX/Power BI is preferred
• Health care delivery, clinical experience and/or payer experience is preferred.

Competencies, Knowledge, and Skills:

• 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
• 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
• Knowledge of managed care and health care data coding
• Ability to interface with IT teams, familiarity with MDS and advanced data architecture

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. 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.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business