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:
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Generate comprehensive reports, graphics and dashboards that effectively summarize and display data for key stakeholders
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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
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Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations
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Interpret and maintain understanding of technical specification and other quality reporting requirements and ensure any changes are implemented and communicated with key stakeholders timely
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Interact and work collaboratively with business partners on analysis, reports and data patterns to identify trends
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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
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Collaborate with IT teams to enhance data collection and reporting systems
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Perform any other job duties as assigned
Education and Experience:
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Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
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Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred
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Minimum of three (3) years of experience in data analysis and/or analytic programming is required
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Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required
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3-5 years Programming experience (i.e., SQL, SAS, Alteryx ) is required
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Programming in DAX/Power BI is preferred
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Health care delivery, clinical experience and/or payer experience is preferred.
Competencies, Knowledge, and Skills:
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Intermediate proficiency level with Microsoft Office Suite
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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
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Managed Care Organization knowledge and familiarity
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Graphic development & presentation skills
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Exposure to statistical concepts strongly preferred
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Critical thinking and active listening skills
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Effective verbal and written communication skills
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Ability to lead analytic efforts
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Ability to serve as liaison with business partners
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Knowledge of managed care and health care data coding
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Ability to interface with IT teams, familiarity with MDS and advanced data architecture
Licensure and Certification:
Working Conditions:
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General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$72,200.00 - $115,500.00
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):
Salary
Organization Level Competencies
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