Quality Improvement Analyst

WellCare - Portland, ME (30+ days ago)3.5


Coordinates complex assignments involving cross functional teams in the fulfilment of contract deliverables, regulatory and accreditation requirements with focus on data analytics and performance improvement. Models and promotes the core values of the Collaborative and Wellcare. Provides data analytics assistance to all levels within Quality Improvement at both a market and corporate level.

Department: Health Services
Reports To: Director Network Management
Location: Portland, ME
Level: L16

Essential Functions:
Defines analysis methodology and provides analytic support to QI staff.
Maintains databases and reports specific to QI functions and regualtory and accreditation requirements.
Collaborates with other teammates to deliver solid, effective solutions.
Provides data for select performance measures to regional offices.
Communicates with external data sources as needed to gather data necessary to measure identified outcomes.
Prepares ad hoc reports as needed for QI management.
Identifies, evaluates and implements new data-driven strategies and processes for the organization.
Develops tools and reports that lend valuable insights that capitalize on a combination of internal and external data.
Recommends enhancements to existing systems in accordance to business needs by creating ad hoc and standard reports as well as new information delivery technologies.
Acts as point of contact for business users providing both tool support and data expertise.
Develops and provides insights into streamlining analytic QI processes.
Assists in the HEDIS data collection process, analyzing trends, and identifying areas of improvement..
Prepares reports and quality improvement studies in an accurate,consise and timely fashion.
Coordinates centralized and market work plans and actions with team members assuring project timeliness and expectations are met.
Manages key project initiatives associated with delegated vendor functions, monitoring and summarizing vendor oversight project progress.
Participates in cross functional internal and external quality teams to improve overall organization performance.
Performs data collection, analysis, reporting and presentation of quality improvement activities.
Performs other duties as assigned. Additional Responsibilities: Candidate Education:
Required A Bachelor's Degree in Public Health, Epidemiology, Information Management or other related health field
Preferred A Master's Degree in a related field Candidate Experience:
Required 3 years of experience in data analytics via collecting, analyzing, and presenting data and recommendations to management Candidate Skills:
Intermediate Demonstrated written communication skills
Intermediate Demonstrated interpersonal/verbal communication skills
Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate Ability to multi-task
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Ability to implement process improvements
Intermediate Ability to work within tight timeframes and meet strict deadlines
Intermediate Demonstrated analytical skills
Intermediate Demonstrated problem solving skills
Intermediate Other Knowledge of quality improvement philosophy and techniques
Beginner Other Ability to utilize other data management systems to pull and analyze information to draw conclusions and recommendations Licenses and Certifications:

A license in one of the following is required:
Preferred Certified Professional in Healthcare Quality (CPHQ) Technical Skills:
Required Intermediate Microsoft Excel
Required Intermediate Microsoft PowerPoint
Required Intermediate Microsoft Outlook
Required Intermediate Microsoft Word
Preferred Beginner Microsoft Access
Preferred Beginner Statistical Analysis Systems (SAS) Languages: