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Senior Quality Data Analyst - Remote
EmblemHealth
- United States
- United States
À propos
Responsibilities
Analyze monthly rate reports and stratify data to identify statistically significant trends.
Evaluate effectiveness of complex quality improvement projects established for all Medicare and state-sponsored programs.
Create reports to track, monitor and report on provider and network-wide quality performance, including performance towards Medicare Stars and NYSDOH quality goals.
Perform exploratory and in-depth data analyses for assigned measure/population and develop complex predictive models utilizing independent variables and programming language.
Identify data improvement opportunities through review of HEDIS/QARR/Star reports and data outputs and detecting data acquisition, capture, and system error issues.
Provide analytical and technical support in the design, development and maintenance of quality improvement and wellness-based initiatives.
Work with various teams in Quality Management to develop needed tools to track, trend and directly impact measures results related to Quality Scores.
Perform regular rate/impact /trending analysis and recommend corrective actions to meet quality targets.
Maintain up-to-date knowledge and understanding of HEDIS/QARR/Star measure technical specifications.
Support quality specific interoperability efforts.
Support quality specific regulatory needs.
Qualifications
Bachelor's Degree in an analytical/quantitative field (healthcare management, finance, business, mathematics, engineering, applied stats/economics, or related).
Master's Degree (Preferred)
4 - 6+ years of relevant, professional work experience in an analytical role (Required)
2+ years of managed care/healthcare experience (Preferred)
Proficient in MS Office - Word, PowerPoint, Excel, Access (Required)
Advanced experience with relational database applications - SAS, R, SQL, or others (Required)
Experience with improving or automating processes using programming languages/software - Python, VBA, R, SAS, C++, etc. (Required)
Experience with and proficient in statistical software/programs - SAS, R, Stata, Minitab or others (Required)
Familiarity with Business Intelligence tools - Tableau, Power BI (Preferred)
Knowledge of HEDIS and Medicare Stars reporting processes (Preferred)
Strong communication skills - verbal, written, presentation, interpersonal (Required)
Additional Information
Requisition ID: 1000002938
Hiring Range: $68,040-$118,800
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Compétences linguistiques
- English
Avis aux utilisateurs
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