34 applicants

Company

Impresiv Health · 12 hours ago

Quality Measurement Analyst

Santa Barbara, CA

Contract

Remote

Mid Level

$33/hr - $36/hr

3+ years exp

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Responsibilities

Provide dedicated analytical support within the Quality Department, including but not limited to, the design and creation of SQL data extract queries to identify healthcare disparities and monitor effectiveness of interventions to maximize quality of care and delivery of service

Support the design, configuration, and maintenance of quality measurement tools including population health management dashboards to ensure effective oversight of the Quality Improvement and Health Equity Transformation Program, Quality Improvement System, and pay-for-performance programs

Configuration and thorough validation of data files necessary to execute HEDIS, Gaps in Care, and pay-for-performance program reporting

Assist in the development and implementation of solutions to meet ongoing strategic objectives

Support vendor software system updates as needed in collaboration with Sr. Quality Measurement Specialist to ensure to routine quality measurement of required quality of care indicators

Assist Population Health and Clinical Quality teams with measurement of quality improvement priorities (e.g., Performance Improvement Projects) and population health initiatives and advance health equity

Development, editing and analysis of reports through Cognos

Collection of primary source data to conduct data validation to assure the accuracy and reliability HEDIS, Gaps in Care, and Pay for Performance program reporting

Participate in audits, audit readiness preparation, and related activities

Serve on various staff committees, teams and workgroups as appropriate

Other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

SQL programmingCognosData validationHealthcare analyticsHEDIS abstractionMicrosoft ExcelMedical records familiarityManaged care operationsClaims researchNCQA HEDIS knowledgeMedicare/Medicaid knowledgeProfessional certification

Required

Bachelor's Degree in a job-related field

3 years' experience in a health plan setting, or a combination of academic, professional or work experience that demonstrates ability to perform duties of position

SQL programming proficiency

Familiarity with business intelligence systems, e.g., Cognos

Significant analytical skills and experience analyzing utilization data

Strong team-oriented ability to connect with department staff, and establish and maintain positive professional working relationships within and outside health plan

Proficiency in SQL programming and in complex analysis using Microsoft Excel

Ability to evaluate data, identify trends, variances, relational dependencies, establish facts and draw valid conclusions, and inform the strategic direction of improvement initiatives

Familiarity with medical records, including collection of data from various EMR systems

Ability to perform claims research, conduct data validation and other data reporting activities as needed

Ability to perform effectively under pressure and maintain focus on daily responsibilities for long-term projects

Ability to establish and nurture positive professional working relationships with customers

Ability to contribute to building a strong team dynamic

Effective oral and written communication and presentation skills

Understanding how to measure and monitor key performance indicators associated with managed care operations

Ability to perform HEDIS medical record abstraction in circumstances when collaboration will relieve department workload and achieve strategic objectives