State of Tennessee ยท 9 hours ago
QUALITY IMPROVEMENT DATA ANALYST - 74145
The State of Tennessee is dedicated to improving the quality of healthcare for its members through the Division of TennCare. The Quality Improvement Data Analyst will be responsible for leading data analysis projects, developing dashboards, and providing insights to improve clinical quality and health outcomes.
AgricultureChildrenEducationGovernmentHealth Care
Responsibilities
Design and develop data analysis projects to provide insight into policies and clinical focus areas for data-informed decision making:
Utilize knowledge of claims data to help CMO teams refine data queries and develop strong analytics to guide policy and operational decision making
Provide data expertise in partnership with Data Analytics and CMO leadership to design dashboards and data visualizations for ongoing business accountability and data-informed decision making
Create presentation-ready deliverables for internal and external stakeholders
Use TennCare data expertise to explore and identify emerging areas for clinical focus and quality improvement
Support CMO leadership analysis of data outputs
Continue to develop data analytics skills, including data visualization and data analysis software
Utilize data and analytic tools to meet quality reporting requirements and provide insights for clinical quality improvement:
Query, collect, prepare and safeguard data
Produce key deliverables to satisfy Center for Medicare and Medicaid Services (CMS), legislative, and other ad-hoc requests for data and information
Provide analytics expertise to review and summarize complex reports
Evaluate quality measures at the individual provider or aggregate level using relevant information, National Committee of Quality Assurance (NCQA) and CMS specifications
Design and complete complex cost and outcome projections for various programs
Perform quality checks of data and reports provided by Managed Care Organizations (MCO) and collaborate with the MCOs, as needed, for timely report completion
Partner with CMO teams to develop data analytics projects and dashboards
Train business users to understand and utilize final analytic deliverables
Assist the Member Medical Appeals team to develop dashboards showing key performance metrics
Identify emerging trends for targeted process improvement initiatives
Partner with the Dental team to complete data analysis requests, including calculation of metrics from the Dental Quality Association (DQA) and NCQA
Support ongoing ad hoc analytics requested by CMO teams on various initiatives, including maternal health, value-based payment, health related social needs, and behavioral health
Qualification
Required
A master's degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy and 2+ years full time professional work developing research methodology and/or directing statistical research
A bachelor's degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy and 5+ years full-time professional work developing research methodology and/or directing statistical research
Preferred
2+ years of statistical and analytical experience
Strong coding experience in statistical software applications such as Snowflake, SAS, R, and Python
Strong computer skills including mastery of Microsoft (Excel, Access, Word, and PowerPoint)
Strong, clear, and concise oral and written communication skills
Strong organizational skills, including the ability to prioritize, multi-task, and manage workload to meet specific timeframes and deadlines
Experience in Tableau or Power BI
Experience in healthcare field, specifically healthcare data analytics and/or with quality measurement
Experience in survey development and analysis
Company
State of Tennessee
State government is the largest employer in Tennessee, with approximately 43,500 employees in the three branches of government.
H1B Sponsorship
State of Tennessee has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2020 (1)
Funding
Current Stage
Late StageRecent News
The Philadelphia Inquirer
2025-06-21
EIN Presswire
2025-05-01
Nashville Business Journal
2025-03-19
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