Carina Health Network · 11 hours ago
Value Based Care Quality Analyst
United States
Full-time
Remote
Mid, Senior Level
$60K/yr - $85K/yr
3+ years expCarina Health Network is focused on improving community health across Colorado. The Quality Analyst will lead the analysis and dissemination of quality performance data to enhance health outcomes and support value-based care programs.
Government Administration
Responsibilities
Lead the development, validation, and ongoing reporting of quality measures across multiple value-based programs, such as MSSP, Medicare Advantage, Commercial, and Medicaid
Produce routine and ad hoc quality performance dashboards and reports for internal departments and network partners
Support eCQM, HEDIS, Stars, and other payer-specific quality measure reporting as applicable
Analyze clinical quality trends, disparities, and gaps in care at the network, site, provider and patient levels
Identify opportunities for clinical quality improvement and health equity advancement
Partner with clinical, operational, and quality improvement teams to translate data into actionable improvement strategies
Monitor the impact of quality improvement interventions and provide ongoing feedback to stakeholders
Serve as a subject matter expert on quality measure performance for partner organizations
Support the clinical workgroup, value-based care committee, and payer meetings with data analysis and interpretation
Support network strategy for quality performance under value-based and risk-based contracts
Assist in the development of quality targets, performance benchmarks, and incentive methodologies
Contribute to reporting, evaluations, and special projects related to quality and health equity
Stay current on changes to CMS and payer quality programs and measure specifications
Support audits
Participate in cross-functional initiatives supporting value-based care, population health, and network growth
Partner with Business Intelligence to design dashboards and scorecards (e.g., executive quality dashboards, payer program performance scorecards, health center quality scorecards, provider-level dashboards, gaps in care operational dashboards, health equity dashboards, clinical condition-specific dashboards, etc.) for both internal and external stakeholder use
Translate analytic results into clear narratives and actionable insights for diverse audiences, using plain language when presenting to non-technical stakeholders
Collaborate with internal teams, CHC leadership, payers, and technology partners to align analyses with strategic and operational needs
Support dissemination of findings through presentations, reports, publications, and conferences
Develop subject matter expertise in third party population health solutions to extract, analyze, and interpret quality data for value-based care initiatives
Participate in the planning and design of evaluation frameworks to ensure rigor and alignment with best practices
Support business development activities including product evaluations, demonstrations, and presentations
Share best practices and facilitate collaboration across Carina partner organizations
Attend relevant training, meetings, and conferences to stay current and support professional growth
Influence organizational strategy and annual goals by providing insights and recommendations based on data-driven observations
Qualification
Required
Bachelor's degree in Public Health, Health Administration, Healthcare Informatics, Biostatistics or related field of study
3–5+ years of experience in healthcare quality analysis, population health analytics, or value-based care analytics
Demonstrated experience working with clinical quality measures (eg, eCQMS, HEDIS, Stars, MSSP, UDS)
Strong analytic skills with the ability to translate complex data into clear, actionable insights
Strong proficiency in data analytics tools (SQL, Tableau, Power BI, Excel, R/Python)
Working knowledge of EHR data, claims data, and clinical data standards
Excellent communication and collaboration skills across clinical, operational, and financial teams
Strong organizational skills with the ability to manage multiple projects and meet deadlines
Flexible, independent, and self-motivated with high accountability
Ability to work remotely with periodic travel as needed
Preferred
Master's degree preferred
Experience with FQHCs or ACOs highly preferred
Benefits
Insured group health, dental, and vison plans (Employer covers 100% of the cost for dental and vision)
Medical and dependent care flexible spending account options
Employer contributions $900 annually towards a Health Reimbursement Employer (HRA) or Health Savings Account (HSA), depending on the health plan selected
401k retirement plan with up to a 4% employer contribution match
100% employer-paid life, AD&D, short-term, and long-term disability plans paid for employees
Free 24/7 access to confidential resources through an employee assistance program (EAP)
Voluntary benefit plans to complement health care coverage, including accident insurance, critical illness, and hospital indemnity coverage
17 days of paid vacation within one year of service
12 paid sick days accrued by one year of service
14 paid holidays (which includes two floating holidays)
One paid volunteer day
Employer-paid programs/courses for professional growth and development
Cell phone and internet reimbursement
Competitive salary and full benefits
Annual, all expenses paid staff retreat
Flexible work (remote or hybrid)
Supportive, mission-driven team
Opportunities to learn and grow
Company
Carina Health Network
Carina Health Network is a unified care network and trusted partner that delivers innovative solutions, advanced data infrastructure, and expert support to empower community healthcare organizations across Colorado.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase