Quality Analyst III (Hedis Analytics) jobs in United States
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CareSource ยท 6 months ago

Quality Analyst III (Hedis Analytics)

CareSource is a healthcare management organization, and they are seeking a Quality Analyst III to analyze and interpret complex healthcare data. This role involves collaborating with cross-functional teams to provide analytical insights that inform strategies to improve quality performance.

Health CareMedicalNon Profit
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Generate comprehensive reports, graphics and dashboards that effectively summarize and display data for key stakeholders
Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques and provide management level summaries that explain key findings
Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations
Interpret and maintain understanding of technical specification and other quality reporting requirements and ensure any changes are implemented and communicated with key stakeholders timely
Interact and work collaboratively with business partners on analysis, reports and data patterns to identify trends
Gather, understand and refine requirements for analytics requests including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development and RFP requests
Collaborate with IT teams to enhance data collection and reporting systems
Perform any other job duties as assigned

Qualification

SQLSASHEDISDAXData analysisMicrosoft Office SuiteGraphic developmentProblem-solvingCritical thinkingCommunication skills

Required

Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
Minimum of three (3) years of experience in data analysis and/or analytic programming is required
Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required
3-5 years Programming experience (i.e., SQL, SAS) is required
Proficient in Programming language (i.e., two of SQL, SAS and/or DAX) is required
Intermediate proficiency level with Microsoft Office Suite
Complex problem-solving skills for solving multi-dimensional business questions
Critical thinking and active listening skills
Effective verbal and written communication skills
Ability to lead analytic efforts
Ability to serve as liaison with business partners
Knowledge of managed care and health care data coding
Ability to interface with IT teams, familiarity with MDS and advanced data architecture

Preferred

Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred
Programming in DAX/Power BI is preferred
Health care delivery, clinical experience and/or payer experience is preferred
Graphic development & presentation skills
Exposure to statistical concepts strongly preferred

Benefits

You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.

Company

CareSource

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CareSource provides managed care services to Medicaid beneficiaries.

H1B Sponsorship

CareSource 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
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)

Funding

Current Stage
Late Stage

Leadership Team

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Erhardt Preitauer
President & Chief Executive Officer
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Jason Bearden
Market President and CEO, Georgia
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Company data provided by crunchbase