Arkos Health · 6 hours ago
Senior Data Analyst - Quality HEDIS
Arizona, United States
Full-time
Remote
Mid, Senior Level
4+ years exp
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Responsibilities
Analyze HEDIS and STAR data to identify trends, gaps, and opportunities for enhancing quality measures.
Ensure accuracy and completeness of data submissions, maintaining compliance with regulatory standards to support NCQA accreditation efforts.
Identify key HEDIS measures requiring attention and collaborate with clinical and operational teams to develop and implement targeted improvement plans that drive better quality outcomes and member satisfaction.
Conduct thorough data validation and prepare for annual HEDIS and STAR audits, ensuring data meets regulatory requirements and supports the organization’s quality objectives.
Utilize predictive analytics to forecast potential STAR rating outcomes and implement targeted interventions to achieve and sustain desired scores.
Design, build, and maintain interactive dashboards and reports using tools like Tableau, Salesforce, or similar platforms, providing real-time insights to stakeholders across the organization.
Recommend and implement best practices for data management and reporting.
Participate in the design, development, and maintenance of data pipelines, ETL processes, and analytical solutions, ensuring scalability and reliability of data infrastructure.
Engage in hands-on development activities, including coding, scripting, and system configuration, to implement data solutions, develop custom applications, and address technical issues effectively.
Qualification
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Required
Bachelor’s degree in Healthcare Administration, Public Health, Statistics, Data Science, Computer Science, Information Technology, or a related field
Comprehensive understanding of HEDIS and STAR quality measures, NCQA accreditation requirements, and healthcare quality improvement practices
Proven expertise, with at least 4 years of hands-on experience in healthcare data analytics, including Tableau visualization and report building with the integration of in cloud technology and Salesforce reporting/dashboarding or native and CRMA functions
Expertise in SQL, Python, or other relevant programming languages, demonstrating the ability to design and develop complex data solutions
At least 4 years of experience working with claims, member, provider, and prescription data aspects of healthcare data
Ability to multi-task, shifting back and forth effectively between two or more activities or sources of information
Must reside and be fully authorized to work in the US
Preferred
Advanced degree
6 years+ of hands-on experience in healthcare data analytics
Benefits
Employer-paid Medical Insurance premiums at no cost to you
Employer Paid Dental Insurance premiums at no cost to you
Employer-paid Vision Insurance premiums at no cost to you
Employer-paid Short-term disability premiums at no cost to you
Employer-paid life insurance premiums at no cost to you
Employer matching 401(k)
15 days annual combined sick/vacation in your first year and 8 paid holidays
Your Birthday off!
Company
Arkos Health
Arkos Health aligns various points of care to connect and transform the current healthcare system through Technology, People and Processes
501-1,000 employees
Funding
Current Stage
Late StageLeadership Team
Aaron Duerksen
Executive Vice President
Recent News
Grand Forks Herald
2023-12-27
Company data provided by crunchbase
