HEDIS Quality Analyst II

Job Summary:

The Quality Analyst II is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance.

Essential Functions:

• Generate graphics that effectively describe, explore and summarize analyses for communication to appropriate parties
• Responsible for completing the analysis process to determine best course of action for each inquiry/problem
• 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
• Collaborate with team members on technical specifications and coding tactics
• Assist in quality dashboard development and reporting using Power BI and other visual data tools
• Gathers and understands requirements for analytic requests
• Perform any other job duties as assigned

Education and Experience:

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required
• Minimum of two (2) year experience of HEDIS or similar quality healthcare performance metrics experience is required.
•  2 years Prior programming experience (i.e. SQL, SAS, Python or DAX) is required
• Health care delivery and/or payer experience is preferred
• Clinical experience is preferred

Competencies, Knowledge and Skills:

• Proficient with Microsoft Office Suite
• Proficient in minimum one of the programming skills (i.e., SAS, SQL, or DAX) required
• Analytic skills for solving multi-dimensional business questions
• Graphic development & presentation skills
• Exposure to statistical concepts preferred
• Critical listening & thinking skills
• Effective verbal and written communication skills
• Problem Solving skills
• Knowledge of managed care and health care data coding
• Ability to work with IT teams, familiarity with MDS and data architecture

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business