Quality Data Analyst

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Conducts data analysis, reporting, and interpretation of all Quality operational (non-regulatory) reporting, including but not limited to, MA Stars, HIV SNP QI, MLTC QIP, and PIPs.
• Provides analytical insight for Quality Incentive measures, HEDIS measures, and Quality Improvement initiatives.
• Conducts predictive modeling of internal benchmarks for MLTC QIP and collaborates with Data Science to predict & model internal benchmarks for MA Stars and HIV SNP QI.
• Monitors internal performance against the regulatory benchmarks through analysis.
• Identifies, develops, manages, and monitors quality improvement initiatives.
• Collaborates with Education staff to identify opportunities for improvement in training of assessors and care managers, based on analysis of performance trends.
• Researches and identifies technical/operational problems surrounding the quality incentive programs' systems and applications; communicates and refers complex and unresolved problems to management, Business Intelligence & Analytics (BIA), and/or IT.
• Conducts ad hoc analyses to help identify operational gaps in care; drafts presentations, reports, publications, etc. regarding results of analyses of quality improvement initiatives.
• Communicates results of data analysis to non-technical audiences.
• Produces data cubes and analytics dashboards in MicroStrategy to monitor Quality and larger MSO operations.
• Develops data quality specifications and designs. Coordinates and supports integrated data systems for analyzing validating information.
• Identifies and makes recommendations for reporting re-designs and platforms for reporting (e.g. automating a manual Excel file using macros, developing a MicroStrategy dashboard to replace manually updated Excel dashboards, moving data storage from Excel to Access, etc.), as needed. Trains staff on use of new/updated systems and related topics.
• Assists Quality Management team with structure, framing, and updates to database and department reports. Conducts operations review and analysis of processes and procedures, issues report of findings and implements approved changes as required.
• Retrieves, compiles, reviews and ensures accuracy of data from databases; researches and corrects discrepancies, as needed. Analyzes data from internal and external sources. Identifies and resolves data quality issues before reports are generated. Works with staff to correct data entry errors.
• Analyzes data, identifies trends, reoccurring problems, statistically significant findings and prepares reports/summaries for management review.
• Acts as a liaison between Quality Management, VNS Health Plans Clinical Operations, and BIA.
• Reviews and identifies trends and variances in data and reports. Researches findings and determines appropriateness of elevating identified issues to leadership for further review/evaluation/action.
• Analyzes and corrects error reports to ensure timely and accurate data; develops corrective actions to prevent errors where possible.
• Prepares detail and summary level reports including written interpretation of analytic results.
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in Bio/Statistics, Mathematics, Public Health, Epidemiology, Healthcare Informatics or related field with equivalent knowledge required
• Master's Degree in Bio/Statistics, Mathematics, Public Health, Epidemiology, Healthcare Informatics or related field with equivalent knowledge preferred

Work Experience:

• Minimum of two years' experience performing data analysis and interpretation, preferably in a managed care or health care setting required
• Experience with data extraction and manipulation required
• Proficiency in SQL, SAS, Excel required, Access experience preferred
• Access experience preferred
• Experience with claims data and health plan quality metrics (e.g., HEDIS, QARR) preferred
• Proficiency conducting statistical analysis with R, SAS, or Python preferred
• Proficiency creating data visualizations and dashboards using MicroStrategy, Tableau, PowerBI or other visualization software preferred
• Advanced personal computer skills, including Microsoft Word, PowerPoint, Excel, and Access required
• Effective oral, written communication and interpersonal skills required
• Ability to multi task in a fast-paced environment required