Quality & HEDIS Data Analyst

Location: Phoenix, AZ
Date Posted: 12-31-2018
Quality Improvement & HEDIS ® Analyst – Managed Care
Phoenix, AZ
Quality & HEDIS Analyst Job Summary: 
  • The Data Analyst’s main focus will be providing analytical expertise to the HEDIS/STAR Programs and supplemental data submission process.
  • Responsible for identifying and quantifying key drivers, investigating areas of opportunity, evaluating effectiveness and making recommendations.
  • Designs and produces timely and meaningful analysis and data interpretation on large healthcare datasets, related to:
    • HEDIS all lines of business
    • Medicare STAR Program
    • Health Risk Assessments
    • Behavioral Health study
    • Coordination of Care study
    • Performance Improvement Projects as needed
  • Collaborates with Quality Management Team to advance specific programs (such as QIP/PIP), programs issued by state agencies (such as DHCS or HSAG) and other associated company initiatives.
  • Utilizes software programs such as SAS, SQL, Excel and/or other business intelligence tools to extract needed data. Writes original code and modifies existing code, as needed, to execute projects to specifications, and assists in the development of these.
  • Interprets data accurately and produces clear and comprehensive written analyses, graphics, tables, etc. for diverse internal and external audiences.
  • Plans, organizes, and prioritizes assigned projects, creating and managing work plans that reflect the tasks, timeframes, and processes required to successfully complete each.
  • Supports data collection, qualitative and quantitative analysis and transformation into information that can be reported to committees to identify opportunities for improvement
  • Supports QI Workgroup activities and special projects as needed.

Quality & HEDIS Analyst Background:   
  • 2-3 years of experience managing healthcare analytics-based data sets in a hospital or insurance plan environment.
  • Must be able to work independently; providing management with status updates and dashboards pertinent to HEDIS/STARs and Quality Management Programs.
  • Ability to present comprehensive analytic results orally and in writing to medical offices, plans, and providers incorporating descriptions of measures, relevant data, and other background material to provide context for the results.
  • Requires intermediate skills using data analysis software (i.e., SAS, SPSS, SQL, Python, R, etc.)
  • Prefers advanced skills using data analysis software and health care analytical tools such as Verisk, Crimson Pop Health, Deerwalk, or similar tools.
  • Experience with Microsoft Word and other MS Office applications.
  • Detail oriented, advanced computer skills with experience in Database management, Access, Excel, (Pivot tables, V lookup, H lookup, conditional formatting).
  • Experience with working data visualization tools such Qlik, SSAS, Tableau is a plus.
  • Public speaking and group presentation skills required.
  • Travel to provider offices within the area / business market is required (up to 25%).
  • Self-starter, resourceful and able to execute projects in a fluid and fast paced environment.
  • Able to independently scope the data need, tools and analytics to solve business questions as defined, and make recommendations
® “HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).”

443.552.7423 (CALL – TEXT – FAX)
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