Job Details

1. Research and Analysis:
   
   
   • Analyze data for the purpose of identifying opportunities to improve the quality and cost of health care.
   • Extract data from electronic medical records, claims, HMSA Data Warehouse and other available sources.
   • Apply data analysis methods to identify trends and root causes and make recommendations based on results.
   • Apply understanding of standard quality measures (e.g., HEDIS, CAHPS, HOS) to identify additional strategic improvement levers (e.g., supplemental data, benefits alignment) that may impact quality outcomes.
   • Complete procedural documentation that supports each analysis performed.
   
   
2. Application and Data Administration:
   • Responsible for integration, maintenance and support of specific internal applications related to health care quality improvement, data administration and analysis.
   • Work in conjunction with Information Systems resources to successfully submit quality measure data to regulatory agencies (e.g., NCQA, CMS, Med-QUEST) within required parameters.
   • Ensure that quality measure data is complete and accurate by implementing effective controls and validation activities.
   • Develop project plans for implementation to lead and coordinate problem tracking, resolution and verification testing as needed.
   • Analyze existing applications and/or design to complete data analyses and reporting required to meet goals.
   
   
3. Reports and Presentations:
   • Translate data into actionable information using tables, graphs, charts, written reports and presentations.
   • Design and implement reports to provide internal and external stakeholders with actionable data that supports operational improvements.
   • Develop and document reporting tools to support, track, analyze and evaluate quality improvement activities.
   • Ensure reports and presentations are accurate, concise, clearly stated and appropriate for internal and external audiences and all levels of staff.
   
   
4. Project Management:
   • Work with cross-departmental teams to deliver projects.
   • Collaborate with other staff and management to complete assigned duties and objectives, facilitate communication, and resolve problems and issues quickly and positively.
   • Clearly and concisely communicate project objectives, tasks, status and results.
   
   
   
   
5. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid