Quality Analyst III

Job Summary:

The Quality Analyst III 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 comprehensive reports, graphics and dashboards that effectively summarize and display data for key stakeholders

- 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

- Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations

- Interpret and maintain understanding of technical specification and other quality reporting requirements and ensure any changes are implemented and communicated with key stakeholders timely

- Interact and work collaboratively with business partners on analysis, reports and data patterns to identify trends

- Gather, understand and refine requirements for analytics requests including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development and RFP requests

- Collaborate with IT teams to enhance data collection and reporting systems

- 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

- Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred

- Minimum of three (3) years of experience in data analysis and/or analytic programming is required

- Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required

- 3-5 years Programming experience (i.e., SQL, SAS) is required

- Programming in DAX/Power BI is preferred

- Health care delivery, clinical experience and/or payer experience is preferred.

Competencies, Knowledge, and Skills:

- Intermediate proficiency level with Microsoft Office Suite

- Complex problem-solving skills for solving multi-dimensional business questions Proficient in Programming language (i.e., two of SQL, SAS and/or DAX) is required

- Managed Care Organization knowledge and familiarity

- Graphic development & presentation skills

- Exposure to statistical concepts strongly preferred

- Critical thinking and active listening skills

- Effective verbal and written communication skills

- Ability to lead analytic efforts

- Ability to serve as liaison with business partners

- Knowledge of managed care and health care data coding

- Ability to interface with IT teams, familiarity with MDS and advanced 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:
$72,200.00 - $115,500.00
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):
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

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer