Job Summary:
The Enterprise Quality Statistician leads, implements, and conducts analysis for quality and performance improvement and population health processes through the integration of quality improvement science and advanced statistical methodologies.
Essential Functions:
- Serve as the statistical expert for quality and performance evaluation, study designs, and analytical methodology
- Support the Senior Director, Quality Analytics to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes
- Gather internal data from various sources based on the needs of quality evaluation and improvement
- Support the Senior Director of Quality Analytics and market business owners in developing quality analysis plans and implementing analysis and statistical tests
- Design and apply statistical models to predict HEDIS rates and STAR rating for quality and performance decision-making
- Assist with quality and compliance reports by collecting relevant data, analyzing and interpreting results
- Use statistical techniques, graphics and data to summarize HEDIS analytical needs to measure impact of various actions/results
- Identify and evaluate quality-related evidence and publications in the literature to support market business owners’ population health and quality initiatives
- Assist in the development of focus studies using epidemiological methodology to target population for interventions
- Conduct assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes
- Collect and review internal and external epidemiological data of specific market to support RFP
- Design case-control, cohort and other epidemiological study to support quality improvement initiatives
- Communicate findings from exploratory and predictive data analysis based on projection methodology to administrative and business leaders; design/recommend means to display information visually in clear, creative and compelling format
- Perform any other job-related instructions, as requested
Education and Experience:
- Master's degree in statistics, public health, biostatistics or related field (e.g. health promotion, evaluation etc.) is required
- Minimum of five (5) years of relevant work experience in program evaluation is required
- Experience in epidemiological study design and statistical analysis is required
- Previous experience in SAS and SQL is required
- Previous HEDIS and health care quality management experience is preferred
- Experience in healthcare or managed care is preferred
Competencies, Knowledge and Skills:
- Proficient in Microsoft Word, Access and advanced proficiency in Excel is required
- Knowledge of a variety of quality improvement methodologies – Model for Improvement, Lean, Six Sigma
- Familiar with descriptive statistical application and techniques
- Knowledge of statistical modeling and testing
- Analytic skills for solving problems
- Knowledge of managed care and health care data coding is preferred
- Graphic development/presentation skills
- Critical listening, thinking skills, and verbal and written communication skills
- Problem solving skills
- Excellent writing skills
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 - $115,500.00CareSource 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):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Skills Required
- Master’s degree in statistics, public health, biostatistics, or a related field
- At least five years of relevant program evaluation experience
- Experience designing epidemiological studies and conducting statistical analysis
- Experience with SAS and SQL
- Proficiency in Microsoft Word and Microsoft Access
- Advanced proficiency in Microsoft Excel
- Knowledge of quality improvement methodologies, including Model for Improvement, Lean, or Six Sigma
- Knowledge of descriptive statistics, statistical modeling, and statistical testing
- Strong analytical, problem-solving, communication, writing, and presentation skills
- Experience with HEDIS and healthcare quality management
- Experience in healthcare or managed care
- Knowledge of managed care and healthcare data coding
CareSource Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CareSource and has not been reviewed or approved by CareSource.
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Strong & Reliable Incentives — Bonuses are regularly available and serve as a meaningful part of total compensation. Annual performance-based awards are considered a strong component.
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Leave & Time Off Breadth — PTO starts around four weeks and increases with tenure, complemented by paid holidays and a floating day. Volunteer time expands the available leave options.
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Affordable Benefits — Health plan options are considered affordable, supported by wellness incentives that can reduce premiums. Coverage breadth includes medical, dental, vision, and cost‑lowering programs.
CareSource Insights
What We Do
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问，您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈，请拨打您的会员 ID 卡上的会员服务电话号码
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