Job Summary:
The Quality Analyst II 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 graphics that effectively describe, explore and summarize analyses for communication to appropriate parties
- Responsible for completing the analysis process to determine best course of action for each inquiry/problem
- 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
- Collaborate with team members on technical specifications and coding tactics
- Assist in quality dashboard development and reporting using Power BI and other visual data tools
- Gathers and understands requirements for analytic requests
- 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
- Minimum of two (2) year experience of HEDIS or similar quality healthcare performance metrics experience is required.
- 2 years Prior programming experience (i.e. SQL, SAS, Python or DAX) is required
- Health care delivery and/or payer experience is preferred
- Clinical experience is preferred
Competencies, Knowledge and Skills:
- Proficient with Microsoft Office Suite
- Proficient in minimum one of the programming skills (i.e., SAS, SQL, or DAX) required
- Analytic skills for solving multi-dimensional business questions
- Graphic development & presentation skills
- Exposure to statistical concepts preferred
- Critical listening & thinking skills
- Effective verbal and written communication skills
- Problem Solving skills
- Knowledge of managed care and health care data coding
- Ability to work with IT teams, familiarity with MDS and 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:
$61,500.00 - $98,400.00CareSource 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
Top Skills
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
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