Quality Analyst

📋 Description

• Evaluate program performance data, focusing on cost, utilization, risk adjustment, medical claims, and quality metrics.

• Utilize SQL and Python to query and handle extensive healthcare datasets to uncover trends, anomalies, and opportunities for improvement.

• Create dashboards, reports, and scorecards using tools such as Tableau, Power BI, or Excel to relay performance information to both internal and external stakeholders.

• Perform root-cause analyses and assess the ROI of initiatives designed to bridge gaps and enhance outcomes.

• Assist in designing, tracking, and evaluating initiatives that align with performance programs aimed at quality enhancement and cost management.

• Convert regulatory and contractual requirements into data queries and programmatic outputs.

• Predict performance and track key performance indicators (KPIs) within value-based contracts.

• Keep abreast of the latest advancements in quality measurement methodologies and value-based care frameworks.

• Collaborate with various departments, including Population Health, Quality, Clinical Programs, Finance, and IT, to synchronize strategies and ensure consistency across data sources and reporting.

• Act as a vital translator between technical findings and operational strategy, ensuring insights are practical for both clinical and non-technical audiences.

• Maintain data quality by validating and standardizing reporting sources.

• Contribute to the improvement of analytics methodologies and reporting frameworks.

• Remain informed about best practices in healthcare analytics and regulatory developments.

⛳️ Requirements

• A bachelor's degree in public health, Healthcare Administration, Statistics, Business, or a related discipline.

• At least 3 years of experience in healthcare analytics, population health, managed care, or program evaluation roles.

• Proficient data analysis skills using SQL, Excel, Tableau, Power BI, Databricks, or other business intelligence tools.

• Experience in transforming complex datasets into actionable insights and strategic recommendations.

• Capability to excel in a fast-paced, cross-functional environment.

• Knowledge of healthcare delivery systems, provider networks, and quality improvement principles.

🏝️ Benefits

• The national target pay range for this position is $80,000 - $95,000 annually.

• This position offers a **remote** work structure, requiring daily work from home.

• Work hours are Monday through Friday, during standard business hours (PST).

• An Equal Employment Opportunity and Affirmative Action employer, we do not discriminate based on race, religion, color, national origin, gender, etc.

• Assistance is provided for applying to open positions for individuals with disabilities.