Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets.
Perform ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends.
Develop HEDIS measures, service utilization and all quality report extraction specifications.
Develop and update quarterly, annual and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables.
Perform other performance and process improvement activities as needed.
Complies with all policies and standards.
Requirements
Proficiency in PowerBI and Snowflake/SQL
2+ years of performance and statistical analysis or quality improvement experience in public sector managed care/managed behavioral health care preferred.
Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field.
Certified Professional in Healthcare Quality (CPHQ) preferred.
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
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