Job description
- Under the supervision of the Manager, Quality Analytics, Measurement and Reporting, the Quality Analytics Analyst:
- Assesses enterprise wide corporate NCQA reporting readiness
- Maintains up-to-date knowledge and understanding of all Standards within the NCQA Health Plan accreditation survey set.
- Responsible for consulting with clients on business and NCQA needs, translating needs into actionable intelligence and/or report development. Helps internal customers anticipate analytic needs to support strategic goals
- Collaborates with key functional areas and leadership to ensure any gaps in processes or data are closed speedily and comprehensively
- Ensures a continuous state of report readiness for ongoing accreditation surveys
- Partners with relevant software vendors to close gaps embedded in internal systems
- Collaborate with other CCA departments, including but not limited to the Information Technology and Business Intelligence departments, to establish prioritization for execution of deliverables and quality analytics reporting solutions enhancements
- Maintains a thorough knowledge of CCA's databases to provide feedback to Business Intelligence (BI) and Information Technology (IT) to resolve data integration issues, and support Quality's NCQA, and other, reporting requirements.
- Supports other Quality Programs data needed as requested
- Provides assistance for HEDIS implementation and reporting, as needed.
Education Required:
- BA/BS in Health Analytics, Public Health, Health Care Administration, Health Economics, or a related field with strong emphasis in data analysis.
- A minimum of 3-5 years of relevant experience in reporting and analyzing quality improvement measures in a health plan.
- Experience executing in a fast-paced environment with tight deadlines.
- Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau.
- Ability to develop, interpret and explain analytics needed by the business for decision making
- Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve quality
- Strong ability to generate information that is easily understood and actionable by customers in alignment with clearly defined analytic/reporting requirements
- Possess excellent communication skills and ability to effectively interact with all levels of management
- Knowledge of health plan operations and data sources.
- Ability to organize, plan and prioritize assignments within multiple projects.
- Ability to work with minimal direction and flexibility when rapid or extensive changes are needed
- Knowledge of NCQA and CMS measurement requirements and quality rating systems, preferred.
- English
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