HEDIS Quality Analyst II

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:

CareSource 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):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.