Job Description

:

• Research and Analysis:

• Analyze data for the purpose of identifying opportunities to improve the quality and cost of health care.
• Extract data from electronic medical records, claims, HMSA Data Warehouse and other available sources.
• Apply data analysis methods to identify trends and root causes and make recommendations based on results.
• Apply understanding of standard quality measures (e.g., HEDIS, CAHPS, HOS) to identify additional strategic improvement levers (e.g., supplemental data, benefits alignment) that may impact quality outcomes.
• Complete procedural documentation that supports each analysis performed.
• Application and Data Administration:

• Responsible for integration, maintenance and support of specific internal applications related to health care quality improvement, data administration and analysis.
• Work in conjunction with Information Systems resources to successfully submit quality measure data to regulatory agencies (e.g., NCQA, CMS, Med-QUEST) within required parameters.
• Ensure that quality measure data is complete and accurate by implementing effective controls and validation activities.
• Develop project plans for implementation to lead and coordinate problem tracking, resolution and verification testing as needed.
• Analyze existing applications and/or design to complete data analyses and reporting required to meet goals.
• Reports and Presentations:

• Translate data into actionable information using tables, graphs, charts, written reports and presentations.
• Design and implement reports to provide internal and external stakeholders with actionable data that supports operational improvements.
• Develop and document reporting tools to support, track, analyze and evaluate quality improvement activities.
• Ensure reports and presentations are accurate, concise, clearly stated and appropriate for internal and external audiences and all levels of staff.
• Project Management:

• Work with cross-departmental teams to deliver projects.
• Collaborate with other staff and management to complete assigned duties and objectives, facilitate communication, and resolve problems and issues quickly and positively.
• Clearly and concisely communicate project objectives, tasks, status and results.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.

Requirements:

• Bachelor's degree and three years of related work experience; or an equivalent combination of education and related work experience.
• Effective verbal & written communications skills.
• Strong presentation skills.
• Proficiency in issues identification, data collection, analysis and interpretation.
• Effective project management skills
• Good working knowledge Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point.

Skills Required