Quality Analyst III

About the role

The Quality Analyst III analyzes and interprets complex healthcare data, collaborating with cross-functional teams to provide analytical insight that informs strategy and interventions to drive improved quality performance.

Responsibilities

• Generate comprehensive reports, graphics, and dashboards that effectively summarize and display data for key stakeholders.
• Review reports and data for pattern identification, special cause variation, trend analysis, or other techniques and provide management-level summaries explaining key findings.
• Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices, visualizations, and table locations.
• Interpret and maintain understanding of technical specifications and other quality reporting requirements; ensure any changes are implemented and communicated to key stakeholders in a timely manner.
• Interact and work collaboratively with business partners on analysis, reports, and data patterns to identify trends.
• Gather, understand, and refine requirements for analytics requests, including but not limited to HEDIS, Population Health, Pharmacy Quality, Accreditation, Health Equity, business development, and RFP requests.
• Collaborate with IT teams to enhance data collection and reporting systems.
• Perform other job duties as assigned.

Requirements

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science, or related field—or equivalent work experience—is required.
• Master of Public Health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred.
• Minimum of three (3) years of experience in data analysis and/or analytic programming is required.
• Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required.
• 3-5 years of programming experience (e.g., SQL, SAS) is required; DAX/Power BI experience is preferred.
• Healthcare delivery, clinical experience, and/or payer experience is preferred.

Skills

• Intermediate proficiency with Microsoft Office Suite.
• Complex problem-solving skills for addressing multi-dimensional business questions.
• Proficient in at least two programming languages (SQL, SAS, and/or DAX).
• Managed Care Organization knowledge and familiarity.
• Graphic development and presentation skills.
• Exposure to statistical concepts strongly preferred.
• Critical thinking and active listening skills.
• Effective verbal and written communication skills.
• Ability to lead analytic efforts and serve as a liaison with business partners.
• Knowledge of managed care and healthcare data coding.
• Ability to interface with IT teams; familiarity with MDS and advanced data architecture.

Pay

$72,200.00 - $115,500.00 annually. Salary is determined by a combination of education, training, experience, the position’s scope and complexity, discretion and latitude required, and external/internal data.

In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on every employee’s total well-being.