Jobs · Quality Assurance · Florida

Quality Analyst, Value Based Care

Orlando Health · Orlando, FL · Yesterday
Quality AssuranceFull-time

Position Summary

About Orlando Health
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Responsibilities

  • Understand and maintain knowledge of HEDIS, CMS, and Value Based Care quality measures.
  • Produce quality metric reports and member-level datasets for providers.
  • Create monthly reports related to membership, utilization, patient outcomes, and other quality metrics.
  • Analyze and modify data to support decision making and process improvements.
  • Develop detailed member reports to support patient engagement strategies.
  • Navigate electronic health records (EHRs) and perform data queries.
  • Extract, validate, and analyze data from multiple systems.
  • Identify and resolve data discrepancies.
  • Support data quality improvement initiatives and ongoing data validation efforts.
  • Maintain performance trackers and reporting tools.
  • Monitor gaps in care and support action plans to improve performance.
  • Conduct chart audits, chart abstractions, and quality validations.
  • Collaborate with the ELLIE Healthy Planet team to ensure accurate data collection.
  • Test and refine workflows that support quality department operations.
  • Assist with special projects and quality improvement initiatives.
  • Create and present findings using PowerPoint and other reporting tools.
  • Participate in payer meetings regarding quality reporting needs.
  • Communicate findings and reporting results to various stakeholders.

Qualifications

  • High School Diploma or equivalent required.
  • No licensure/certification required.
  • Proficiency in Microsoft Office Products, with a basic to intermediate Microsoft Excel level.
  • Strong written and organizational skills.
  • Proficient with provider education and collaboration preferred.

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