Quality Research Analyst

This is a remote, work-from-home position. Sponsorship is not available for this role.

About the role

Support Population Health Management initiatives by collecting, validating, analyzing, and interpreting healthcare and operational data to drive improvements in member outcomes, quality performance, and organizational effectiveness. Leverage advanced analytics, reporting tools, and AI-enabled technologies to identify trends, monitor key performance indicators, and uncover opportunities for intervention and process improvement. Work closely with cross-functional stakeholders to develop reports, dashboards, and actionable insights that support evidence-based decision-making, program evaluation, and strategic population health initiatives.

Quality Improvement experience is required. Strong candidates will have experience in healthcare analytics, population health, quality measurement, performance improvement initiatives, data visualization tools, statistical analysis, and leveraging AI-driven analytics to support scalable and efficient research and reporting outcomes. Preferred candidates will also have experience supporting or working within regulatory and accreditation frameworks, including URAC, NCQA, EQRO, and CMS requirements, and a demonstrated ability to use data and quality methodologies to drive compliance, performance improvement, and operational excellence.

Responsibilities

• Coordinate and provide information to support quality improvement studies, initiatives, and accreditation reviews.
• Ensure that all projects and departmental activities meet applicable regulatory and/or accrediting requirements.
• Coordinate multidisciplinary workgroups and committees that address and monitor quality activities and identify noncompliance with standards.
• Coordinate and/or develop annual documents (work plan, program description, program evaluation).

Requirements

• Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment.
• 5 years of managed care experience, or experience with regulatory or accrediting body requirements (i.e., URAC, NCQA, EQRO, and CMS) and Quality Improvement experience.

Skills

• Demonstrated presentation and team facilitation skills.
• Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
• Excellent oral and written communication skills.
• Ability to manage multiple projects and priorities.