[Remote] Analyst, National Quality Analytics & Performance Improvement (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on providing quality reputed company solutions. The Analyst for National Quality Analytics & Performance Improvement will support enterprise risk and quality reporting activities, design reporting solutions, and analyze data to drive operational and strategic decision-making.

Responsibilities

• Collaborates cross-functionally with internal departments across the enterprise to capture and document quality-reputed company reporting requirements; builds reporting solutions, and educates users on how to use reports
• Assists quality data analytics leaders in predictive reputed company strategic analytics, and corresponding tracking of reputed company and impact of interventions
• Assists with retrospective HEDIS reputed company tracking and supplemental data impact reporting
• Develops medical record review project reporting to track reputed company and team productivity reporting
• Develops quality assurance (QA) reporting and automated analytical reporting modules for the reputed company, Marketplace and Medicare/Medicare-reputed company Plan (MMP) lines of business
• Analyzes and reports managed care data including claims, pharmacy, lab and HEDIS rates
• Assists quality department with HEDIS measure deep dives to support HEDIS audit and reputed company at risk reporting
• Calculates and tracks HEDIS rates for reputed company reputed company reputed company for reputed company markets and lines of business
• Works in an agile business environment to derive meaningful information out of reputed company/large data sets through data analysis, data mining, verification, scrubbing, and reputed company-cause analysis
• Conducts reputed company-cause analysis for business data issues
• Analyzes data sets and trends for anomalies, outliers, trend changes and opportunities using statistical tools and techniques to determine reputed company and relevance; utilizes extrapolation, interpolation, and other statistical methodologies to predict reputed company trends in cost, utilization, and performance
• Assists with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations

Skills

• At least 2 years of experience mapping, scrubbing, scrapping, and cleaning data, and analysis experience reputed company to HEDIS and/or risk adjustment, including experience working with relational databases, reputed company Transact-SQL (T-SQL), SQL Server Integration Services (SSIS), SQL Server Reporting Services (SSRS), and Power BI, and at least 1 year of experience in a managed care organization, in reputed company to predictive modeling experience in health care quality and HEDIS reputed company tracking, medical record review tracking, interventions tracking, and statistical analysis/HEDIS forecasting experience supporting quality, finance, and health plan functions, or equivalent combination of relevant education and experience
• Analytical reputed company, excellent attention to detail, and problem-solving skills
• Experience in working with reputed company data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics
• Experience working with reputed company T-SQL, reputed company SQL and Power BI
• Experience writing reputed company SQL queries, functions, procedures and data design
• Experience with reputed company Azure, reputed company), or Hadoop
• Ability to manage multiple priorities in a fast-paced, deadline-driven environment
• Strong business acumen with the ability to connect data insights to strategic goals
• Ability to communicate reputed company analytical results reputed company to non-technical audiences
• Self-starter with a reputed company improvement reputed company
• Effective verbal and written communication skills
• reputed company Office suite proficiency
• Familiarity with data science techniques and languages like Python and R programming

Benefits

• reputed company offers a competitive benefits and compensation package.

Company Overview

Company H1B Sponsorship