Quality Analyst

Analyze interpret and present quality data including outcomes and trends to internal teams committees and community groups.

Ensure data accuracy and integrity through validation and quality control processes.

Maintain and update Tableau dashboardsin accordance withreporting cadences; communicate key findings to the Quality Department.

Conduct REALD/SOGI analyses toidentifydisparities and support targeted improvement strategies.

Perform evaluations of priority measures in alignment with established workplans and organizational goals.

Support the development and implementation of standardized evaluation frameworks methodologies and documentation practices.

Lead data analysis and reporting for Performance Improvement Projects (PIPs) including outcome measurement monitoring and statewide reporting requirements.

Develop andmaintainStandard Operating Procedures (SOPs) related to quality measurement and reporting to ensure consistency and compliance.

Analyze performance trends and monitoring measures to assess progress toward targets and identify opportunities for improvement.

SupportNationalCommittee for Quality Assurance (NCQA) activities including data analysis reporting and readiness efforts in collaboration with internal stakeholders.

Contribute to Quality Assessment & Performance Improvement (QAPI) initiatives by collecting analyzing and reporting data to ensure compliance with quality standards and continuous improvement efforts.

Assistin the annual QAPI evaluation including updates to program documentation and workplans.

Conduct ad hoc analyses to support population health initiatives and organizational quality improvement priorities.

Participate in cross-functional meetings and committees; prepare materials present data and document key updates asrequired

Bachelors degree in public health Health Administration Epidemiology Data Analytics or related field; or equivalent combination of education and experience.

24 years of experience in healthcare analytics quality improvement or program evaluation.

Experience developing evaluation plans defining outcome measures and assessing program effectiveness.

Experience working with healthcare data sources including claims data electronic health records (EHR) or care management systems.

Experience analyzing healthcare dataidentifyingtrends and translating findings into actionable insights.

Experience developing dashboards and data visualizations using Tableau or similar tools.

Knowledge of healthcare quality measurement performance metrics and quality improvement principles.

Experience supporting quality initiatives such as Performance Improvement Projects (PIPs) Quality Assessment & Performance Improvement (QAPI) or accreditation/reporting requirements (e.g. NCQA).

Strong technical writing skills with the ability to develop clear concise reports and documentation for varied audiences.

Strong verbal communication skills with the ability to present complex data effectively.

Ability to manage multiple priorities and work independently and collaboratively in a cross-functional environment.

Proficiencyin Microsoft Office Suite.

Mustpossessand maintain a valid drivers license andmaintaininsurable driving status.

Must be excluded suspended or debarred from participation in federal healthcare programs (e.g. Medicare/Medicaid).

Masters degree in public health Health Informatics Epidemiology or related field.

Experience in a health plan Coordinated Care Organization (CCO) or Medicaid environment.

Experience with REALD/SOGI data and health equity or disparity analysis.

Experience with advanced program evaluation methodologies (e.g. logic models performance frameworks continuous improvement cycles).

Knowledge of NCQA standards and state/federal quality reporting requirements.

Experience with population health or community-based initiatives.

Proficiencyin SQL or other query languages for data extraction and analysis.

Experienceparticipatingin cross-functional committees or stakeholder groups.

Ability to assess the impact of analysis across diverse populations including communities of color.

Experience working in diverse teams with varying communication styles.

Bilingual or multilingual skills are preferred.