Quality Performance Analyst

Role overview

Key responsibilities

• Analyze clinical, operational, and payer data for quality gaps, trends, financial risks, and revenue opportunities.
• Interpret payer contracts and quality incentive methodologies to design and execute performance improvement plans.
• Use advanced Excel to analyze complex datasets, model incentive impacts, and forecast performance.
• Develop and validate quality dashboards, executive reports, and tracking tools.
• Audit data and investigate discrepancies among EMR, claims, and payer-reported results.
• Interpret HEDIS, MIPS, and Stars specifications and forecast year-end performance.
• Present provider scorecards and facilitate performance reviews; educate providers on measures, documentation, and improvement strategies.
• Create measure-specific training materials and support patient education on preventive care, chronic disease monitoring, and closing quality gaps.
• Identify risks, prioritize interventions, escalate financial concerns, and support workflow improvements.
• Manage concurrent initiatives and adapt to changing program requirements and reporting.

Qualifications and capabilities

• Strong analytical expertise and advanced Microsoft Excel proficiency, including pivot tables, complex formulas, modeling, and validation.
• Ability to independently analyze complex clinical, operational, payer, claims, EMR, and registry data.
• Ability to interpret payer contracts, incentive methodologies, and HEDIS, MIPS, and Stars specifications.
• Proactive problem-solving, independent decision-making, strong attention to detail, and ability to translate data into operational strategies.
• Ability to collaborate with leadership, analytics, providers, and operational teams and manage multiple concurrent initiatives.

Compensation

• Salary range: USD 58,000–65,000 per year.

Schedule

• Full-time, 40 hours per week.
• Monday through Friday, 8 a.m. to 5 p.m.

Workplace

• Remote position.
• Travel to the Downers Grove, Illinois office as needed.

Benefits

• Medical, dental, and vision benefits, healthcare navigation assistance, and a no-cost mental health benefit.
• Employer-provided life and disability insurance and immediate 401(k) match.
• Up to $5,250 annual tuition reimbursement and 40 hours of paid volunteer time off.
• Eligible non-physician team members may receive up to 12 weeks of parental leave at full pay and an adoption and surrogacy financial benefit.
• Community engagement and social impact culture.