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Senior Analyst, Quality Performance Healthcare

HarmonyCares
Remote, USA
Full-time
Senior · 3+ years experience
Remote
USD 100000-110000 yearly / year
Discovered 1 months ago
Microsoft ExcelSQLDatabricksPower BITableau

Full Job Posting

Essential Duties and Responsibilities

  • Analyze and forecast quality performance across measures, contracts, markets, and providers, identifying key trends, risks, and opportunities
  • Develop dashboards, analyses, and executive summaries that clearly communicate performance drivers and recommended actions
  • Translate CMS, NCQA, and PQA quality measure specifications into clear reporting requirements and monitor relevant program changes
  • Validate the accuracy of quality data, including supplemental data submissions, payer reconciliations, and audit support
  • Partner with clinical, operational, analytics, technology, and health plan teams to resolve issues and support targeted interventions
  • Manage multiple priorities independently and maintain accountability for accurate, timely deliverables
  • Other duties as assigned

REQUIRED Knowledge, Skills and Experience

  • Bachelor’s degree in analytics, health informatics, public health, business, or a related field
  • 3+ years of experience in consulting, healthcare analytics, or population health, including experience with HEDIS measures, Medicare Advantage Stars, or Medicare ACO quality programs
  • Advanced proficiency in Microsoft Excel and PowerPoint
  • Working proficiency in SQL, including querying, joining, and validating large datasets
  • Experience analyzing claims, clinical, supplemental, or care-gap data
  • Familiarity with quality measure specifications, performance forecasting, and data-validation methods
  • Experience with Databricks, Power BI, Tableau, or a comparable data-visualization platform preferred

Preferred Knowledge, Skills and Experience

  • Training or certification in data analytics, healthcare quality, or project management
  • Graduate degree in a relevant field

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