Senior Medicaid Quality Data and Reporting Analyst

Profile

Description

The Senior Medicaid Quality Data and Reporting Analyst generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. In this role you will also work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Medicaid Quality Data and Reporting Analyst will be responsible for the management and manipulation of quality data with a focus on creating business intelligence tools, conducting analysis, and assuring data quality. This position is responsible for managing all aspects of daily, weekly, monthly and annual reporting including the design, development, testing, documentation, maintenance and analysis of database queries and reports. Presents analysis results / recommendations to management in a timely, consistent, and accurate manner. Recommends and implements new or modified reporting methods and procedures to improve report content and completeness of information. In addition, the Senior Data and Reporting Professional serves as the subject matter expertise on all Quality Improvement Department data sources and report content to ensure total system quality assurance is met at all times.

Primary Responsibilities:


Design, develops test, document and maintain database queries and reports related but not limited to: Quality (HEDIS / STARS) and Member Care Gaps.
Develop systematic reporting processes and procedures to ensure timely delivery of daily, weekly, monthly, annual and ad hoc reporting to management
Work with Quality Improvement team members to create a prioritized list of needs for each area and documents additional requirements to enrich reporting capabilities
Manage reporting and analysis elements on all quality related business initiatives and projects
Translate large quantities of in-depth data into meaningful, professional and easy to understand formats that display the information's overall significance to various audiences
Create on-line tools to improve efficiency and effectiveness of staff in their role in servicing our internal and external customers
Recommend and implement new or modified reporting methods and procedures to improve report content and completeness of information
Troubleshoot data integrity issues, analyze data for completeness to meet business needs, and propose documented solution recommendations
Coordinates and works to resolve all issues related to reports supported by the department
Gain feedback for service improvement opportunities that give a comprehensive understanding of internal and external customer behaviors and needs


Required Qualifications:


Bachelor's degree in Business, Healthcare Administration, Information Technology or related field required. (4 years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
3 years of related professional experience in a reporting and analytic role including the design, development, testing, documentation and maintenance of reporting tools and database queries
Experience with health plan or health care administration
Understanding of HEDIS, HEDIS measures, Medicare Star Ratings and Medicare Risk Adjustment
Advanced level skills in MS Excel (including advanced formulas, pivot tables and lists
Proficient in Microsoft Office Suite, Tableau, SQL, SQL Reporting Services, and other equivalent data capture / reporting tools
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.


Preferred Qualifications:


Master's degree in Business or Information Technology
5 years of reporting/analytic experience in the Healthcare Industry
1 years of experience in a managed care environment


Scheduled Weekly Hours

40

Company info

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