Quality Analyst III

Accountabilities:

• • Analyze and interpret complex healthcare and quality data to identify trends, patterns, special-cause variation, and opportunities for performance improvement.
  • Develop comprehensive reports, dashboards, graphics, and visualizations that communicate analytical findings effectively to business and management stakeholders.
  • Produce clear management-level summaries that translate complex analytical results into actionable insights and recommendations.
  • Provide technical expertise and guidance on SQL, SAS, DAX, data visualization, coding practices, and relevant data sources.
  • Interpret technical specifications and healthcare quality reporting requirements, ensuring changes are implemented accurately and communicated to stakeholders in a timely manner.
  • Partner with business teams to refine analytical requirements and deliver solutions related to HEDIS, population health, pharmacy quality, accreditation, health equity, business development, and RFP activities.
  • Collaborate with cross-functional and IT teams to improve data collection, reporting systems, data architecture, and analytical capabilities.
  • Lead or contribute to analytical initiatives while serving as a trusted liaison between technical teams and business partners.
  • Apply critical thinking and statistical concepts to solve multidimensional business and healthcare questions.
  • Maintain awareness of managed care data, healthcare coding, and relevant quality performance metrics.

  Requirements:

  • Bachelor’s degree in Management Information Systems, Computer Science, or a related field, or equivalent professional experience.
  • A minimum of 3 years of experience in data analysis and/or analytical programming.
  • At least 3 years of experience working with HEDIS or comparable healthcare quality performance metrics.
  • Approximately 3–5 years of programming experience using technologies such as SQL and SAS.
  • Proficiency in at least two of SQL, SAS, and/or DAX is required.
  • Experience with DAX and Power BI is preferred.
  • Healthcare delivery, clinical, payer, or managed care experience is highly desirable.
  • Familiarity with managed care organizations, healthcare data coding, and healthcare data structures.
  • Understanding of statistical concepts and their application to analytical problems is strongly preferred.
  • Ability to work with IT teams and familiarity with MDS and advanced data architecture are valuable.
  • Strong problem-solving, critical-thinking, active-listening, and analytical skills.
  • Strong written and verbal communication skills, with the ability to explain technical information to non-technical audiences.
  • Demonstrated ability to lead analytical efforts, manage stakeholder relationships, and collaborate effectively across teams.
  • Intermediate proficiency with Microsoft Office and strong data visualization and presentation capabilities.
  • A master’s degree in Public Health, Business Administration, Mathematics, Statistics, or a related field is preferred.
  • No specific professional license or certification is required.

  Benefits:

  • Annual salary range: $72,200–$115,500, with compensation determined by factors including education, training, experience, role complexity, and other relevant considerations.
  • Potential eligibility for a performance-based bonus tied to individual and organizational results.
  • Fully remote work environment.
  • Comprehensive total rewards package focused on employee well-being.
  • Opportunity to work on meaningful healthcare quality, population health, and performance improvement initiatives.
  • Collaborative environment encouraging partnership, professional development, continuous improvement, and analytical excellence.