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Senior Quality Data Analyst

Company: VNSNY
Location: Mount Vernon
Posted on: March 11, 2020

Job Description:

OverviewProvides data and analytic support, including quality dashboards, outcomes studies, program evaluations, and internal and external reporting. - Monitors data trends and identifies patterns, performs modeling, and recommends improvement solutions. - Manages HEDIS/QARR data collection and validation, which includes developing extracts to identify HEDIS non-adherence for targeting member/provider outreach. - Collaborates with departments that have a direct impact on member satisfaction, clinical service delivery, provider satisfaction and service administration. - Works under general direction.Responsibilities

  • Manages and coordinates data collection, validation, and submission for HEDIS, QARR, and other reports requested by Quality Management (QM) and other internal customers.
  • Interfaces with software vendor to facilitate HEDIS reporting processes, which includes data exchange, validation, and software updates.
  • Conducts root cause analysis and prepares statistical and quality reports from HEDIS, QARR, and other shared databases to support quality improvement initiatives. -
  • Establishes data quality specifications and designs. - Develops and implements operating standards and procedures to ensure uniformity, integrity in data collection, input and reporting in both automated and manual systems. -
  • Supports initiatives to improve data quality with providers and operations staff while integrating data needs.
  • Produces Gaps in Care reports for internal staff, Providers, and VBP contracts.
  • Analyzes/monitors trends and variances in data and reports. - Researches findings and makes recommendations for process and/or operational improvements.
  • Prepares detail and summary level reports including written interpretation of analytic results.
  • Participates in special projects and performs other related duties as assigned.QualificationsLicensure: Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs.Education: Bachelor's degree in Information Management, Statistics, Healthcare Informatics or related field with equivalent knowledge required. - Master's degree preferred.Experience: Minimum five years in analytics, and three years Managed Care experience required. - Knowledge of Medicare Advantage, Medicaid, MLTC HEDIS/QARR, NYSDOH, NCQA regulations required. - Expert proficiency in SQL, Excel and Access required, SAS experience preferred. - Strong attention to detail, and effective oral, written and interpersonal communication skills are required. -CA2020

Keywords: VNSNY, Mount Vernon , Senior Quality Data Analyst, Professions , Mount Vernon, New York

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