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Quality measurement analyst

Healthcare Talent

This is a Full-time position in Santa Barbara, CA posted December 13, 2019.

Join a fantastic Team!

Career Growth ~ Excellent Benefits The Quality Measurement Analytst is responsible to provide analytical support to the Quality Measurement Department’s strategic objectives, including but not limited to, ongoing clinical measurement and improvement processes.

Includes, but is not limited to, year-round Gaps in Care reporting, and surveillance of innovative quality improvement interventions.

The QM Analyst will function as a primary systems configuration analyst, programmer/analyst, and technical liaison to IT Department programmers that support QM initiatives.

Analytical support the Quality Measurement Department, including but not limited to, the design and creation of SQL data extract queries to obtain data and perform research necessary to advance clinical quality of care Continuous collaboration with CenCal Health’s Quality Measurement and Clinical Quality Specialists teams, to provide analytical support to the development and implementation of clinical interventions to maximize quality of care and delivery of service Configuration of quality measurement systems and software to execute routine quality measurement priorities Configuration of quality measurement data files necessary to execute HEDIS, Gaps in Care, and P4P program reporting Development, editing and analysis of reports used for QM and population health surveillance through Cognos Collect primary source data to conduct data validation to assure the accuracy and reliability HEDIS, Gaps in Care, and Pay for Performance program reporting Required: Strong team-oriented ability to connect with quality improvement staff, and establish and maintain positive professional working relationships, both within and outside of the organization.

Proficiency in SQL programming and in complex analysis using Microsoft Excel Ability to evaluate data, identify trends, variances, relational dependencies, establish facts and draw valid conclusions, and inform the strategic direction of improvement initiatives Familiarity with medical records, including collection of data from hardcopy records and various EMR systems Ability to perform claims research, conduct data validation and other data reporting activities as needed Ability to perform effectively under pressure and maintain focus on daily responsibilities for long-term projects Ability to establish and nurture positive professional working relationships with customers Ability to contribute to building a strong team dynamic Effective oral and written communication skills Ability to perform HEDIS medical record abstraction in circumstances when collaboration with the Quality Measurement team will relieve department workload and achieve strategic objectives Must be able to travel outside the office and attend meetings during and after regular work hours Must be able to periodically travel to provider offices to perform medical record reviews while working on CenCal Health’s HEDIS project (CenCal Health will fund travel when required) Possess a current, valid California driver’s license with a clean driving record Education Required: Bachelor’s Degree in a job-related field One (1) year experience in a managed care quality management setting, or a combination of academic, professional or work experience SQL programming proficiency Familiarity with business intelligence systems, e.g., Cognos Desired: Knowledge of HEDIS technical specifications Certified Professional in Healthcare Quality (CPHQ) or similar certification An emphasis in Medicare or Medicaid/Medi-Cal managed care