Description

Career Opportunities: Quality Improvement Analyst III

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

Job Title

Quality Improvement Analyst III

Exemption Status

Exempt

Department

Informatics & Evaluation

Manager Title

Director Data Sci/Informatics

Direct Reports

n/a

Requisition #

24115

Pay and Benefits

Estimated hiring range $96,950 - $117,315 /year, 5% bonus target, full benefits.

Posting Notes

This is a fully remote role, but you must reside in one of the listed 9 states.

Job Summary

This position performs data analysis at a senior level. Essential responsibilities are aligned with practices and teams within a defined geographic area, coordinated care organization (CCO), benefit or line of business and may provide guidance to less experienced analysts. This position spends substantial time using a combination of evaluation, quality improvement methods, and data analysis to meet defined clinical performance metrics, evaluate clinical programs and financing models (e.g., value-based payment models), and regulatory deliverables. This position integrates quality improvement (QI) activities, processes, and projects with the CareOregon Quality Strategy and related regulatory and accreditation standards to promote compliance.

Essential Responsibilities

Data Analysis

• Perform ongoing synthesis and analysis of performance information.
• Conduct moderate to complex analysis of key metrics and program data to identify trends, make predictions and calculate targets.
• Using quality improvement and evaluation technical skills, evaluate line of business/regional priorities and develop strategic reporting systems for use at the staff, program manager, director, and senior leadership levels to assess the effect of key program and policy decisions.
• Provide strategic recommendations to leadership based on data and analysis.
• Identify opportunities for cross-departmental or cross-regional projects, lead gathering of requirements and design of solutions.
• Present data in an effective and understandable way and assist others in understanding how data can be used to lead improvement.
• Provide technical guidance or expertise to less experienced analysts particularly in Tableau, SQL, statistical or evaluative approach.

Projects and Collaboration

• Lead projects with ISBI team to create or modify data sets.
• Lead projects with internal and external stakeholders.
• Represents QI team, Analytics & Evaluation team or NCS on cross-departmental workgroups and steering committees including leading follow up.
• Make effective recommendations about how data-related projects should progress in order to meet intended goals.

QI Technical Assistance and Regulatory Compliance

• Serve as subject matter expert on technical specifications of clinical measures and key data sets.
• Make recommendations and provide QI technical assistance on development and distribution of data.
• Present at internal/external workgroups and committees.
• Identify training needs and collaborate on solutions around quality improvement and data.
• Develop, assess and implement new QI and reporting systems.
• Create process documentation for QI activities and lead process documentation projects within the QI team.
• Ensure necessary data is available and accurate for timely submission of regulatory deliverables; provide data/reports as needed.
• SME for key regulatory deliverables and facilitates process for setting priorities and executing on process.
• Serve as QI contact to OHA or CMS for regulatory meetings/deliverables.

Organizational Responsibilities

• Perform work in alignment with the organization's mission, vision and values.
• Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization's strategic goals.
• Adhere to the organization's policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Minimum 6 years' experience in quality improvement, population health or a related field, including minimum 4 years' data analytics experience

OR

• Bachelor's degree in social science, science, or math with minimum 5 years' experience in quality improvement, population health or a related field, including minimum 3 years' data analytics experience

OR

• Master's degree in data analytics (e.g., health informatics, biostatics, business, data analytics, etc.), public health, or health administration with minimum 3 years' experience in quality improvement, population health, or related field, including minimum 2 year data analytics experience

Preferred

• Tableau or SQL experience
• Python experience
• Snowflake and DataBricks experience

Knowledge, Skills and Abilities Required

Knowledge

• Advanced knowledge of program evaluation methodologies and analytic strategies in a payer managed care setting or advanced skills in data visualization
• Knowledge of healthcare quality metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets)
• Knowledge of population health, quality of care concepts and methodologies, and FQHCs, as well as concepts of community health and social determinants of health
• Working knowledge of health equity, inclusion and diversity frameworks and how to apply them to data analytics

Skills and Abilities

• Advanced proficiency with computer software programs, e.g. MS Outlook, Word, and PowerPoint
• Advanced proficiency with MS Excel for data analysis and skills with large administrative database reporting functions and/or relational databases
• Advanced proficiency in R, SQL, SPSS or Tableau for analysis OR Advanced proficiency in Tableau for data visualization & dashboard building
• Strategic thinker with ability to gather and analyze data, assess effectiveness of healthcare systems and work with system partners to develop, implement and evaluate Triple Aim improvement strategies
• Understanding and ability to facilitate integration of clinical QI models and methods into existing programs
• Strong interpersonal skills
• Excellent communications skills to include: verbal, written, presentations, meeting facilitation and reports, specifically including the ability to present statistical and technical data in a clear and understandable manner utilizing appropriate visual aids and effectively facilitate and coordinate the work of a workgroup (including internal and external members) engaged in quality improvement activities
• Ability to interface with and assist external stakeholders (providers, OHA staff, etc.)
• Accountable, self-starter, able to work in a fast-paced environment
• Possess a high degree of initiative and motivation along with the ability to effectively collaborate and plan with coworkers and others
• Can independently manage timelines and deliverables and work with minimal supervision
• Ability to lead initiatives and project teams
• Ability to identify solutions, collaborate with management team


• Ability to work effectively with diverse individuals and groups


• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions

Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment and/or mobile technology

Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.

#Li-Remote

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.