Quality Metrics, Analytics Manager
Job Description
Our Mission: Provide the best value in health insurance and related health services to improve the quality of life for Arizonans.
Our Vision:
Inspire health in Arizona as the trusted leader in delivering affordable, innovative healthcare solutions.
Our Benefits: Our benefits provide work-life balance and the flexibility you need to be your best. We offer comprehensive medical, dental, and vision coverage; a 401K savings plan; paid holidays and vacations; and much more!
Position Purpose:
The Manager, Quality Metrics will provide direction for a team of data analysts and oversee the work of an analytics department to ensure timely availability of accurate performance metrics, presented in a format understandable to various audiences.
Responsibilities:
- Lead the development of processes for effective data analysis and reporting
- Manage the creation and maintenance of meaningful analytics, visualization, reports, and presentations most appropriate to users based on their role that enable insights to actionable next steps.
- Oversees ad-hoc reports and analytic support, using project management tools to gather user requirements and confirm user acceptance.
- Oversee the data/report requests process: tracking requests submitted, prioritization, approval, etc.
- Leads automation of business processes, such as on-demand reports and interactive dashboards; identifies and implements opportunities to streamline and improve processes.
- Maintains a Stars predictive model and reports Stars data to CMS; maintains associated written procedures.
- Implements ongoing processes to QA performance data and vendor reports/data; addresses gaps or inaccuracies with vendor; maintains associated written procedures; Maintains a QA procedure to ensure information reported is highly accurate.
- Monitors changes in regulatory contractual requirements related to performance measures, initiates change requests with data vendor, identifies organizational impacts and implements necessary organizational and reporting changes.
- Builds a first-in-class quality analytics program using creative, innovative strategies and best practices.
- Builds infrastructure and lean processes to ensure sustainability and advance the department.
- Provide training, orientation, performance appraisals, hiring and disciplinary action of the analytical staff; Ensures team develops new data competencies.
- Represents team at meetings with peers, executives, vendors and other stakeholders; presents at meetings as needed.
- Provide oversight and leadership in developing statistical analyses to support the Quality Department.
- Present analyses to stakeholders in both internal and external meetings.
- Provide insight, advise quality improvement teams, and respond to regulators’ requests on quality metrics through presentations, detailed narratives, etc.
Education / Experience / Other Requirements
Education:
Bachelor’s degree (Master’s preferred) in Data Analytics, Health informatics, Epidemiology, Public Health, Biostatistics, Statistics, Applied Math, Data Science, Business intelligence or other related field
Years of Experience:
Minimum of 4 years related experience. Experience working with HEDIS, CMS or other related metrics is strongly preferred.
Specialized Knowledge:
- Familiarity with AHCCCS Medicaid, NCQA HEDIS, and CMS Medicare Stars Ratings is desirable
- Strong SQL skills, ability to perform effective querying involving multiple tables and subqueries
Skills and Abilities:
- Excellent communication, collaboration and delegation skills.
- Proficiency in project management
- Ability to think analytically to resolve issues; solution-focused mindset; creative and innovative
- Ability to manage multiple tasks and prioritize work to adhere to deadlines and identified time frames
- Ability to learn new applications
Application Instructions
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!
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