HEDIS Quality Analyst III

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🔥 15 hours ago

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CareSource

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Analyze and interpret complex healthcare data • Collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions • Generate comprehensive reports, graphics, and dashboards that effectively summarize and display data for key stakeholders • Review reports and data for pattern identification and trend analysis, providing management level summaries • Provide technical expertise and guidance to team members on SQL, SAS, and DAX coding best practices • Interpret and maintain understanding of technical specifications and quality reporting requirements • Interact and work collaboratively with business partners on analytics requests and identifying trends • Collaborate with IT teams to enhance data collection and reporting systems • Perform any other job duties as assigned

🎯 Requirements

• Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required • Master of public health (MPH), Business Administration (MBA), mathematics, statistics, or related field is preferred • Minimum of three (3) years of experience in data analysis and/or analytic programming is required • Minimum of three (3) years of HEDIS or similar healthcare quality performance metrics experience is required • 3-5 years Programming experience (i.e., SQL, SAS, Alteryx) is required • Programming in DAX/Power BI is preferred • Health care delivery, clinical experience and/or payer experience is preferred.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities • Bonuses

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