Quality Management Operations Senior Analyst (#2409)

Full Time
New York, NY
Posted
Job description
JOB TITLE (#2409): Quality Management Operations Senior Analyst - New York, NY
An established insurance company with locations throughout New York is seeking a Quality Management Operations Senior Analyst to join its growing team. This company provides the highest quality healthcare services to residents of the Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products. They have been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Compensation and Benefits:
  • The salary range for this position is $90,000 - $95,000 / yr
  • This is a Full-time position
  • Health Insurance Plans
  • Flexible Spending Account Programs
  • Management or Union Benefits
  • Leave Benefits
  • Special Leave of Absence Coverage (SLOAC)
  • Retirement Savings Plans
  • Additional Savings Plan
  • Transit Benefit
  • Direct Deposits
  • Municipal Credit Union (MCU)

Requirements:
  • Must have a Bachelor’s degree. A Master’s degree in public health, health administration, business administration, or information technology is preferred.
  • Must have a minimum of 5 years of programming, application, or reporting development experience and analytical experience (SQL, Python, R, SAS, etc.).
  • Must have experience using analytics / BI packages (e.g. SAS, R, SQL, Cognos, Business Objects, Power BI) to build client analysis solutions.
  • Must have advanced working knowledge of Microsoft Office applications including Word, Excel, PowerPoint, Visio, and Access.
  • Prior experience working in the development, analysis, and implementation of information systems in a healthcare environment or analyzing public health data, HEDIS/QARR experience is preferred.
  • Must have the ability to travel within the company’s service area when needed.
  • Position requires an individual with a high degree of accuracy. Must be able to translate theoretical knowledge into practical application.
  • Must displays strong communication, interpersonal, and leadership ability across all levels coupled with effective problem-solving, conceptual thinking, quantitative and analytical skills.
  • Must have strong written and verbal presentation as well as data analysis skills.
  • Must have the ability to work independently and multitask to meet deadlines.

Responsibilities:
  • Designs, coordinates, and implements analytical business and technology solutions, i.e. MS Access databases, R, SQL programs, Python, and Power BI to support QM Operations activities.
  • Able to query from large-scale databases.
  • Executes all regular transaction processes necessary to maintain QM Operations records and databases.
  • Perform extracting, importing, and exporting of data in various database applications
  • Ensure the accuracy of all reports.
  • Assists in the implementation, testing, and validating of supplemental data collected from providers
  • Communicate, as needed, with the NYS or city Departments of Health on relevant analyses.
  • Performs data reconciliations, and ensures that the company’s feeds to vendors are vetted and output is thoroughly QA’d.
  • Facilitates data exchanges between the HEDIS vendor & the company.
  • Performs statistical analyses to identify data anomalies.
  • Provides technical mentorship to QM Ops Specialists, Quality Review Leads, and Quality Improvement Specialists
  • Functions as mid-level escalation support for all applications; Escalate data issues needing process re-engineering.
  • Assist in the preparation of data reports, training materials, business presentations, publications, marketing collaterals, and other educational materials. Trains staff as necessary.
  • Technically and operationally assists in the re-design of the annual hybrid Medical Record Review (MRR) Project.
  • Other duties as assigned by the Senior Director of QM Operations.

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.



About GLHSTAFFING.COM:

We are committed to our core values: integrity, honesty, and transparency Finding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.

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