PacificSource is looking for a way to make an impact and help people by improving the quality of care its members receive. The role will support the execution of the assigned quality program strategy through data analysis to drive results that improve or maintain quality performance, outcomes, and/or ratings.
Requirements
- Proven proficiency in data analysis tools and software (e.g., Excel, SAS, SQL) and data visualization/analytics tools (Tableau, Power BI) required.
- Knowledge of CMS Stars rating and OHA Quality Incentive measures including HEDIS, CAHPS, PQA/Pharmacy, HOS, and Display measures.
- Demonstrated skills in quality improvement concepts, healthcare data analysis, data mining methods and the identification of population health issues, trends, and health disparities using healthcare data sources.
- Demonstrated ability to analyze complex data sets, identify patterns, and drive actionable insights.
- Familiarity with statistical analysis and machine learning techniques is a plus.
- Ability to identify and resolve technical issues in a timely manner.
- Minimum of 3 years of experience in data analysis or a related field required.
Responsibilities
- Collect, analyze, and interpret quality performance and results using statistical techniques.
- Generate regular reports on performance metrics, trends, and areas for improvement.
- Develop and maintain dashboards to track key performance indicators (KPI).
- Execute quantitative analyses that translate data into actionable insights.
- Review reports and performance indicators to improve quality ratings.
- Provide analytical and data-driven, decision-making support for key projects.
- Identify opportunities for improvement in quality ratings and measures.
Other
- Bachelor’s degree in healthcare administration, business administration, mathematics, computer science, information systems, or related field, or equivalent years of additional relevant experience in lieu of degree is required.
- Master’s degree is preferred.
- Travel is required approximately 10% of the time.
- Ability to work independently with minimal supervision.
- Exceptional problem-solving and critical-thinking abilities, with strong attention to detail.
