PacificSource is looking to improve the quality of care provided to its members by analyzing data to identify areas for improvement, optimize processes, and ensure compliance with healthcare regulations.
Requirements
- Minimum of 3 years of experience in data analysis or a related field required.
- 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.
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
- Experience with health plan quality improvement, specifically quality metrics, or other healthcare quality related experience preferred.
- 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.
- Exceptional problem-solving and critical-thinking abilities, with strong attention to detail.
- Must have strong business acumen to interpret strategic vision into an operational model.
