PacificSource is looking to improve the quality of care provided to its members by leveraging data analysis to identify areas for improvement, optimize processes, and ensure compliance with relevant 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
- Collaborate with cross-functional teams to develop and implement action plans.
- Communicate findings on a regular basis to all levels of business and management.
- Stay apprised of changes made by regulatory and governing bodes to relevant program guidelines, methodology, and regulations.
- Interpret policy changes and model impacts to plan performance and operations.
- Work closely with internal departments, including clinical, operations, and customer service teams, to align quality improvement efforts.
