Improve publicly reported rates and close the gaps in Stars performance through data analytics, technology, and reference material.
Requirements
- Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys
- Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau.
- Ability to develop, interpret and explain analytics needed by the business for decision making and improvement.
- Demonstrated ability to develop and produce complex reports and dashboards.
- Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures.
- Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements.
- Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations).
Responsibilities
- Improve publicly reported rates and close the gaps in Stars performance.
- Achieve this through the effective use of data analytics, technology, and reference material.
- Closely collaborate with the Director of Population Health and Quality Analytics to ensure that your work aligns with the organization's overarching goals and STAR strategies.
- Closely partner with internal and external teams to proactively identify derived from the data and provide operational support for performance improvement.
- Consult with key stakeholders and create meaningful insights from the data used for Stars and other quality measures.
- Develop, interpret and explain analytics needed by the business for decision making and improvement.
- Develop and produce complex reports and dashboards.
Other
- This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this time.
- Possess excellent communication skills and ability to effectively interact with all levels of management.
- Ability to organize, plan and prioritize assignments within multiple projects.
- Ability to work with minimal direction and flexibility when rapid or extensive changes are needed.
- Effective relationship building skills both internally and externally within an organization with a variety of constituencies.
