AHI agilon health, inc. is seeking to improve its quality team, specifically focusing on HEDIS/Stars programs, by developing and maintaining internal reporting, analyzing performance to identify opportunities for improvement, and supporting the execution of its enterprise quality strategy.
Requirements
- Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, lookups, etc.)
- Familiarity with other reporting/visualization tools (Power BI, Tableau, or similar preferred)
- Solid understanding of healthcare quality programs, HEDIS/Stars measures, and regulatory requirements
- Ability to manage multiple priorities through application of project management principles to meet deadlines and communicate findings clearly to both technical and non-technical audiences
- Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)
- Ability to work with mathematical concepts such as probability and statistical inference
- Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
Responsibilities
- Provide strategic project management support for quality initiatives while delivering the analytical insights and performance reporting needed to guide data-driven decision making.
- Develop, maintain, and enhance internal dashboards and reports to track performance on HEDIS and Stars measures.
- Analyze clinical quality data to identify performance trends, gaps, and opportunities for improvement.
- Provide actionable insights and recommendations to inform quality improvement initiatives and support strategic decision-making.
- Partner cross-functionally with regional quality, payor contracting and health plan strategy teams to align reporting with business needs.
- Assist in monitoring and interpreting CMS and NCQA measure specifications to ensure accurate and timely reporting.
- Support HEDIS/Stars submissions and audit processes as needed.
Other
- Bachelor’s degree required, preferably in Health Information Management, Public Health, Data Analytics, Business, or a related field
- Minimum 5 years of data analytics experience, including at least 2 years working specifically in healthcare quality programs (HEDIS, Stars, Medicare Advantage, or equivalent)
- Excellent interpersonal and telephone communication skills are required
- Ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must
- PMP preferred
