Analyst - Quality Improvement

Job Number: 2586

Workplace Type:

Position Title: Analyst Quality Improvement

External Description:

Analyst – Quality Improvement

 

This position will be supporting analytical projects in AHC’s Quality Improvement Medicare Stars team and will be responsible for conducting effectiveness studies on various program/campaigns to improve Stars Rating. Medicare stars team is engaged in all aspects of the analytic lifecycle from program ideation, financial support to the implementation and provides an open environment to identify/implement new studies. The individual in this position will take a lead in providing recommendations based on the analytic findings.

We are looking for an individual with insatiable curiosity who has the desire to challenge paradigms while working as a thought partner with executives throughout the company.  The analyst will work with a team of highly motivated individuals looking to transform member experience and quality for our members.  The ideal individual is self-motivated, proactive and can work well under pressure.  This individual is expected to effectively manage individual work streams and communicate analyses effectively within the team and with senior executives.

 

Position Summary:

 

We are actively recruiting an Analyst to join our Quality team.  This position is responsible for supporting the CMS Star program improvements through data analysis to analyze complex data and information to provide meaningful results, identifying success factors and improvement opportunities, and suggesting potential solutions. This position will leverage data from internal and external sources, understand relevant differences between each data source, and provide meaningful/actionable interpretation of results. This position will support the identification and development of databases to support business functions for the Medicare products, using enrollment, medical and pharmacy claims information.

General Duties/Responsibilities:

(May include but are not limited to)

 

• Aptitude for critical thinking in complex situations, ability to synthesize ambiguous data into concrete results
• Ability to drive multiple projects forward simultaneously; willing to stretch “up” and “down” in responsibilities
• Research, analyze, and interpret statistical data and provides technical assistance to other staff.
• Investigates opportunities for expanded data collection that are needed elements for CMS Star Rating Measures.
• Independently manages the retrieval and analysis of data, and issues that may arise on multiple tasks or projects with limited management involvement.
• Support of Medicare Stars business initiatives that drive short- and long-term objectives towards achieving the overall 5 Star goal.
• Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods.
• Develops, validates and executes algorithms that answer applied research and business questions.

 

Minimum Requirements:

Instructions: State the minimum qualifications required to successfully perform the job. These are the qualifications that are necessary for someone to be considered for the position.

 

• Bachelor’s Degree with analytical or statistical related coursework
• Complete proficiency in Microsoft Excel
• VBA, SQL, and/or other programming skills highly desirable
• Demonstrated ability to be part of a fun, yet hard working team

 

Preferred Requirements:

• Knowledge of health care performance measurement; CMS STAR ratings strongly preferred especially related to member experience (CAHPS and HOS).
• Basic knowledge of SQL and SAS.
• Demonstrated ability to present complex technical information to non-technical audiences and to senior decision-makers.
• Willingness to travel 10% - 30% of the time

Essential Physical Functions:

Instructions: If the job is physically demanding, this should be stated in the job description. A physically demanding job is in which one is required to stand for extended periods of time, lift heavy objects on a regular basis, etc.

 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

 

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact [email protected].

 

City: Remote - CA

State: California

Location City: Remote - CA

Location State: California

Community / Marketing Title: Analyst - Quality Improvement

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].