Business Intelligence Analyst III – Quality

ASSOCIATION FOR COMMUNITY AFFILIATED PLANS; Washington (District of Columbia); On-site; USD 95,000 - 125,000; Full time

Job summary

Colorado Access in Colorado is seeking a Business Intelligence Analyst III – Quality to be the primary data liaison for the Quality department. You will translate requests into actionable reports, develop dynamic dashboards with Power BI and SSRS, and present results to senior management.

You will leverage SQL, data management tools, and analytics techniques to identify trends, ensure data quality, and support decision-making. Strong communication and cross-functional collaboration are essential.

Qualifications

• Minimum five years in healthcare data with strong SQL experience.
• Expert in data reporting, analysis methods, data management and query tools.
• Experience with value-based care analytics and financial projections is a plus.
• Strong written and verbal communication; ability to turn requests into reports.

Responsibilities

• Act as the primary contact for department data requests and gather information.
• Analyze requirements and document specifications; develop reports and analyses.
• Design and document customer reporting by defining and selecting alternatives.
• Develop dynamic reports in Power BI and SSRS; present results to senior management.
• Identify actionable issues through data interpretation and trends, with LB collaboration.
• Use diverse data sources to develop methodologies for the department.
• Develop new tools and system enhancements; troubleshoot data issues.
• Address data quality issues discovered during reports and analyses.
• Participate in training and align responsibilities with the Strategic Plan.

Skills

SQL

Power BI

SSRS

SSMS

Toad

Tableau

Python

Business Objects

Education

Bachelor's degree in health care related area

Statistics

Computer systems

Job description

Business Intelligence Analyst III – Quality

Why should you consider a career with Colorado Access?

We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado’s Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.

What you will do:

• Is the primary point of contact for department data requests. Works with multiple departments to gather information regarding requests. Represents the Quality team in meetings where new data requests are reviewed or requested.
• Serves as an integrated line of business team members ensuring that information needs are understood, complete specifications are identified, and the appropriate analysis, research, report, or other support is identified to address those needs. Analyzes and documents requirements through research, data gathering, and brainstorming activities.
• Designs and documents customer reporting and analytic requests by defining, creating, evaluating, and selecting alternatives. Key considerations in the selection process include:
  • Colorado Access, Financial Analysis, and Line of Business strategic plan alignment
  • Business problems and opportunities
  • Operational efficiency
  • Process improvement
• Techniques used in analysis and design include, but are not limited to:
  • Report Mockups
  • Analytical Project Design
  • Transforms complex Business Intelligence requests, both internal and external, into useful products with actionable outcomes that utilize the most credible and efficient data source, subject to relevant materiality levels. Develops and updates dynamic reports in PowerBI and SSRS, and presents report results to Senior Management.
• Identifies actionable issues through data interpretation and research. Provides summary of trends, observations, and actionable items on complex reporting issues and development reports. Applies advanced data analysis and statistical techniques to answer any number of complex data questions and initiatives. Validates that output meets Line of Business needs. Partners with Line of Business Directors to “dig deeper” into output and identifies areas of further analysis.
• Utilizes a variety of software applications and data sources to develop methodologies for the department and the Analysis and Reporting Team.
• Actively develops new tools and system enhancements, troubleshoots and solves data issues.
• Seeks out, identifies, documents, and initiates resolutions to data quality issues that are discovered during report and analysis development.
• Participates in available training programs and maintains an individual training/education strategy with immediate supervisor.
• In coordination with Department management, specific elements of the Company’s Strategic Plan will be identified as focus areas for this position and will be included as position responsibilities.

What you will bring:

Education: bachelor’s degree in health care related area, statistics, or computer systems.. Equivalent combination of experience and/or education may substitute with a preference for four years progressive relevant work experience.

Experience: Minimum of five years’ experience in healthcare data related field with at least four years of SQL experience. Significant and demonstrated experience with advanced data reporting and analysis methods, data management and query tools including the use of Toad, SSMS, SSRS, Power BI, Business Objects, Tableau, Python, or other similar tools required. Exposure to value-based care analytics, Pay-for-Performance or Shared Savings performance tracking, HEDIS Measures and financial projections modeling is a plus.

Knowledge, Skills, and Abilities: Expert understanding of health benefits, medical terminology, medical procedures, and managed care industry; expertise with CPT, ICD and other coding systems; demonstrated analytical, problem solving, and research ability as evidenced by experience in the identification of requirements and the definition, evaluation, and selection of appropriate solutions to business problems or opportunities. Ability to pivot and respond quickly with complicated ad hoc analyses of claims expense, membership, and provider performance. Demonstrates support for the company’s mission, vision and values. Position requires excellent written and verbal communication skills. Demonstrated ability for turning complicated verbal requests into reports and queries; ability to interpret complex data results and effectively summarize information that can be easily translated into company action. Must have strong interpersonal and teamwork skills with good organizational and time management skills. May be required to manage multiple priorities and projects with tight deadlines. Must be proficient in MS-Office applications (Excel, Access, Word, Power Point) Familiarity with Medicaid quality programs, health plan performance metrics, and NCQA standards preferred. Ability to translate quality program requirements into dashboard specifications and analytic products. Experience working with cross-functional teams including quality, finance, and operations. Understanding of intervention effectiveness evaluation methods and gap closure analytics.

Licenses/Certifications: A valid driver’s license and proof of current auto insurance will be required for any position requiring driving.