Enterprise Quality Statistician

CareSource; Dayton (KY); Hybrid; USD 72,000 - 116,000; Full time

Job summary

CareSource in Kentucky seeks an Enterprise Quality Statistician to lead analysis for quality improvement and population health using advanced statistics and quality improvement science.

You will design epidemiological studies, support with SAS and SQL, model HEDIS and STAR rates, and communicate findings to leadership to drive health outcomes.

Qualifications

• Master's degree in statistics, public health, biostatistics or related field is required.
• Minimum of five years of relevant work experience in program evaluation is required.
• Experience in epidemiological study design and statistical analysis is required.
• Previous experience in SAS and SQL is required.
• Previous HEDIS and health care quality management experience is preferred.

Responsibilities

• Serve as statistical expert for quality and performance evaluation and study designs.
• Design and apply statistical models to predict HEDIS rates and STAR rating for decision-making.
• Collect, analyze, and interpret data for quality and performance improvement initiatives.
• Communicate findings to leadership and support population health initiatives.

Skills

Statistical analysis

SAS

SQL

Data visualization

Quality improvement

Epidemiology

Communication

Education

Master's degree in statistics/public health/biostatistics

Tools

SAS

SQL

Job description

Job Summary

The Enterprise Quality Statistician leads, implements, and conducts analysis for quality and performance improvement and population health processes through the integration of quality improvement science and advanced statistical methodologies.

Essential Functions

Serve as the statistical expert for quality and performance evaluation, study designs, and analytical methodology Support the Senior Director, Quality Analytics to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and opportunities to improve health outcomes Gather internal data from various sources based on the needs of quality evaluation and improvement Support the Senior Director of Quality Analytics and market business owners in developing quality analysis plans and implementing analysis and statistical tests Design and apply statistical models to predict HEDIS rates and STAR rating for quality and performance decision-making Assist with quality and compliance reports by collecting relevant data, analyzing and interpreting results Use statistical techniques, graphics and data to summarize HEDIS analytical needs to measure impact of various actions/results Identify and evaluate quality-related evidence and publications in the literature to support market business owners’ population health and quality initiatives Assist in the development of focus studies using epidemiological methodology to target population for interventions Conduct assessments to identify issues and opportunities using qualitative and quantitative methodologies and continuous improvement tools to improve health outcomes Collect and review internal and external epidemiological data of specific market to support RFP Design case-control, cohort and other epidemiological study to support quality improvement initiatives Communicate findings from exploratory and predictive data analysis based on projection methodology to administrative and business leaders; design/recommend means to display information visually in clear, creative and compelling format Perform any other job-related instructions, as requested.

Education and Experience

Master's degree in statistics, public health, biostatistics or related field (e.g. health promotion, evaluation etc.) is required Minimum of five (5) years of relevant work experience in program evaluation is required Experience in epidemiological study design and statistical analysis is required Previous experience in SAS and SQL is required Previous HEDIS and health care quality management experience is preferred Experience in healthcare or managed care is preferred.

Competencies, Knowledge and Skills

Proficient in Microsoft Word, Access and advanced proficiency in Excel is required Knowledge of a variety of quality improvement methodologies - Model for Improvement, Lean, Six Sigma Familiar with descriptive statistical application and techniques Knowledge of statistical modeling and testing Analytic skills for solving problems Knowledge of managed care and health care data coding is preferred Graphic development/presentation skills Critical listening, thinking skills, and verbal and written communication skills Problem solving skills Excellent writing skills.

Licensure and Certification

None

Working Conditions

General office environment; may be required to sit or stand for extended periods of time

Compensation Range

$72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type and Organization Level Competencies

Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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Mission

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.