Healthcare Analytics - HEDIS & Quality Data Analyst

MetroPlusHealth; New York (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

MetroPlusHealth in New York is seeking a Medical Management Data Analyst to support monthly HEDIS builds and annual quality reporting (HEDIS, QARR, PCMH) to NYS DOH and CMS. You will validate data feeds, run quality checks, and help maintain dashboards to track performance within a collaborative analytics team.

The role emphasizes data-driven improvements, needs strong SQL/SAS/Python/R skills, and a commitment to accurate, timely reporting in a fast-paced environment.

Qualifications

• Bachelor’s degree in information systems, data analytics, or a related field required.
• 3 years of experience extracting, manipulating, and analyzing data in a healthcare, public health, or analytics environment.
• 3 years of experience using analytics and BI tools (e.g., SQL, SAS, R, Python, Power BI, Tableau) to support data analysis and reporting.
• Ability to interpret and apply technical reporting specifications and measure logic using analytics tools to produce and validate quality reporting outputs.
• Demonstrated understanding of data quality concepts, with ability to execute data preparation, validation, and reconciliation processes with strong diagnostic rigor, including identifying data anomalies and discrepancies, applying validation rules, and ensuring accuracy of reporting outputs.
• Ability to collaborate with IT, data vendors, and internal stakeholders, with an understanding of data architecture, data flow, and dependencies across systems supporting quality reporting.

Responsibilities

• Support monthly HEDIS builds and annual HEDIS, QARR, and PCMH submissions, ensuring timely, accurate data for regulatory reporting.
• Monitor and prepare data inputs for monthly builds, including claims, provider, member, encounter, and supplemental data, ensuring completeness and proper delivery to vendor systems.
• Assist with intake, tracking, and ongoing support of data feeds from providers, vendors, and health information exchanges, contributing to stable data pipelines.
• Perform routine validation on HEDIS build outputs and quality measure results, including review of variances and discrepancies.
• Investigate and resolve data quality issues in collaboration with senior analysts and upstream data partners.
• Execute standard queries and data extracts to support monthly production processes, audits, and submission readiness activities.
• Handle routine and ad hoc data requests in support of quality improvement initiatives, including measure level data pulls, gap analysis, and performance tracking.
• Contribute to development, maintenance, and refinement of dashboards and reports used to monitor quality performance and pay for performance programs.
• Work with structured and unstructured data to support evolving data needs, including onboarding and validation of new data sources and pipelines.
• Support documentation, audit readiness, and continuous improvement of data workflows, ensuring consistency and transparency.

Skills

Data analysis

Data quality

Healthcare analytics

Data governance

SQL

SAS

R

Python

Power BI

Tableau

Education

Bachelor’s degree in information systems, data analytics, or related field

Master’s degree preferred

Tools

SQL

SAS

R

Python

Power BI

Tableau

Job description

MetroPlusHealth in New York is seeking a Medical Management Data Analyst to support monthly HEDIS builds and annual quality reporting (HEDIS, QARR, PCMH) to NYS DOH and CMS. You will validate data feeds, run quality checks, and help maintain dashboards to track performance within a collaborative analytics team.

The role emphasizes data-driven improvements, needs strong SQL/SAS/Python/R skills, and a commitment to accurate, timely reporting in a fast-paced environment.