Quality Analytics & Improvement Analyst

Independent Health; South Dakota; Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Scorecard incentive

Generous paid time off

Full range of benefits

Hybrid work arrangement

Job summary

Independent Health is seeking an Intermediate-level Quality Measurement & Improvement Analyst to integrate data from claims, membership, and providers to develop reports and analyses on quality measure trends. You’ll collaborate with business units to close quality gaps and support annual HEDIS and QARR submissions, under guidance from senior analysts.

You will help translate requirements into actionable insights, work with various data sources, and contribute to performance improvement

Qualifications

• Bachelor’s degree required; Master’s degree preferred; four years experience may substitute.
• Three years analytics experience; healthcare environment preferred.
• Knowledge of Independent Health EDW, Health Rules, Beacon; familiarity with large datasets beneficial.
• Understand CPT/HCPCS/DRG codes and healthcare data concepts.
• Proficient with SQL, SAS, R, Python for analyses.
• Experience with reporting tools: Excel, SAS Visual Analytics, Qlik Sense.
• Translate customer requirements into meaningful reports and analyses.
• Strong problem-solving, analytical and communication skills; able to work async or on-site.
• Demonstrated IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative, Accountable.

Responsibilities

• Develop standard reports using SAS, SQL, or Quality Reporter to identify trends.
• Model quality measure rates to highlight gap closure opportunities.
• Create custom quality measures to support regulatory reporting with guidance.
• Handle multiple complex analyses concurrently with oversight.
• Produce visualizations and analyses to explain drivers of trends.
• Present output in user-friendly formats.
• Provide summaries and recommendations when applicable.
• Validate data and findings before release to QA and customers.
• Deliver work per department SOP and timelines.
• Explore new topics and data sources to support goals.
• Assist in design/implementation of new capabilities and tools.
• Stay current on research and apply new techniques.

Skills

Analytics

SQL

SAS

Python

Data visualization

HEDIS knowledge

Education

Bachelor's degree

Master's degree preferred

Tools

Health Rules

Beacon

EDW

SAS Visual Analytics

Qlik Sense

Excel

Job description

Independent Health is seeking an Intermediate-level Quality Measurement & Improvement Analyst to integrate data from claims, membership, and providers to develop reports and analyses on quality measure trends. You’ll collaborate with business units to close quality gaps and support annual HEDIS and QARR submissions, under guidance from senior analysts.

You will help translate requirements into actionable insights, work with various data sources, and contribute to performance improvement