Quality Data Strategist

AmeriHealth Caritas; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

A leading company in healthcare seeks a professional to support quality measure reporting and data analysis. The ideal candidate will have experience with HEDIS, data processing, and relational databases, and will work within a mission-driven environment focused on community health. Comprehensive benefits and flexible work arrangements are available.

Benefits

Comprehensive benefits

Flexible work arrangements

Diversity, equity, and inclusion focus

Qualifications

• Minimum 1 year HEDIS experience required; 2+ years preferred.
• Minimum 5 years of healthcare and/or managed care experience.
• Familiar with relational database concepts.

Responsibilities

• Supports quality measure reporting through processing external data feeds.
• Develops reports to provide information to stakeholders.
• Performs analysis of clinical data and assists end users.

Skills

SQL

SAS

Tableau

Power BI

Python

Education

Bachelor’s Degree in healthcare, statistics, IT, or mathematics

Tools

Azure Databricks

Job description

Supports corporate, plan-level, and departmental strategies and goals for quality measure (HEDIS, CMS Adult / Child Core Set, and state-required) reporting processes. Meets this standard by effectively applying both business knowledge and technical expertise to support business initiatives and solve business problems.

Essential Functions include but are not limited to:

• Supports quality measure reporting through processing external data feeds to optimize performance.
• Generates and maintains thorough documentation related to data, databases, business rules, and reporting policies and procedures for all lines of business.
• Develops and executes test processes, including QA of own work and for team members, related to end-user data and databases.
• Develops reports to provide information to stakeholders using SQL, SAS, Tableau, Power BI, and Azure Databricks.
• Documents and tracks data-related issues and facilitates resolution.
• Performs analysis of clinical data.
• Assists end users in understanding data and supports data transformation/standardization activities.
• Works closely with the data warehouse team and others within IS to ensure timely and complete data receipt from all sources.
• Assesses data within the database for completeness and accuracy.
• Tracks file format changes and communicates with data source contacts regarding issues.
• Supports onboarding of new data feeds and evaluates new feeds, including prioritization.
• Participates in investigation of quality measure variance related to clinical data exchanges, including analyses and plan-initiated requests.
• Collaborates with the HEDIS team on longitudinal projects.

Education/Experience:

• Bachelor’s Degree required, preferably in healthcare, statistics, IT, or mathematics.
• Minimum 1 year HEDIS experience required; 2+ years preferred.
• Minimum 5 years of healthcare and/or managed care experience.
• Familiar with relational database concepts and strong skills in at least one query language (SAS, SQL, Python).
• Experience with Tableau and Power BI preferred.
• Knowledge of clinical ontologies and code sets (SNOMED, LOINC, ICD) is a plus.
• Background in statistical process control, data modeling, and data analysis.
• Familiar with HEDIS and CMS specifications and healthcare data exchange standards (HL7, EDI).

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. We offer comprehensive benefits, flexible work arrangements, and a mission-driven culture focused on diversity, equity, and inclusion. Discover more at www.amerihealthcaritas.com.