Quality Improvement Analyst II

CareOregon, Inc.; Oregon; Hybrid; USD 92,000 - 113,000; Full time

Benefits offered by this job

Bonus target

Work from home

Job summary

CareOregon, Inc. is seeking a Quality Improvement Analyst II to advance health care quality through data analysis, dashboards, and visualization.

You will work with Tableau, SQL, Snowflake and Databricks to transform health metrics into actionable insights for leadership and partners. Collaborating across stakeholders, you will define metrics, monitor performance, and support regulatory deliverables while ensuring data quality and equity in reporting.

Qualifications

• Minimum 4 years’ experience with data analytics and data visualization focused on quality improvement or regulatory reporting.
• Bachelor’s degree in science, technology, engineering, math, public administration, or health-related field with minimum 3 years’ experience in data analytics and data visualization.
• Master’s degree in science, technology, engineering, math, public administration, or health-related field with minimum 2 years’ experience in data analytics and data visualization.

Responsibilities

• Perform ongoing synthesis and analysis of health care quality metric performance and other KPIs.
• Develop dashboards and visual assessments using claims, admin, and program data.

Skills

Data analysis

Data visualization

Stakeholder communication

Healthcare quality metrics

Education

Bachelor's degree in STEM/health field

Master's degree in STEM/health field

Tools

Tableau

SQL

Snowflake

Databricks

Job description

Quality Improvement Analyst II

The Quality Improvement Analyst II is responsible for performing comprehensive data analysis and visualization to support health care quality improvement initiatives using tools such as Tableau, SQL, SNOWFLAKE, and Databricks. This role involves synthesizing and analyzing health care quality metrics, developing dashboards, and providing data-driven insights to inform strategic decisions. The analyst will collaborate with internal and external stakeholders, serve as a subject matter expert on clinical quality measures, and ensure compliance with analytic components regulatory deliverables.

Estimated Hiring Range: $92,070.00 - $112,530.00 Bonus Target: Bonus - SIP Target, 5% Annual Priority will be given to candidates residing in Oregon and Southwest Washington.

Essential Responsibilities

Data Analysis

• Perform ongoing synthesis and analysis of health care quality metric performance and other key performance indicators.
• Conduct intermediate to advanced analysis of key health-related metrics and program data to identify trends, forecast performance, and calculate performance targets.
• Develop dashboards and visual assessments of health care quality metric performance and key performance indicators using claims, administrative, and/or program data.
• Use analytic technical skills to assess the effect of key program and policy decisions to meet strategic quality improvement goals.
• Provide data and analysis to leaders to inform strategic recommendations on health care quality.
• Present data in an effective and understandable way and assist others in understanding how data can inform improvement.
• Provide guidance or expertise to other analysts within I&E.

Projects and Collaboration

• Provide data and serve as metric experts on projects.
• Effectively communicate complex analyses and data to non-technical audiences, including presenting at internal and external workgroups and committees.
• Participate in scoping and timeline development of data analytic work.
• Collaborate with internal and external stakeholders as it relates to health care data and clinical quality metrics.
• Represent the I&E team in cross-departmental/cross-regional workgroups.

Analytic Assistance and Regulatory Compliance

• Serve as subject matter expert (SME) on technical specifications of clinical quality measures; may serve as a resource on key data sets.
• Provide technical and analytic support on the development and distribution of data to internal and external stakeholders.
• Identify professional development opportunities around quality improvement, data, data analysis, and data translation.
• Develop, assess, and implement new metric monitoring and reporting systems.
• Create process documentation for data and metric analytics.
• Provide analytic components of regulatory deliverables and ensure timely submission.
• Serve as quality improvement analytics contact to OHA or CMS for regulatory meetings/deliverables.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education Required

Minimum 4 years’ experience with data analytics and data visualization (coding and dashboard creation) with a strong focus on quality improvement or regulatory reporting, including minimum 2 years’ experience in a health-related field OR Bachelor’s degree in science, technology, engineering, math, public administration, or health-related field with minimum 3 years’ experience in data analytics and data visualization (coding and dashboard creation) with a strong focus on quality improvement or regulatory reporting, including minimum 1 year experience in a health-related field OR Master’s degree in science, technology, engineering, math, public administration, or health-related field with minimum 2 years’ experience in data analytics and data visualization (coding and dashboard creation) with a strong focus on quality improvement or regulatory reporting, including minimum 1 year experience in a health-related field.

Preferred Experience with SQL, Tableau, Snowflake, and/or Databricks

• Knowledge of SQL, Tableau, Snowflake, and/or Databricks.

Knowledge, Skills and Abilities Required

• Knowledge: Strong understanding of data quality, data analytics, and data visualization principles
• Knowledge: Knowledge of healthcare quality metrics (e.g. CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets)
• Knowledge: Knowledge of population health, quality of care concepts and methodologies, as well as concepts of community health and social determinants of health
• Knowledge: Knowledge of health equity, inclusion and diversity frameworks and how to apply them to data analytics
• Skills: Strong understanding of dashboard building for data storytelling and visualization
• Skills: Strong understanding and experience working with large relational databases and platforms
• Skills: Advanced proficiency with Microsoft Suite including Outlook, Word, Teams, SharePoint, Excel, and PowerPoint
• Skills: Critical thinker with ability to gather and analyze data, assess effectiveness of healthcare systems and work with system partners to develop, implement and evaluate quality improvement strategies
• Skills: Strong interpersonal skills in support of inter/intra departmental collaboration and a shared learning environment.
• Skills: Excellent communications skills to include verbal, written, presentations, and meeting facilitation, specifically including the ability to present statistical and technical data in a clear and understandable manner utilizing appropriate visualizations
• Skills: Ability to interface with and assist external stakeholders (providers, OHA staff, etc.)
• Skills: Strong ability to organize, prioritize, and effectively plan tasks across multiple projects simultaneously
• Skills: Able to work in a fast-paced environment
• Skills: Possess a high degree of initiative and motivation along with the ability to effectively collaborate and plan with coworkers and others
• Skills: Must be able to function under potentially tight timelines
• Skills: Ability to accept direction and feedback with a growth mindset
• Skills: Ability to work effectively with diverse individuals and groups
• Skills: Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Skills: Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
• Skills: Ability to hear and speak clearly for at least 3-6 hours/day

Work Environment(s)

Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Work from home

Benefits

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date.

CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.).

We also offer a strong retirement plan with employer contributions.

Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility.

Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks.

Equal Opportunity Employer

CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability.

The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

CareOregon is a nonprofit, mission-driven health plan, focused on providing care to low-income Oregonians. The CareOregon family includes Columbia Pacific CCO, Jackson Care Connect, and our work as part of Health Share of Oregon. Our mission is to inspire and partner to create quality and equity in individual and community health. Our vision is healthy communities for all individuals, regardless of income or social factors. Making Healthcare Work for Absolutely Everyone.

CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Veterans CareOregon greatly encourages military veterans to apply. CareOregon is a major sponsor of the annual Portland Veterans Stand Down and hiring fair.

Ranked #8 in the Health Care Category.