QUALITY IMPROVEMENT DATA ANALYST - LEAD

TennCare; Nashville (TN); Hybrid; USD 89,000 - 143,000; Full time

Job summary

TennCare in Nashville, TN is seeking a Lead Quality Improvement Data Analyst to join the QI Data Analytics team supporting the Chief Medical Office (CMO). You will deliver analytics for CMO teams and TennCare VBP programs, surface trends from claims data, and design strategies for complex data requests.

Responsibilities include writing specifications for quality measures, building dashboards, collaborating across teams, and training new analysts.

Qualifications

• Bachelor’s degree in a quantitative field with 5+ years of related work experience.
• Master’s degree in a quantitative field with 1–2+ years of related work experience.
• 10+ years of relevant professional work experience.
• Strong skills in SAS, SQL and data analytics for healthcare quality measures.

Responsibilities

• Deliver analytics and data expertise for CMO teams and TennCare VBP programs.
• Use claims data to surface trends and inform leadership on outcomes.
• Design strategies and methodologies for complex data requests.
• Write technical specifications for quality measures and calculate metrics.
• Develop and maintain dashboards for CMO teams and initiatives.
• Collaborate with cross‑functional teams to improve quality measurement reporting.
• Provide training and mentorship to new analysts on claims data and QA.
• Ensure data sources and methodologies are correct and documented.

Education

Bachelor’s degree in quantitative or related discipline

Master’s degree in quantitative or related discipline

10+ years of relevant professional work experience

Tools

SAS

SQL

Tableau

Power BI

Excel

Access

PowerPoint

Word

R

Python

Job description

Lead Quality Improvement Data Analyst role in TennCare’s Quality Improvement (QI) Data Analytics team supporting the Chief Medical Office (CMO).

Responsibilities

• Deliver analytics and data expertise for CMO teams and TennCare Value Based Payment (VBP) programs
• Use claims data to surface key trends and insights that inform CMO leadership on clinical areas and outcomes
• Design strategies and methodologies to complete complex data requests
• Support the creation of new VBPs, attend related meetings, and provide data and quality measure expertise
• Write technical specifications for quality measures
• Code and calculate quality metrics using claims data, and produce requested analysis comparisons
• Evaluate quality measures at the individual provider and aggregate level using measure specifications and relevant information
• Run annual CMS Core Measures, including stratification by MCO and Region
• Research external data sources (including Medicare data) for inclusion in CMS Core Measures for mandatory reporting
• Query, collect, prepare, and safeguard data to deliver outputs required for CMS, legislative, and other ad-hoc requests
• Support high-priority legislative reporting at the request of CMO and TennCare leadership
• Review and summarize complex reports using analytics expertise
• Perform quality checks on data and reports provided by MCOs and collaborate with MCOs to complete reporting on time
• Develop advanced analytic approaches using multiple complex databases to build health outcome measures stratified by providers, hospitals, and MCOs
• Partner with clinical data leads to support development of the TennCare quality strategy
• Contribute to QI dashboard design and development
• Collaborate with other CMO teams to explore and use data specific to each team
• Provide technical assistance and training to new analysts, including claims data knowledge, answering technical questions, and reviewing projects for efficiency improvements
• Design and develop dashboards for CMO teams to highlight projects and initiatives, meeting CMO expectations and DA design standards
• Meet with teams to understand requirements and present final dashboards
• Develop methodology for pulling and/or aggregating data
• Assist with Data Ecosystem items, including providing expertise in meetings with the DE contractor
• Ensure data sources and methodology are correct
• Build expert-level knowledge of data sources and how they are used across projects

Requirements

• Education + experience option 1: Bachelor’s degree in a quantitative or related discipline AND 5+ years of relevant professional work experience
• Education + experience option 2: Master’s degree in a quantitative or related discipline AND 1 to 2+ years of relevant professional work experience
• Experience option 3: 10+ years of relevant professional work experience

Technologies

• SAS
• SQL
• Tableau
• Power BI
• Excel
• Access
• PowerPoint
• Word
• R
• Python

Desirable Qualifications

• Master’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 4+ years full time work developing research methodology and/or directing statistical research
• OR Bachelor’s degree in statistics, applied statistics, social or behavioral sciences, health sciences, business, business administration, or public policy, plus 6+ years full time work developing research methodology
• Strong computer skills, including mastery of Microsoft tools (Excel, Access, Word, PowerPoint) and statistical software (SAS, R, Python, etc.)
• Strong, clear, and concise oral and written communication
• Strong organizational skills, including the ability to prioritize, multi-task, and manage workload to meet deadlines
• Experience with Tableau or Power BI
• Experience in other visualization software
• Experience in healthcare and/or quality measurement
• Experience with survey development and analysis
• Experience working with hospital data

Background Check

• Criminal background check required; you may be asked to provide information about your criminal history

Location: Nashville, TN (hybrid)

Compensation: USD 89,496 - 143,220 per year

Minimum Experience: 5 years

Education: Bachelor’s degree in a quantitative or related discipline