Manager – Quality Improvement Data Analysis-Medicare STARS

Manager – Quality Improvement Data Analysis-Medicare STARS

Requirements

• Bachelor’s degree preferred or relevant work experience in lieu of degree
• 4 years of experience in data reporting or a related field
• Experience with effective/skillful project execution
• Demonstrated experience/ability to work on multiple assignments simultaneously
• 4+ years of SAS or SQL experience
• SAS certification preferred

Responsibilities

• Management of the Data Compilation from multiple sources to produce data for certification during audit and accreditation processes
• Facilitates daily tasks necessary to report Quality programs such as HEDIS and Medicare Star
• Monitors data validity and data integrity for the QM processes which require identification of technical issues and correlation to accreditation and compliance standards
• Leads the relationship between HEDIS vendor and enterprise
• Facilitates daily tasks necessary to report quality programs such as HEDIS and Medicare Star
• Leads improvement for QM process by planning solutions based on data analysis and facilitating testing and implementation of vendor tools and processes
• Leads planning for upcoming requirement changes for accreditation and compliance standards such as future requirements for exchange products
• Manage, direct, and develop staff by providing training, feedback and coaching
• Administer performance and salary review for staff
• Ensure staff meets all regulatory requirements and comprehends and complies with best practice methodology, professional standards, and internal policies and procedures
• Directs staff to ensure overall client satisfaction and appropriate level of service delivery
• Performs other duties as required by management

Preferred Qualifications

• Minimum one year of supervisory experience
• Knowledge of Medicare Stars strongly preferred