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Quality Improvement Analyst

Quality Improvement Analyst

CompanyCentene
LocationNevada, USA, Arizona, USA
Salary$55100 – $99000
TypeFull-Time
DegreesBachelor’s
Experience LevelJunior, Mid Level

Requirements

  • Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field
  • 2+ years of performance and statistical analysis or quality improvement experience
  • Experience in public sector managed care/managed behavioral health care preferred
  • Experience with standard statistics software preferred

Responsibilities

  • Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets
  • Perform ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends
  • Develop HEDIS measures, service utilization and all quality report extraction specifications
  • Develop and update quarterly, annual and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables
  • Perform other performance and process improvement activities as needed
  • Performs other duties as assigned
  • Complies with all policies and standards

Preferred Qualifications

  • Certified Professional in Healthcare Quality (CPHQ) preferred