Quality Performance Analyst

Overview

Quality Performance Analyst

* Full-Time

* Monday
- Friday

* Location:

Downers Grove, IL

Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.

Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!

Holistic benefits designed to help our team members flourish in all aspects of their lives, including:

* Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.

* Employer provided life and disability insurance.
* $5,250 Tuition Reimbursement per year.

* Immediate 401(k) match.

* 40 hours paid volunteer time off.

* A culture committed to community engagement and social impact.

* Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

The Quality Performance Analyst is responsible for driving clinical quality performance through advanced analytics, value-based contract optimization, provider engagement, and strategic performance monitoring. This role focuses on identifying quality gaps, interpreting payer incentive methodologies, forecasting performance outcomes, validating data accuracy, and supporting operational and clinical teams in achieving measurable improvements in quality metrics and Stars/HEDIS performance.

The Quality Performance Analyst independently analyzes complex clinical, operational, and payer data to prioritize high-impact improvement opportunities aligned with value-based revenue performance. This role includes interpreting technical quality measure specifications, modeling financial and performance impact, and developing targeted action plans to optimize payer incentive outcomes.

The position requires strong analytical expertise and advanced proficiency in Microsoft Excel to synthesize claims, EMR, payer files, and registry data; develop performance reports; validate dashboards; and support executive-level decision-making. The ideal candidate demonstrates proactive problem-solving, high independent decision-making capability, strong attention to detail, and the ability to translate complex data into actionable operational strategies. This role requires high collaboration with leadership, analytics, and operational teams in a fast-paced value-based care environment.

Responsibilities

* Analyze clinical, operational, and payer data to identify quality gaps, performance trends, financial risk exposure, and opportunities for value-based revenue optimization.

* Interpret payer contracts, quality incentive methodologies, and measure weighting to independently design and execute targeted performance improvement plans.

* Utilize advanced Excel skills (pivot tables, complex formulas, modeling, validation) to manage complex datasets, forecast performance outcomes, and assess incentive impact.

* Develop, own, and validate quality performance dashboards, executive reports, and internal performance tracking tools.

* Conduct audit validation and investigate performance discrepancies between EMR, claims, and payer-reported data.

* Interpret HEDIS, MIPS, and Stars technical specifications; model impact scenarios; and forecast year-end performance projections.

* Present provider-level performance scorecards and facilitate metric review discussions to drive accountability and measurable improvement.

* Educate providers on quality measure definitions, documentation impact, and performance optimization strategies.

* Develop and deliver measure-specific training materials, including standardized handouts and presentation slide decks.

* Develop or support patient-facing educational initiatives focused on preventive care, chronic disease monitoring, and the clinical importance of closing HEDIS/Stars gaps to improve long-term outcomes.

* Independently identify performance risks, prioritize high-value interventions, and escalate financial impact concerns to leadership.

* Support implementation and optimization of workflows designed to improve quality performance, documentation accuracy, and operational efficiency.

* Manage multiple concurrent quality initiatives while ensuring accuracy, timeliness, and measurable impact of deliverables.

* Adapt quickly to evolving quality program requirements, workflow updates, and reporting changes.

* Support special projects and additional performance improvement initiatives as assigned.

Qualifications

MINIMUM EDUCATION

* Bachelor's degree required in healthcare, public health, health administration, data analytics, or related field

* Foreign Medical Graduate (FMG) or candidate with formal healthcare/clinical…