Quality Analyst, Value Care

Quality Analyst

The Quality Analyst is responsible for organizing, processing, and analyzing data to support quality reporting requirements across Value Based Care and Population Health programs. The role focuses on collecting data, creating reports, identifying opportunities for improvement, and supporting quality initiatives that improve patient outcomes and contract performance.

Responsibilities:

• Quality Reporting & Analytics
• Understand and maintain knowledge of HEDIS, CMS, and Value Based Care quality measures.
• Produce quality metric reports and member-level datasets for providers.
• Create monthly reports related to membership, utilization, patient outcomes, and other quality metrics.
• Analyze and modify data to support decision making and process improvements.
• Develop detailed member reports to support patient engagement strategies.

Data Management

• Navigate electronic health records (EHRs) and perform data queries.
• Extract, validate, and analyze data from multiple systems.
• Identify and resolve data discrepancies.
• Support data quality improvement initiatives and ongoing data validation efforts.
• Maintain performance trackers and reporting tools.

Quality Improvement

• Monitor gaps in care and support action plans to improve performance.
• Conduct chart audits, chart abstractions, and quality validations.
• Collaborate with the ELLIE Healthy Planet team to ensure accurate data collection.
• Test and refine workflows that support quality department operations.
• Assist with special projects and quality improvement initiatives.

Collaboration & Communication

• Create and present findings using PowerPoint and other reporting tools.
• Participate in payer meetings regarding quality reporting needs.
• Work with leadership and team members to identify improvement opportunities.
• Communicate findings and reporting results to various stakeholders.

Qualifications:

• Education/Training:
  High School Diploma or equivalent required.
• Licensure/Certification:
  None.
• Experience:
  
  Proficiency in Microsoft Office Products, with a basic to intermediate Microsoft Excel level. Strong written and organizational skills. Proficient with provider education and collaboration preferred.