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  • Richmond, VA

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Senior Analyst- Quality

Advantasure • Richmond, VA

Posted 1 month ago

Job Snapshot

Full-Time
Other Great Industries
QA - Quality Control

Job Description

SUMMARY:

The Quality Senior Analyst is an analytical role responsible for HEDIS Operations project support and coordination of the development and implementation of programs and strategies to improve service to our customers.

RESPONSIBILITIES/TASKS:

  • Coordinates client HEDIS projects and analysis for management and team
  • Assists in the management and monitoring of HEDIS projects by establishing project plans and objectives to ensure goal attainment within defined parameters.
  • Develops and improves work flows and business processes within area(s) to improve customer service, decrease operational costs, and improve overall quality.
  • Identifies and/or analyzes business problems and devise procedures for solutions to the problems.
  • Effectively leads projects in order to produce desired results.
  • Responsible for corporate communication of project results.
  • Recommends and assists with implementing standard policies and procedures.
  • Assures that corporate compliance is communicated, implemented, and monitored on an ongoing basis.
  • Participates in systems testing, develops procedures/controls, and provides recommendations for the ongoing improvement of the updated process.
  • Assists personnel (both internal and external) by answering questions, supplying information, and training.
  • Develops and maintains an effective working relationship with customers.
  • Participates in group or committee discussions.
  • Develops documentation, reports and presentations for all levels within the organization including executive leadership.
  • Collaborates with Subject Matter Experts to develop accurate documents.
  • Completes ad hoc data requests as assigned. Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.
  • Coordinates projects and analysis for management and team.
  • Ensures complete, accurate and timely data for reporting purposes.
  • Researches, analyzes, identifies, and evaluates data from assigned problems to evaluate existing and potential trends and issues.
  • Researches, analyzes, identifies, and evaluates data from assigned problems to evaluate existing and potential trends and issues.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

Job Requirements

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

Bachelor's degree in a related field. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

Two (2) to four (4) years experience in related field. Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

  • Analytical, organizational, planning and problem-solving skills
    • Ability to read and interpret documents such as data flows, process flows, technical diagrams, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
    • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
    • Administer and adhere to corporate and departmental policies, practices and procedures.
    • Knowledge of healthcare information technology and HEDIS/STARS MRR process
    • Strong knowledge and use of Microsoft PowerPoint and Word
    • Advanced Microsoft Excel skills -- pivot tables, complex formulas, macros, etc.
    • Ability to write SQL queries at a basic level.
    • Strong analytical, organizational, planning, and problem-solving skills.
  • Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies
  • Ability to plan, organize, direct, and control projects.
  • Excellent written and verbal communication skills.
  • Ability to lead and contribute to process improvement projects.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

We are an Equal Opportunity Employer. Diversity is valued, and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

Job ID: 19-1532
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