Commonwealth Care Alliance Inc.
Sr Advisor, Quality Data Analytics (HEDIS/ STAR Rating)
Commonwealth Care Alliance Inc., Boston, Massachusetts, us, 02298
Sr Advisor, Quality Data Analytics (HEDIS/ STAR Rating)Sr Advisor, Quality Data Analytics (HEDIS/ STAR Rating) Get AI-powered advice on this job and more exclusive features.
Position Summary
Please make sure you read the following details carefully before making any applications.
As a Stars Senior Data Analyst, your main focus will be to improve publicly reported rates and close the gaps in Stars performance. You will achieve this through the effective use of data analytics, technology, and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate with them to ensure that your work aligns with the organization's overarching goals and STAR strategies. In this role, you will closely partner with internal and external teams to proactively identify derived from the data and provide operational support for performance improvement. Your expertise in Quality Measures and Star Ratings will be crucial as you consult with key stakeholders and create meaningful insights from the data used for Stars and other quality measures. Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Other duties, as assigned.
013670 CCA-Clinical Analytics
Position Summary
As a Stars Senior Data Analyst, your main focus will be to improve publicly reported rates and close the gaps in Stars performance. You will achieve this through the effective use of data analytics, technology, and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate with them to ensure that your work aligns with the organization's overarching goals and STAR strategies. In this role, you will closely partner with internal and external teams to proactively identify derived from the data and provide operational support for performance improvement. Your expertise in Quality Measures and Star Ratings will be crucial as you consult with key stakeholders and create meaningful insights from the data used for Stars and other quality measures.
Essential Duties & Responsibilities
Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Other duties, as assigned.
Working Conditions
Standard office conditions.
Education Required
BA/BS in Health Analytics, Public Health, Health Care Administration, Health Economics, or a related field with strong emphasis in data analysis.
Education Desired
Advanced degree preferred
Experience Required
A minimum of 5 years of relevant experience in reporting and analyzing quality improvement measures in a health plan. Experience working in Stars (HEDIS, HOS, CAHPS) at a large national or regional health plan. Experience executing in a fast-paced environment with tight deadlines.
Experience Desired
Experience with Medicaid-Medicare populations a plus Experience in data analytics and using data to inform decisions preferred
Knowledge, Skills & Abilities Required
Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Effective relationship building skills both internally and externally within an organization with a variety of constituencies. Goal orientated, highly productive and committed to results both as an individual contributor and as a team player Seniority level
Seniority levelMid-Senior level Employment type
Employment typeFull-time Job function
Job functionQuality Assurance IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Commonwealth Care Alliance by 2x Get notified about new Quality Advisor jobs in
Boston, MA . Regional Quality & Benchmarking Specialist, RME SDC North Andover, MA $107,600.00-$177,900.00 5 days ago Senior Quality Compliance Specialist - TrainingHead of Quality Assurance & Regulatory AffairsRN, Quality Practice Advisor - Boston, MA Boston, MA $105,000.00-$138,000.00 5 days ago Quality & Patient Safety Specialist - Registered Nurse (Full Time)Quality Performance Improvement Consultant Cambridge, MA $80,000.00-$120,000.00 2 weeks ago Quality Assurance Specialist/Manager – Bioanalytical LaboratoryQuality & Patient Safety Specialist - Registered Nurse (Full Time) Boston, MA $99,148.00-$113,000.00 4 days ago Radiology Quality Improvement Specialist - MRI ResearchSenior Director, Operational Quality - Cell & Gene Therapy (Onsite) Boston, MA $208,000.00-$312,000.00 2 weeks ago Boston, MA $95,000.00-$130,000.00 3 days ago Boston, MA $140,000.00-$190,000.00 2 weeks ago Vigilance Manager-Post Market Surveillance Cambridge, MA $87,000.00-$155,904.00 1 week ago QRM - Quality and Risk Management (Manager) - National_Office Boston, MA $97,000.00-$110,000.00 1 day ago H&M Sales Advisor - Newbury Street Local Flagship We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Please make sure you read the following details carefully before making any applications.
As a Stars Senior Data Analyst, your main focus will be to improve publicly reported rates and close the gaps in Stars performance. You will achieve this through the effective use of data analytics, technology, and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate with them to ensure that your work aligns with the organization's overarching goals and STAR strategies. In this role, you will closely partner with internal and external teams to proactively identify derived from the data and provide operational support for performance improvement. Your expertise in Quality Measures and Star Ratings will be crucial as you consult with key stakeholders and create meaningful insights from the data used for Stars and other quality measures. Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Other duties, as assigned.
013670 CCA-Clinical Analytics
Position Summary
As a Stars Senior Data Analyst, your main focus will be to improve publicly reported rates and close the gaps in Stars performance. You will achieve this through the effective use of data analytics, technology, and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate with them to ensure that your work aligns with the organization's overarching goals and STAR strategies. In this role, you will closely partner with internal and external teams to proactively identify derived from the data and provide operational support for performance improvement. Your expertise in Quality Measures and Star Ratings will be crucial as you consult with key stakeholders and create meaningful insights from the data used for Stars and other quality measures.
Essential Duties & Responsibilities
Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Other duties, as assigned.
Working Conditions
Standard office conditions.
Education Required
BA/BS in Health Analytics, Public Health, Health Care Administration, Health Economics, or a related field with strong emphasis in data analysis.
Education Desired
Advanced degree preferred
Experience Required
A minimum of 5 years of relevant experience in reporting and analyzing quality improvement measures in a health plan. Experience working in Stars (HEDIS, HOS, CAHPS) at a large national or regional health plan. Experience executing in a fast-paced environment with tight deadlines.
Experience Desired
Experience with Medicaid-Medicare populations a plus Experience in data analytics and using data to inform decisions preferred
Knowledge, Skills & Abilities Required
Knowledge of Medicare Star Rating methodology; NCQA HEDIS measures; CAHPS and HOS surveys Intermediate to advanced knowledge of analytic programming languages and data visualization tools, including SAS, SQL, and Tableau. Ability to develop, interpret and explain analytics needed by the business for decision making and improvement. Demonstrated ability to develop and produce complex reports and dashboards. Experience and expertise with designing and executing analyses to evaluate the effectiveness of interventions to improve measures. Strong ability to generate information that is easily understood and actionable by key stakeholders (Market, Quality, Pharmacy, Member experience team) in alignment with clearly defined analytic/reporting requirements. Possess excellent communication skills and ability to effectively interact with all levels of management. Knowledge of health plan operations, health care claims and other relevant data sources (e.g. EMR, Authorizations). Ability to organize, plan and prioritize assignments within multiple projects. Ability to work with minimal direction and flexibility when rapid or extensive changes are needed. Effective relationship building skills both internally and externally within an organization with a variety of constituencies. Goal orientated, highly productive and committed to results both as an individual contributor and as a team player Seniority level
Seniority levelMid-Senior level Employment type
Employment typeFull-time Job function
Job functionQuality Assurance IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Commonwealth Care Alliance by 2x Get notified about new Quality Advisor jobs in
Boston, MA . Regional Quality & Benchmarking Specialist, RME SDC North Andover, MA $107,600.00-$177,900.00 5 days ago Senior Quality Compliance Specialist - TrainingHead of Quality Assurance & Regulatory AffairsRN, Quality Practice Advisor - Boston, MA Boston, MA $105,000.00-$138,000.00 5 days ago Quality & Patient Safety Specialist - Registered Nurse (Full Time)Quality Performance Improvement Consultant Cambridge, MA $80,000.00-$120,000.00 2 weeks ago Quality Assurance Specialist/Manager – Bioanalytical LaboratoryQuality & Patient Safety Specialist - Registered Nurse (Full Time) Boston, MA $99,148.00-$113,000.00 4 days ago Radiology Quality Improvement Specialist - MRI ResearchSenior Director, Operational Quality - Cell & Gene Therapy (Onsite) Boston, MA $208,000.00-$312,000.00 2 weeks ago Boston, MA $95,000.00-$130,000.00 3 days ago Boston, MA $140,000.00-$190,000.00 2 weeks ago Vigilance Manager-Post Market Surveillance Cambridge, MA $87,000.00-$155,904.00 1 week ago QRM - Quality and Risk Management (Manager) - National_Office Boston, MA $97,000.00-$110,000.00 1 day ago H&M Sales Advisor - Newbury Street Local Flagship We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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