Senior Analyst, Risk & Quality Reporting; Remote in IL

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Competitive benefits and compensation package
• Chance to develop expertise in HEDIS and contribute to improving healthcare performance
• Collaborative work environment with a focus on data-driven decision-making
• Involvement in special performance improvement projects and initiatives

• Collaborate with assigned health plans to document requirements and create custom health plan reports
• Build intervention strategy reporting and track HEDIS performance
• Conduct data analysis, including root cause analysis, to identify trends and anomalies
• Assist in testing changes in the Data warehouse platform to ensure seamless reporting upgrades
• Develop custom health plan reports related to managed care data, including Medical Claims and Pharmacy

• Bachelor's Degree or equivalent combination of education and work experience
• 3-5 years of experience in data mapping, scrubbing, and cleaning
• 3-5 years of experience in a Managed Care Organization with a focus on SQL and data design
• 3-5 years of experience working with Microsoft T-SQL, Databricks SQL, and PowerBI
• 1-3 years of experience with Microsoft Azure, AWS, or Hadoop

• 3-5 years of experience in analysis related to HEDIS and/or Risk Adjustment
• Experience working with complex data to analyze financial and performance metrics

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