Position Details
About this role
This role analyzes, reports, and provides recommendations on business metrics tied to HEDIS quality. You will build and maintain databases, analyze claims/provider/utilization data, and produce periodic and ad hoc reports while translating business requirements into diagnostic and tracking decision support tools.
Key Responsibilities
- Create and maintain databases to track business performance
- Analyze data and summarize performance using summary statistical procedures
- Develop reports for claims data, provider data, and utilization data with deviation/anomaly notations
- Create and publish periodic reports and develop ad hoc reports as needed
- Translate business issues and requirements into usable diagnostic and tracking decision support tools
Technical Overview
The position emphasizes analytics using summary statistical procedures, database creation/maintenance, and reporting through standard query and reporting tools. It includes working with relational databases and analyzing HEDIS results using multiple data sources and systems when available.
Ideal Candidate
The ideal candidate is a mid-level business information analyst with at least 2 years of operational and/or data analysis experience and strong knowledge of database structures, standard query and reporting tools, and summary statistical procedures. They are comfortable producing periodic and ad hoc reports for claims, provider, and utilization data, and translating business requirements into diagnostic and tracking data for decision support—ideally with experience analyzing HEDIS results.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Clearance & Visa
Keywords for Your Resume
Deal Breakers
Not eligible for current or future visa sponsorship, Must have BS/BA in a related field and at least 2 years of related operational and/or data analysis experience
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