Healthcare Quality Data Analyst

  • Columbia, Maryland
  • Full Time

This job ad was removed 5 hours ago.

Job Description


Description:

This data-focused role would be responsible for quality data reports, liaison with the national Value Based Solutions (VBS) based contracting data team on data needs and reports and complete the extensive and ongoing analysis needed to drill into member level data to determine the interventions for improvement in all the HEDIS MDH Performance Measures. They will assist with the VBS program with providers and the conversion to a new value based contracting model, Client Value Incentive Program (VIP). They will identify and assist with identification of specific interventions based on their review of the efficacy and cost of the interventions we are currently doing, and new interventions implemented. ROIs will be able to be assessed for interventions to assure efficient effective results. Interventions would be able to be region, provider, condition, and member specific. Additional HEDIS measures could be included in our analyses and improvement strategies.

Experience

At least 2 years experience with Managed Care or other health care related entities
Claims data experience
Expert in Excel including; Macros/VBA and Power Query
Proficient/formal training with Structured Query Language (SQL)
HEDIS experience

Education

Preferred Bachelor's degree in Health Admin/Health analytics or related field

Notes :

M-F 8-5

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

Description:

This data-focused role would be responsible for quality data reports, liaison with the national Value Based Solutions (VBS) based contracting data team on data needs and reports and complete the extensive and ongoing analysis needed to drill into member level data to determine the interventions for improvement in all the HEDIS MDH Performance Measures. They will assist with the VBS program with providers and the conversion to a new value based contracting model, Client Value Incentive Program (VIP). They will identify and assist with identification of specific interventions based on their review of the efficacy and cost of the interventions we are currently doing, and new interventions implemented. ROIs will be able to be assessed for interventions to assure efficient effective results. Interventions would be able to be region, provider, condition, and member specific. Additional HEDIS measures could be included in our analyses and improvement strategies.

Experience

At least 2 years experience with Managed Care or other health care related entities
Claims data experience
Expert in Excel including; Macros/VBA and Power Query
Proficient/formal training with Structured Query Language (SQL)
HEDIS experience

Education

Preferred Bachelor's degree in Health Admin/Health analytics or related field

Notes :

M-F 8-5

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Job ID: 475087292
Originally Posted on: 4/29/2025

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