A healthcare company in New York City is looking to add a new Quality Management (QM) Analytics Manager to their growing QM Analytics team. In this role, the Quality Management (QM) Analytics Manager will be responsible for supervision of the QM Analytics Team.
***This is a Hybrid opportunity requiring the qualified professional to work onsite at least 3 days a week.***
Responsibilities:
The Quality Management (QM) Analytics Manager will:
- Supervise the QM Analytics Team, ensuring the maintenance of the HEDIS/QARR data repository for accurate and timely reporting to NYS DOH and CMS
- Manage the integration of claims, provider, member, encounter, and supplemental data into quality measure rates, collaborating with internal teams and external vendors
- Develop program forecasting models and quality dashboards to track and meet provider pay-for-performance program budgets and QM/Plan quality goals
- Mentor and train analytics staff, develop strategic plans to meet deadlines while maintaining data integrity, and ensure data requests align with project needs and are accurately interpreted and reported
- Develop and maintain processes for implementing, testing, and validating supplemental data from providers
- Provide technical mentorship to QM Provider Engagement, Quality Review Leads, and Quality Improvement Specialists
- Serve as mid-level escalation support for application issues, escalating data problems requiring process re-engineering
- Select, develop, manage, and evaluate direct reports, providing clear instructions and guidance to project team members
Qualifications:
- Bachelor's degree required in public health, health administration, business administration, or information technology
- 5+ years of experience in programming, application development, or reporting, with a strong analytical background (SAS, SQL, Crystal Reports, etc.)
- Proficiency in utilizing analytics and business intelligence tools (e.g., SAS, R, SQL, Cognos, Business Objects) to create client analysis solutions
- Advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, Visio, and Access
- Great interpersonal skills
- Excellent communication skills (written and verbal)
- Strong attention to detail
- Highly organized
Desired Skills:
