Job description

Position Summary/Position

Under the direction of the Quality Systems Leadership Team, the Healthcare Data Analyst I – Quality Systems (HDA I) is responsible for providing technical, analytical, and reporting support for the Health Plan Clinical and Provider departments, programs, and quality activities. The HDA I must understand relational database concepts, table design and structure, joins, data normalization, and data types. In addition to technical data concepts, the HDA must have strong understanding of research methods and statistical concepts to design reliable studies/analyses, and payment algorithms.
Responsible for managing assigned reporting projects to ensure that data and analysis requests are completed timely, accurately while presented in a way that meets the needs of the requesting department. The HDA I must be able to assess requests and solicit feedback from requestors regarding any critical decision points that are necessary to complete requests accurately and timely. To do this effectively, the HDA I must have knowledge of the various data sources available for reporting and must have a clear understanding of IEHP business operations in order to appropriately apply criteria and methodology to meet requestors’ needs. The HDA I must demonstrate effective communication skills with Team Members at all levels within the organization. It is also necessary to understand how Quality Systems deliverables - including standard reports, ad-hoc requests, studies, analyses, and recommendations - can impact business operations at IEHP.

Major Functions (Duties and Responsibilities)

1. Develops and prepares reports to support IEHP’s clinical and provider units utilizing available analytics and data mining tools, including but not limited to: Microsoft Applications (including MS Access), SAS, SPSS, Crystal Reports, system-specific reporting tools (e.g., MedHOK, CRM,) or other related reporting software.
2. Exercises timely and accurate data mining techniques and develops new or modifies existing reports that ensure consistent conclusions to data analysis.
3. Use analytical skills to determine solutions and resolve problems
4. Responsible for evaluating report requests to determine requestor’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
5. Responsible for understanding the various data sources available within IEHP for reporting and analysis, as well as a clear understanding of IEHP business operations to be able to appropriately guide the development of quality program activities, including analysis and reporting.
6. Significant participation in analysis, interpretation, and translating of complex health plan data, issues, trends, and relationships into effective strategies and action plans.
7. Responsible for managing assigned projects and effectively communicating with the QS leadership team any project deadlines that may be in jeopardy of being met, well in advance of the due date.
8. Document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
9. Demonstrate a commitment to incorporate LEAN principles into daily work.
10. Establish and maintain effective working relationships with others throughout the organization.

Supervisory Responsibilities

Leading: Self

Experience Qualifications

3-5 years of relevant experience - Will accept Master’s Degree in lieu of experience

Preferred Experience

Experience in the healthcare field is preferred.

Education Qualifications

Bachelor's degree from an accredited institution required.

Preferred Education

Master’s degree from an accredited institution preferred.

Professional Certification

Professional Licenses

Drivers License Required

No

Knowledge Requirement

Working knowledge of data analysis, study methodology, and preparing professional documents. Basic understanding of statistical methods.

Extensive knowledge of Microsoft Access, SAS, SSRS or other statistical applications are essential.

Skills Requirement

Data analysis, data presentation, spread sheet and database capabilities.

Proficiency in Microsoft Excel, Word.

Excellent interpersonal/communication skills.

Abilities Requirement

Strong problem solving capability.

Strong attention to detail.

Ability to handle multiple projects.

Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

Physical Requirements

Starting Salary: $79,813.76 - $101,762.54

Pay rate will commensurate with experience

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Covid Vaccine plus booster

Ability to commute/relocate:

• Rancho Cucamonga, CA 91730: Reliably commute or planning to relocate before starting work (Required)

Experience:

• HEDIS: 3 years (Preferred)

Work Location: One location

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