Senior Analyst

<strong>Working at Advantasure is more than a job &mdash; you&rsquo;re part of a team that is becoming the country&rsquo;s leading healthcare solutions provider.<br /></strong><br /><strong>A career at Advantasure means you&rsquo;ll be part of one of the most dynamic, diversified and innovative healthcare companies in the nation. You&rsquo;ll be helping our clients make their members healthier &mdash; and our communities a better place to call home.</strong>

United States, USA


<p class="p1"><strong>At Advantasure, we partner with healthcare clients to simplify their operations and accelerate their business success. Powered by our broad expertise and a comprehensive suite of product and service solutions, we help health plans effectively navigate the complexity of healthcare.</strong></p>

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Competitive Compensation and Benefits Package

Overview: <br />The Quality Senior Analyst is a role responsible for HEDIS Operations project support. This includes support during the HEDIS and Supplemental Data seasons by performing medical record review abstraction and assisting in audit activities, coordination of the development and implementation of programs and strategies to improve service to our customers, and analyzing and maintaining&nbsp;data to evaluate issues that support the business.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.&nbsp;</p>
Responsibilities: <br /><br /> <ul> <li>Possess and maintains a comprehensive understanding and knowledge of HEDIS Medical Record Review activities &ndash; including client abstractions, data audit, and HEDIS/Stars technical specifications.</li> <li>Assists with ongoing abstraction and overread activities in support of the clients during the HEDIS medical record review and Supplemental data seasons.</li> <li>Collaborates with coordinators on HEDIS audit submissions for all clients.</li> <li>Coordinate reporting for client HEDIS MRR and supplemental data projects and prepare analysis for management and team.</li> <li>Serves as a business lead for clients who participate in our Quality Program. Responsibilities include inbound/outbound file management, adherence to project timelines, reporting on project status, and client presentations on program outcomes.&nbsp;</li> <li>Coordinates across teams to collect data for the Quality Program projects to be used for analysis by internal and external teams.</li> <li>Develops and maintains an effective working relationship with customers and internal business partners.</li> <li>Represents and participates in group or committee discussions.</li> <li>Develops documentation, reports, and presentations for all levels within the organization including executive leadership and clients.</li> <li>Collaborates with Subject Matter Experts to develop accurate documents.</li> <li>Communicates results of analysis to management and clients via reports/presentations and assists management in implementing programs that provide solutions.</li> <li>Assists in the management and monitoring of multiple HEDIS projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.</li> <li>Contributes to and leads projects that have been identified to improve efficiency and accuracy.&nbsp;Researches, analyzes, identifies, and evaluates data that supports clients&rsquo; troubleshooting needs and prospective business decisions.&nbsp;Provides expertise and guidance to staff as required.</li> </ul>
Requirements: <br /> <p><strong>EDUCATION:</strong></p> <p>&nbsp;</p> <ul> <li>Bachelor&rsquo;s degree in&nbsp;Business Administration, Economics, Mathematics, Statistics, Health Care or a related field is required.&nbsp;&nbsp;&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.</li> <li>Certified Analytics Professional (CAP) or Certified Professional in Healthcare Quality (CPHQ) is highly preferred and encouraged.</li> </ul> <p>&nbsp;</p> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Two (2) to four (4) years experience in related field. &nbsp;</li> <li>Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.</li> </ul> <p>&nbsp;</p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Knowledge of the HEDIS medical record review guidelines, requirements, and process.</li> <li>Knowledge of products reported for HEDIS.</li> <li>Ability to effectively learn and stay up to date on new technical specifications and how it translates to medical record review, reporting, and analysis.</li> <li>Self-starter that is comfortable with ambiguity and has the ability to identify, implement, and execute business strategies.</li> <li>Excellent&nbsp;analytical, organizational, planning, and problem-solving skills</li> <li>Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies</li> <li>Ability to plan, organize, direct, and troubleshoot issues in support of internal and external projects.</li> <li>Strong written and verbal communication skills are required to understand, interpret, and communicate ideas.</li> <li>Ability to lead and contribute to process improvement projects.</li> <li>Ability to read and interpret documents such as data flows, process flows, and operational reporting.</li> <li>Ability to write routine reports and correspondence. &nbsp;</li> <li>Ability to speak effectively before groups of customers or employees of the organization.</li> <li>Administer and adhere to corporate and departmental policies, practices and procedures.</li> <li>Strong knowledge and use of existing software packages (PowerPoint, Excel, Word).</li> <li>Experience executing in a fast-paced environment with tight deadlines.</li> </ul>