Mgr Bus Inf/Report MFC Quality Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req34820)

Description

General Summary of Position
Serves as an expert in data analysis, reporting and formulating recommendations, and provides guidance to other data analysts. This position is part of the quality team. Works with management and peers on the end-to-end HEDIS submissions, audit activities, benchmarking, testing, measure validation, IDSS/PLD submission, state-required reporting, and serves as the health plan liaison. Develops and executes more complex data mining analyses to determine how decision support systems will provide the data required to make effective business decisions. Performs modeling of information sources and flows and coordinates the activities of a project team and monitor project schedules. Develops strategic report applications from the Data Warehouse. Establishes and maintains excellent knowledge of data warehouse database design, data definitions, system capabilities, programming languages, and data integrity issues. Develops and supports complex data warehouse-related applications for business areas requiring design and implementation of database tables. Adheres to the Medicaid contract to ensure regulatory and state reporting, Tracks, identifies issues, reviews, and analyzes data for HEDIS and Gaps in Care Reporting. Creates specifications for reports necessary for the quality management program while making decisions on moderately complex to complex opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health, and Pharmacy and exercises considerable latitude in determining objectives and approaches to assignments.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Bachelor's degree in relevant field (ie, Public Health, Community Health, Business Adminstration, IT, IS or Database Management) required and
• Master's degree in relevant field (ie, Public Health, Community Health, Business Administration, IT, IS or Database Management). preferred

Experience

• 5-7 years 5 years of HEDIS/Quality Leadership required and
• 5-7 years 5 years working in HEDIS/Quality in Medicaid organization required and
• 3-4 years 3 years advanced proficiency in SQL, SAS and other data systems preferred and
• 3-4 years 3 years strong knowledge of NCQA measure process and/or development preferred

Licenses and Certifications

• CPHQ - Certified Professional in Healthcare Quality CPHQ preferred

Knowledge, Skills, and Abilities

• Demonstrated expertise in knowledge of NCQA accreditation standards and the ability to operationalize standards in work processes.
• Exceptional verbal/written communication and organizational skills with the ability to multi-task and manage multiple projects simultaneously while working under pressure to meet deadlines.
• Computer skills.
• Capable of working independently as well as part of a team.

This position has a hiring range of $93,142 - $166,795